Accuracy of interpretation of nasogastric tube position on chest radiographs by diagnostic radiographers: A multi-case, multi-reader study

Journal article

Creeden, A., McFadden, S., Ather, S. and Woznitza, N. 2025. Accuracy of interpretation of nasogastric tube position on chest radiographs by diagnostic radiographers: A multi-case, multi-reader study. Radiography. 31 (1), pp. 83-88. https://doi.org/10.1016/j.radi.2024.10.022
AuthorsCreeden, A., McFadden, S., Ather, S. and Woznitza, N.
Abstract

Introduction
Feeding via a misplaced nasogastric tube (NGT) is a common but preventable cause of patient harm. The aim of this study was to determine the accuracy of diagnostic radiographers’ assessment of NGT position on chest radiographs (CXRs) and safe-to-feed decisions.

Methods
A multi-case, multi-reader study was conducted using an online image interpretation platform. A test bank consisting of 15 CXRs with an NGT in-situ was created. Diagnostic radiographers without formal qualifications in CXR interpretation were recruited via two international conferences. Participants placed an electronic marker on each CXR to identify the location of the tip of the NGT and indicated whether or not they believed that the tube was safely positioned.

Results
68 participants were recruited. Each participant reviewed 15 CXRs, providing 1020 unique image assessments. 76 % (n = 778/1020) image assessments were completely correct (both the position of the tip of the NGT was accurately located and an appropriate safe-to-use decision made). In 5 % (n = 56/1020) of cases the NGT was safely positioned and the location of the tip was correctly identified by the participant but the tube was erroneously determined to be unsafe for feeding. In a further 6 % (n = 59/1020) of cases the participant correctly located the tip of an NGT in an unsafe position but indicated that the tube was safe to use. Participants failed to correctly identify the tip of the NGT in the remaining 12 % (n = 127/1020) of cases.

Conclusion
Consistent with previous studies involving other staff groups, diagnostic radiographers without formal qualification in CXR interpretation can assess NGT positioning on radiographs with moderate accuracy but require further training, including strategies for the identification of poorly-visualised tube tips, to achieve the 100 % accuracy necessary for this safety-critical task.

Implications for practice
A bespoke training programme which includes teaching on image quality, tube tip identification and assessment of tube positioning using the National Patient Safety Agency (NPSA) four criteria, should be delivered prior to implementation of a radiographer-led NGT CXR evaluation service.

KeywordsNasogastric tube; Radiograph; Chest x-ray; Radiographer; Reader performance; Accuracy
Year2025
JournalRadiography
Journal citation31 (1), pp. 83-88
PublisherElsevier
ISSN1078-8174
1532-2831
Digital Object Identifier (DOI)https://doi.org/10.1016/j.radi.2024.10.022
Official URLhttps://www.sciencedirect.com/science/article/pii/S1078817424003201
Publication dates
Online14 Nov 2024
Publication process dates
Accepted23 Oct 2024
Deposited11 Dec 2024
Publisher's version
License
File Access Level
Open
Output statusPublished
Permalink -

https://repository.canterbury.ac.uk/item/99x84/accuracy-of-interpretation-of-nasogastric-tube-position-on-chest-radiographs-by-diagnostic-radiographers-a-multi-case-multi-reader-study

Download files

Publisher's version
1-s2.0-S1078817424003201-main.pdf
License: CC BY 4.0
File access level: Open

  • 4
    total views
  • 0
    total downloads
  • 4
    views this month
  • 0
    downloads this month

