Time of day and interpretation duration show mixed associations with junior doctor trauma X-ray accuracy¶

Claim · All claims
Evidence · 1 study · review r2 · q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Night shift reporting was more accurate than day shift (p = 0.04), while longer viewing time was inversely and non-significantly associated with accuracy. → Acquah G 2025

Evidence¶

Acquah G 2025¶

Acquah G, Anyitey-Kokor IC, Donkor A, Wiafe YA, Ohene-Botwe B, Neep MJ, Alhassan I, Brennan PC. (2025). Factors associated with junior doctor plain trauma X-ray interpretation accuracy and strategies for improvement: a scoping review. BMC Medical Imaging. https://doi.org/10.1186/s12880-025-02122-0

q2 · i? · review · r2

The review reports two time-related findings: Liu et al. 2022 found "Night shift reporting tended to be more accurate than day shift (p= 0.04)", while Chen et al. 2003 found a non-significant inverse relationship between viewing time and accuracy.

"Night shift reporting tended to be more accurate than day shift (p= 0.04)"

Discussion¶

Related Claims¶

• Anatomical site of injury is associated with junior doctor trauma X-ray interpretation accuracy, with appendicular radiographs interpreted more accurately — related
• Structured training improves junior doctor plain trauma X-ray interpretation accuracy — related
• Number of abnormalities on a trauma radiograph is associated with interpretation accuracy, which falls as abnormalities accumulate
• Emergency department clinical experience combined with a structured teaching programme reduces junior doctor misinterpretation rates
• Emergency department clinical experience is associated with more accurate junior doctor plain trauma X-ray interpretation
• Mechanism of injury is associated with interpretation accuracy, blunt trauma achieving the highest sensitivity and specificity
• Collaboration with radiographers improves junior doctor trauma X-ray interpretation accuracy