Gary H. Danton MD, PhD, Presenter: Nothing to Disclose

Juan Infante MD, Abstract Co-Author: Nothing to Disclose

Mircea Cristescu BS, Abstract Co-Author: Nothing to Disclose

We explored the reasons behind poor adoption with the goal of revising strategies to achieve greater success at our institutions and help other Radiologists plan their structured reporting systems.

Jackson Memorial Hospital is a 1550 licensed bed public hospital serving Miami-Dade County and staffed by University of Miami Faculty and 50 housestaff. Implementation of structured reporting following recommendations published on the RSNA website was planned to coincide with implementation of voice recognition. Templates were planned to be used for abnormal and normal exams.  To prepare, teams from each departmental section was created with 4-5 residents, 1-2 medical students and a faculty mentor. Each team developed templates following guidelines on the RSNA informatics website. Templates were then reviewed by the medical director to ensure uniformity and that they followed an itemized format. Templates were approved by the faculty member from the section and often the section chief. During implementation of voice recognition, residents were not taught how to create their own templates and were encouraged to use system templates. Adoption of the system templates has been limited at best.  We sought to determine the barriers to successful adoption of structured reporting.

Housestaff and faculty are being surveyed to determine their hesitation or issues with adopting the structured reporting templates. Reasons include:  Do not like the itemized format as a report. 2. Preferance for  specific formatting and wording not included in the templates. 3. Too difficult to dictate using system templates. 4. Templates are too cluttered with recommendations. 5. Easier to dictate free text with VR. 6. Preference for personal templates. 7. Too difficult to change dictating style. 8. Templates are too hard to navigate. 9. Using templates requires looking away from images.

Involving end-users in the planning stages of structured reporting does not guarantee compliance and adoption of structured reporting templates. A variety of reasons for noncompliance was explored including those inherent in voice recognition software, the template structure, dictating habits, and report preference.

Danton, G, Infante, J, Cristescu, M, Implementation of Structured Reporting at a Large Teaching Hospital: Where We Went Wrong and What We Have Learned.  Radiological Society of North America 2011 Scientific Assembly and Annual Meeting, November 26 - December 2, 2011 ,Chicago IL. http://archive.rsna.org/2011/11012586.html