Patient Engagement with Online Portals and Online Radiology Results.

The purpose of this study was to examine patient portal enrollment and the usage with a specific focus on the utilization of on-line radiology reports by patients. Oracle SQL (Austin, TX, USA) queries were used to extract portal enrollment data over a 13-month period from March 1, 2017 through March 31, 2018 from the hospital system's EMR. Patient enrollment was collected as was patient information including basic demographics and utilization patterns. For enrolled patients, interaction within the portal with the "Radiology" work tab (RADTAB) was used as a surrogate for review of radiology results. As a comparator, interaction within the portal with the "Laboratory" work tab (LABTAB) was used as a surrogate for review of laboratory results. Statistical analysis on the data was performed using Chi-squared, Student's t-test, Logistic regression and multivariate analysis where appropriate. The population for analysis included 424,422 patients. Overall, 138,783 patients (32.7%) were enrolled in the portal. Patients enrolled in the portal were older (P < 0.0001), female (P < 0.0001) and Caucasian (P < 0.0001). Patients enrolled in the portal had higher levels of educational attainment (p < 0.0001), higher annual household income (P < 0.0001), and more outpatient clinic visits (P < 0.0001). The proportion of enrolled patients that interacted with the LABTAB (47.2%) was significantly higher than those that interacted with the RADTAB (27.1%) (P < 0.0001; Table 2). Patients that utilize the portal are more likely to utilize the Laboratory tab than the Radiology tab, and demographic differences do not account for this difference in usage. Further investigation is needed to better understand the reasons for the differing usage trends of Laboratory and Radiology tabs.

An Analysis of Internet Searches Performed on a Hospital System Homepage to Assess Search Patterns and Traffic Generated by Radiology-specific Terms.

OBJECTIVE: To understand the utilization of the search engine within our hospital system's homepage, stratifying the searches into physician specialty, procedures or therapies, patient conditions, and logistical queries, with a specific focus on radiology-specific terms as a baseline to guide future interventions. METHODS: The top 1000 most searched terms entered into the medical system's homepage between January 1, 2017 and February 28, 2018 were collected. Related or similar terms were combined for analysis. RESULTS: During the study period, there were 121,071 unique searches on the center's website, and the top 1000 most searched terms combined for 65,011 searches. The most searched category was logistical queries (n = 29,667), followed by searches for conditions (n = 14,033), specialties (n = 3083), and procedures or therapies (n = 2252). Within the top 1000 most searched terms, radiology-specific searches accounted for 96 searches. These terms were all mammography-related. CONCLUSION: Radiology as a specialty and radiology-specific terms were not frequently searched for by patients when compared with other specialties. Mammography-related terms were the only radiologic subspecialty items within the top 1000 search terms. Overall, patients searched more for conditions than they did for specialties or therapies. These findings could be a representation of the general public's lack of awareness regarding the specialty.

Objective comparison of errors and report length between structured and freeform abdominopelvic computed tomography reports.

PURPOSE: To objectively compare structured and freeform abdominopelvic CT reports based on the number and types of errors as well as report length. METHODS: 90 structured and 89 freeform reports from abdominopelvic CT scans with IV contrast obtained for the indication of abdominal pain were randomly selected for review. Each report was reviewed for errors, which were counted and categorized based on the type of error. The total number of words in each report was tallied. RESULTS: 105 total errors were found in the structured reports, compared to 157 total errors in freeform reports. There were 1.16 errors per structured report and 1.76 errors per freeform report (p < 0.001). 48% of structured reports contained at least one error, while 71% of freeform reports contained at least one error (p = 0.002). When a difference existed between the styles with regard to error categories, more errors were observed in freeform reports, with the exception of the duplicated period error where structured reports had more errors. No difference on the basis of average words per report existed, with 219.2 words per report for each reporting style. CONCLUSION: The use of structured reporting for abdominopelvic CT results in less errors in the report when compared to freeform reporting, potentially reducing clinically significant adverse outcomes in patient care. The report length on the basis of number of words per report is not different between the two reporting styles.