Export as

Related outputs

Artificial intelligence (AI) for paediatric fracture detection: a multireader multicase (MRMC) study protoco
Shelmerdine, S., Woznitza, N., Ather, S. and Novak, A. 2024. Artificial intelligence (AI) for paediatric fracture detection: a multireader multicase (MRMC) study protoco. BMJ Open. https://doi.org/10.1136/bmjopen-2024-084448
A survey of the NHS reporting radiographer workforce in England
Lockwood, P., Burton, C., Shaw, T. and Woznitza, N. 2024. A survey of the NHS reporting radiographer workforce in England. Radiography Open. 10 (1), pp. 1-18. https://doi.org/10.7577/radopen.5635
Reporting radiographers within the European Federation of Radiographer Society (EFRS) member countries - motivation for becoming a reporting radiographer.
Jensen, J, Blackburn, P A, Gale, N, Senior, C, Woznitza, N, Heales, C J and Pedersen, M R V 2024. Reporting radiographers within the European Federation of Radiographer Society (EFRS) member countries - motivation for becoming a reporting radiographer. Radiography. 30 (3), pp. 731-736. https://doi.org/S1078-8174(24)00055-5
AI assisted reader evaluation in acute CT head interpretation (AI-REACT): protocol for a multireader multicase study
Howell Fu, Alex Novak, Dennis Robert, Shamie Kumar, Swetha Tanamala, Jason Oke, Kanika Bhatia, Ruchir Shah, Andrea Romsauerova, Tilak Das, Abdalá Espinosa, Mariusz Tadeusz Grzeda, Mariapaola Narbone, Rahul Dharmadhikari, Mark Harrison, Kavitha Vimalesvaran, Jane Gooch, Nicholas Woznitza, Nabeeha Salik, Alan Campbell, Farhaan Khan, David J Lowe, Haris Shuaib and Sarim Ather 2024. AI assisted reader evaluation in acute CT head interpretation (AI-REACT): protocol for a multireader multicase study. BMJ Open. 14 (2), p. e079824. https://doi.org/10.1136/bmjopen-2023-079824
Reporting radiographers in Europe survey: An overview of the role within the European Federation of Radiographer Society (EFRS) member countries
Pedersen, M.R. V., Jensen, J., Senior, C., Gale, N., Heales, C. J. and Woznitza, N. 2023. Reporting radiographers in Europe survey: An overview of the role within the European Federation of Radiographer Society (EFRS) member countries. Radiography. 29 (6), pp. 1100-1107. https://doi.org/10.1016/j.radi.2023.09.005
Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X‑ray reporting service within the NHS in England: a systematic literature review
Lockwood, P., Burton, C., Woznitza, N. and Shaw, T. 2023. Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X‑ray reporting service within the NHS in England: a systematic literature review. BMC Health Services Research. 23 (1270), pp. 1-41. https://doi.org/10.1186/s12913-023-10161-y
Reporting radiographers in Europe survey: Support, role satisfaction, and advanced clinical practice within the European federation of radiographer society (EFRS) member countries.
Pedersen, M. R. V., Jensen, J., Gale, N., Senior, C., Woznitza, N. and Heales, C. J. 2023. Reporting radiographers in Europe survey: Support, role satisfaction, and advanced clinical practice within the European federation of radiographer society (EFRS) member countries. Radiography. 30 (1), pp. 87-94. https://doi.org/10.1016/j.radi.2023.10.008
Concordance between a gastrointestinal consultant radiologist, a consultant radiologist and qualified reporting radiographers interpreting abdominal radiographs
Moth, A., Benning, J., Glover, J, Brown, V., Pittock, L., Woznitza, N. and Piper, K. 2023. Concordance between a gastrointestinal consultant radiologist, a consultant radiologist and qualified reporting radiographers interpreting abdominal radiographs. Radiography. 29 (2), pp. 408-415. https://doi.org/10.1016/j.radi.2022.12.008
Artificial intelligence education for radiographers, an evaluation of a UK postgraduate educational intervention using participatory action research: a pilot study.
