Factors that may contribute to an inadequate radiology request form
The radiology request/referral is an important part of the communication between the referring physician and the radiology department. It forms the basis for radiologists and radiographers to be able to carry out their work. Through the radiologic request form, the referrer orders an examination for a patient, as part of the patient's medical examination or follow-up. In conjunction with education and practice, we have noticed that reduced quality of the referrals is not uncommon. The aim was to identify the main contributing factors to unjustified referrals for diagnostic imaging procedures. A literature review was undertaken.
Analyzing the literature, the overall themes emerged, and resulted in five subcategories; 1) insufficient, inaccurate or lack of clinical information or questioning, 2) weaknesses in choosing the desired modality, 3) missing routines and 4) need for further standardization of the referring-practice, and 5) insufficient knowledge of radiological diagnostics on behalf of the referring physicians. Weaknesses in clinical history and questioning were the most frequently presented contributing factors.
Copyright (c) 2019 Mitch Otterberg, Johan Gunneröd, Helene Mork-Knudsen
This work is licensed under a Creative Commons Attribution 4.0 International License.Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication, with the work after publication simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).