LAUSR

Background Radiography forms an integral part of dental and maxillofacial practice, but its reporting continues to pose a variety of problems for practitioners. Chief among these are medicolegal complications and the detriment to patient care that arises from a lack of comprehensive record keeping. Objective(s) This audit objectively assessed the completeness and variation of radiographic reports written by undergraduate dental students from year 2 to year 5, including dental core trainees (DCTs) and consultants. We aimed to provide recommendations enabling higher-quality reporting. Study Design Conducted at the Royal London Dental Hospital (UK), 100 radiographic reports were randomly selected for each of the chosen groups, and the data were collected retrospectively using clinical case notes. Based on national and international guidelines, we compiled a list of 10 criteria, against which all reports were judged. The data were recorded in a dichotomous manner for each criterion to minimize ambiguity. Each report was subsequently scored of ten (with equal weighting of each criterion) and the average for the group calculated. Results Data analysis revealed that less than 1% of reports met all criteria. On average, 5 criteria were met; however, there exists considerable variation between groups. A slight tendency for more comprehensive reporting with undergraduate seniority was noted, in opposition to a substantial drop at the DCT level and again at the consultant level. Discussion/Conclusions The data demonstrate a concerning lack of comprehensive reporting across all groups, especially at the higher-ranking levels. Possible explanations include a reduction in senior input and feedback; awareness of the importance of record keeping; time available for each patient encounter; and knowledge of current guidance and policy. Following these results, we recommend regular auditing of radiographic reports by every department and local publication of updates to guidelines and legislation. Raising awareness of this issue will help improve reporting standards, thereby allowing greater patient care and protection from litigation.