van de Venter, Riaan, Skelton, Emily, Matthew, Jacqueline, Woznitza, N., Tarroni, Giacomo, Hirani, Shashivadan P, Kumar, Amrita, Malik, Rizwan and Malamateniou, Christina 2023. Artificial intelligence education for radiographers, an evaluation of a UK postgraduate educational intervention using participatory action research: a pilot study. Insights into Imaging. 14 (1), p. 25. https://doi.org/10.1186/s13244-023-01372-2
A pilot study to assess radiographer preliminary clinical evaluation (PCE) introduced for emergency department adult appendicular X-ray examinations: Comparison of trained and untrained radiographers.
Lidgett, T, Pittock, L, Piper, K and Woznitza, N 2023. A pilot study to assess radiographer preliminary clinical evaluation (PCE) introduced for emergency department adult appendicular X-ray examinations: Comparison of trained and untrained radiographers. Radiography. 29 (2), pp. 307-312. https://doi.org/10.1016/j.radi.2023.01.003
Impact of radiographer immediate reporting of X-rays of the chest from general practice on the lung cancer pathway (radioX): a randomised controlled trial
Woznitza, N., Ghimire, B., Devaraj, A., Janes, S., Piper, K., Rowe, S., Bhowmik, A., Hayes, N., Togher, D., Arumalla, N., Skyllberg, E., Au-Yong, I., Geary, S., George, B., Sheard, S., Ellis, S., Shah, Z., Maughn, S., Duffy, S. and Baldwin, D. 2022. Impact of radiographer immediate reporting of X-rays of the chest from general practice on the lung cancer pathway (radioX): a randomised controlled trial. Thorax. https://doi.org/10.1136/thorax-2022-219210
UK reporting radiographers' perceptions of AI in radiographic image interpretation - Current perspectives and future developments.
Rainey, C., O'Regan, T., Matthew, J., Skelton, E., Woznitza, N., Chu, K.-Y., Goodman, S., McConnell, J., Hughes, C., Bond, R., Malamateniou, C. and McFadden, S. 2022. UK reporting radiographers' perceptions of AI in radiographic image interpretation - Current perspectives and future developments. Radiography. 28 (4), pp. 881-888. https://doi.org/S1078-8174(22)00075-X
An insight into the current perceptions of UK radiographers on the future impact of AI on the profession: A cross-sectional survey.
Rainey, Clare, O'Regan, Tracy, Matthew, Jacqueline, Skelton, Emily, Woznitza, Nick, Chu, Kwun-Ye, Goodman, Spencer, McConnell, Jonathan, Hughes, Ciara, Bond, Raymond, Malamateniou, Christina and McFadden, Sonyia 2022. An insight into the current perceptions of UK radiographers on the future impact of AI on the profession: A cross-sectional survey. Journal of Medical Imaging and Radiation Sciences. https://doi.org/S1939-8654(22)00282-X
Five years of #MedRadJClub: An impact evaluation of an established twitter journal club
Bolderston, A., Meeking, Kim, Sniath, B., Watson, Julia, Westerink, Adam and Woznitza, N. 2022. Five years of #MedRadJClub: An impact evaluation of an established twitter journal club. Journal of Medical Radiation Sciences. 69 (2), pp. 165-173. https://doi.org/10.1002/jmrs.569
The role of computer-assisted radiographer reporting in lung cancer screening programmes
Hall, H., Ruparel, M., Quaife, S., Dickson, J. L., Horst, C., Tisi, S., Batty, J., Woznitza, N., Ahmed, A, Burke, S., Shaw, P., Soo, M. J., Taylor, M., Navani, N., Bhowmik, A, Baldwin, D. R., Duffy, S. W, Devaraj, A., Nair, A. and Janes, S. M. 2022. The role of computer-assisted radiographer reporting in lung cancer screening programmes. European Radiology. https://doi.org/10.1007/s00330-022-08824-1
Beauty is in the AI of the beholder: Are we ready for the clinical integration of Artificial Intelligence in radiography? An exploratory analysis of perceived AI knowledge, skills, confidence, and education perspectives of UK radiographers
Rainey, Clare, O'Regan, Tracy, Matthew, Jacqueline, Skelton, Emily, Woznitza, Nick, Chu, Kwun-Ye, Goodman, Spencer, McConnell, Jonathan, Hughes, Ciara, Bond, Raymond, McFadden, Sonyia and Malamateniou, Christina 2021. Beauty is in the AI of the beholder: Are we ready for the clinical integration of Artificial Intelligence in radiography? An exploratory analysis of perceived AI knowledge, skills, confidence, and education perspectives of UK radiographers. Frontiers in Digital Health. 3, p. 739327. https://doi.org/10.3389/fdgth.2021.739327
Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey
Woznitza, N., Pittock, Lisa, Elliott, James and Snaith, Bev 2021. Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey. BJR Open. 3 (1), p. 20210003. https://doi.org/10.1259/bjro.20210003
Artificial Intelligence in radiography: Where are we now and what does the future hold?
Malamateniou, C., Knapp, K. M., Pergola, M., Woznitza, N. and Hardy, M. 2021. Artificial Intelligence in radiography: Where are we now and what does the future hold? Radiography. 27 (Supplement 1), pp. S58-S62. https://doi.org/10.1016/j.radi.2021.07.015
Artificial Intelligence: Guidance for clinical imaging and therapeutic radiography professionals, a summary by the Society of Radiographers AI working group
Malamateniou, C., McFadden, S., McQuinlan, Y., England, A., Woznitza, N., Goldsworthy, S, Currie, C., Skelton, E., Chu, K-Y., Alware, N., Matthews, P., Hawkesford, R., Tucker, R., Town, W., Matthew, J., Kalinka, C. and O'Regan, T. 2021. Artificial Intelligence: Guidance for clinical imaging and therapeutic radiography professionals, a summary by the Society of Radiographers AI working group. Radiography. 27 (4), pp. 1192-1202. https://doi.org/10.1016/j.radi.2021.07.028
Digital mammographic interpretation by UK radiographer mammographers: A JAFROC analysis of observer performance
Williams, S., Aksoy, U., Reed, W., Cielecki, L. and Woznitza, N. 2021. Digital mammographic interpretation by UK radiographer mammographers: A JAFROC analysis of observer performance. Radiography. https://doi.org/10.1016/j.radi.2021.02.015
Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study
Piper, K., Mitchell, M., Griffin, K., Morgan,T., Roy, A., Thomas, A., Pittock, L., Woznitza, N., Faruqui, R. and Sakel, M. 2020. Concordance between a neuroradiologist, a consultant radiologist and trained reporting radiographers interpreting MRI head examinations: An empirical study. Radiography. https://doi.org/10.1016/j.radi.2020.10.016
An analysis of advanced and specialist posts in diagnostic radiography: Do job descriptions describe advanced practice?
Harris, M. A., Snaith, B., Adamson, H. K., Foster, B. and Woznitza, N. 2020. An analysis of advanced and specialist posts in diagnostic radiography: Do job descriptions describe advanced practice? Radiography. https://doi.org/10.1016/j.radi.2020.10.008
COVID-19 and pneumothorax: a multicentre retrospective case series
Martinelli, A. W., Ingle, T, Newman, J., Nadeem, I., Jackson, K., Lane, N. D., Melhorn, J., Davies, H. E., Rostron, A. J., Adeni, A., Conroy, K., Woznitza, N., Matson, M., Brill, S. E., Murray, J., Shah, A., Naran, R., Hare, S. S., Collas, O., Bigham, S., Spiro, M., Huang, M. M., Iqbal, B., Trenfield, S., Ledot, S., Desai, S., Standing, L., Babar, J., Mahroof, R., Smith, I., Lee, K., Tchrakian, N., Uys, S., Ricketts, W., Patel, A. R. C., Aujayeb, A., Kokosi, M., Wilkinson, A. J. K. and Marciniak, S. J. 2020. COVID-19 and pneumothorax: a multicentre retrospective case series. European Respiratory Journal. 56 (3). https://doi.org/10.1183/13993003.02697-2020
Clinical reporting of radiographs by radiographers: Policy and practice guidance for regional imaging networks
Woznitza, N., Steele, R., Groombridge, H., Compton, E., Gower, S., Hussain, A., Norman, H., O'Brien, A. and Robertson, K. 2020. Clinical reporting of radiographs by radiographers: Policy and practice guidance for regional imaging networks. Radiography. https://doi.org/10.1016/j.radi.2020.08.004
Reporting radiographer peer review systems: a cross-sectional survey of London NHS Trusts
Woznitza, N., Steele, R, Hussain, A., Gower, S., Groombridge, H., Lofton, L., Lainchbury, J., Compton, E., Rowe, S. and Robertson, K. 2020. Reporting radiographer peer review systems: a cross-sectional survey of London NHS Trusts. Radiography. https://doi.org/10.1016/j.radi.2020.07.014
Coronavirus disease 2019 (COVID-19) in the radiology department: what radiographers need to know
