406 Journal of the American College of Radiology/Vol. 11 No. 4 April 2014

reinforce the “need for change” and the sustained effectof the intervention.The study had several limitations. It was conducted at

a single community hospital and with a specific speechrecognition application, such that the results may not begeneralizable to other institutions with different char-acteristics or using different applications. We did notevaluate the content of the radiology report between thepreintervention and postintervention periods to assessfor possible qualitative changes. Radiologist satisfactionwas also not a formal part of our evaluation, althoughthe application was generally well received. Additionally,we did not directly review the impact of the imple-mentation of the SRS on radiologists’ workflow, andtherefore a formal assessment of radiologists’ produc-tivity was not possible. However, normalized radiologistproductivity, defined as report volume per full-timeemployee, was chosen to indirectly assess the impacton individual physicians, and no significant change wasappreciated.

TAKE-HOME POINTS

� SRS can be successfully implemented in a communityhospital that has no radiology trainees.

� The implementation of SRS may yield multiple-foldimprovement in radiology report TATs.

� Improvements in radiology report TATs can be ach-ieved without significant adverse impact on radiologistproductivity when coupled with quality improvementtechniques including committed leadership, IT plan-ning, and support as well as access to performancemetrics.

ACKNOWLEDGMENTS

We thank the medical imaging IT team and Brighamand Women’s Faulkner Hospital Radiology Department

Errat

In the article titled: Delivery of Appropriateness, QualitW. Boland, MD, Richard Duszak Jr, MD, Geraldine Merror in reference 20. The correct reference is: BreslauCare Organizations. J Am Coll Radiol 2011;8:164-8

leadership for their contribution in the project andLaura E. Peterson, BSN, SM, for her editorial support.

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y, Safety, Efficiency and Patient Satisfaction by GilescGinty, MD, MBA, Bibb Allen Jr, MD, there was anJ, Lexa FJ. Radiologist’s Primer on Accountable.