Original StudyReason for Exam Imaging Reporting and Data System: Consensus Reached on Quality Assessment of Radiology RequisitionsTofighi, Salar MD∗; Abedi, Aidin MD∗,†; Salehi, Sana MD∗; Myers, Lee MD∗; Reddy, Sravanthi MD∗; Gholamrezanezhad, Ali MD, DABR, FEBNM∗Author Information From the Departments of ∗Radiology †Orthopaedic Surgery, Keck School of Medicine, University of Southern California (USC), Los Angeles, California. Correspondence: Aidin Abedi, MD, Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California (USC), Norris Research Tower, NRT-4513, 1450 Biggy Street Los Angeles, CA, 90033 (e-mail: [email protected]). The authors disclose no conflict of interest. This study utilized REDCap v8.1.9 licensed by University of Southern California (USC). This software has a grant support (UL1TR001855 and UL1TR000130 from the National Center for Advancing Translational Science [NCATS] of the U.S. National Institutes of Health). However, conduct of this study was not supported by any grants. Journal of Patient Safety: June 2021 - Volume 17 - Issue 4 - p e255-e261 doi: 10.1097/PTS.0000000000000653 Buy Metrics Abstract Objective The aim of this study was to reach consensus on quality assessment of clinical information in imaging requisitions using Reason for exam Imaging Reporting and Data System (RI-RADS). Methods A Delphi study was conducted in September 2018 with a panel of 87 radiologists with diverse levels of experience from various settings (community hospitals, private hospitals, university hospitals, and clinics), of which 74.7% completed the survey. The agreement was assessed in the following subjects: (a) presumed effect of standardization, (b) the standardized system for information, (c) the scoring system for evaluation of requisitions, and (d) the implementation of RI-RADS. The consensus threshold was set at 51% responding (strongly) agree. The rate of lawsuits preventable with clinical information was also assessed. Results Consensus was reached on all objectives of the study with a high level of agreement. Radiologists agreed on the need for standardization of imaging requisitions and attributed it to increased speed and accuracy of interpretations. Three categories of information were determined as key indicators of quality: impression, clinical findings, and clinical question. The scoring system is intended to grade requisitions based on the presence of these categories. Radiologists also agreed that RI-RADS will encourage physicians to improve requisitions. Among radiologists who responded to the survey, 12.6% had experienced at least one lawsuit potentially preventable with sufficient information in requisitions. Conclusions Reason for exam Imaging Reporting and Data System can be used as a standard for quality assessment of requisitions. Its use may improve the quality of patient care and reduce lawsuits against radiologists. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.