About this trial
Many injured patients receive urgent CT imaging to identify major injury. CT imaging of trauma patients is often time critical and the accurate detection of life-threatening findings on this CT is essential. Often following a scan a radiologist is not immediately available to review the imaging, however other members of the trauma team have access to the imaging and may be in a position to provide a "hot" report. In this study we aim to demonstrate if an educational intervention with a checklist improves accuracy of the hot report.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Medical professionals involved in trauma image review.
This includes clinicians who are emergency department doctors, radiologists and other specialties.
Non-radiologist clinicians will be participating completing the hot reports, radiologists will be evaluating their submissions and assessing their accuracy.
Disqualifiers
Unable to review CT imaging due to lack of previous experience or disability that prevents them from doing so.
Under 18 years old.
Not a medical professional or clinician.
Trial design
Factorial
Treatments tested in this trial
Education
Other interventionThe three groups will report 2 image banks of 15 CT images each. Image bank A will contain 15 CT images each with a brief history including the mechanism of injury. Image bank B will contain 10 new CT images and 5 CT images contained within image bank A, but with an altered but compatible mechanism of injury. Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist. Group 2 will report image bank B, receive the educational intervention and then report image bank A. Group 3 will report image bank A and B without any intervention.
Treatment groups
Trial outcomes
Primary outcomes
Rates of detection and error of a hot CT report.
Measure using percentage difference in hot report accuracy rates between those who receive the educational package and those who did not. Participants will submit their answers onto the platform and these will be evaluated by Radiologists familiar with the trauma scans the participants have reviewed. The primary analysis will be comparative between the pickup rate between the first and second imaging set within groups 1 and 2. Group 3 will act a control group to determine the effect of repetition on skill development rather than the education package.
Sponsors and contacts
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