Stogiannos, N., Fotopoulos, D., Woznitza, N. and Malamateniou, C. 2020. Coronavirus disease 2019 (COVID-19) in the radiology department: what radiographers need to know. Radiography. https://doi.org/10.1016/j.radi.2020.05.012
COVID-19: A case series to support radiographer preliminary clinical evaluation
Woznitza, N., Nair, A. and Hare, S. S. 2020. COVID-19: A case series to support radiographer preliminary clinical evaluation. Radiography. https://doi.org/10.1016/j.radi.2020.04.002
Delivery of a preliminary clinical evaluation web based short course in Finland
Pittock, L. and Woznitza, N. 2019. Delivery of a preliminary clinical evaluation web based short course in Finland.
Impact of radiographer immediate reporting of chest x-rays from general practice on the lung cancer pathway (radioX)
Woznitza, N., Devaraj, A., Janes, S., Duffy, S., Rowe, S., Bhowmik, A., Maughn, S., Piper, K. and Baldwin, D. 2019. Impact of radiographer immediate reporting of chest x-rays from general practice on the lung cancer pathway (radioX).
Greater than the sum of the parts: Impact of radiographer clinical image interpretation
Rowe, Susan, O'Riordan, Paul and Woznitza, Nick 2019. Greater than the sum of the parts: Impact of radiographer clinical image interpretation. Journal of Medical Radiation Sciences. 66 (3), pp. 149-151. https://doi.org/10.1002/jmrs.342
Targeted active screening for tuberculosis in Zimbabwe: are field digital chest X-ray ratings reliable?
Timire, C, Sandy, C., Ngwenya, M., Woznitza, N., Kumar, A. M. V., Takarinda, K. C., Sengai, T. and Harries, A. D. 2019. Targeted active screening for tuberculosis in Zimbabwe: are field digital chest X-ray ratings reliable? Public Health Action. 9 (3), pp. 96-101. https://doi.org/10.5588/pha.19.0003
Radiographer reporting of neurological magnetic resonance imaging examinations of the head and cervical spine: findings of an accredited postgraduate programme
Piper, K., Pittock, L. and Woznitza, N. 2018. Radiographer reporting of neurological magnetic resonance imaging examinations of the head and cervical spine: findings of an accredited postgraduate programme. Radiography. https://doi.org/10.1016/j.radi.2018.05.006
Increasing radiology capacity within the lung cancer pathway: centralised work‐based support for trainee chest X‐ray reporting radiographers
Woznitza, N., Steele, R., Piper, K., Burke, S., Rowe, S., Bhowmik, A., Maughn, S. and Springett, K. 2018. Increasing radiology capacity within the lung cancer pathway: centralised work‐based support for trainee chest X‐ray reporting radiographers. Journal of Medical Radiation Sciences. 65 (3), pp. 200-208. https://doi.org/10.1002/jmrs.285
Is a nurse consultant impact toolkit relevant and transferable to the radiography profession? An evaluation project
Snaith, B., Williams, S., Taylor, K., Tsang, Y., Kelly, J. and Woznitza, N. 2018. Is a nurse consultant impact toolkit relevant and transferable to the radiography profession? An evaluation project. Radiography. https://doi.org/10.1016/j.radi.2018.05.001
Chest X-ray interpretation by Radiographers is not inferior to Radiologists: a multireader, multicase comparison using JAFROC (Jack-knife alternative free-response receiver operating characteristics) analysis
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2018. Chest X-ray interpretation by Radiographers is not inferior to Radiologists: a multireader, multicase comparison using JAFROC (Jack-knife alternative free-response receiver operating characteristics) analysis. Academic Radiology.
Agreement between expert thoracic radiologists and the chest radiograph reports provided by consultant radiologists and reporting radiographers in clinical practice: review of a single clinical site
Woznitza, N., Piper, K., Burke, S., Ellis, S. and Bothamley, G. 2018. Agreement between expert thoracic radiologists and the chest radiograph reports provided by consultant radiologists and reporting radiographers in clinical practice: review of a single clinical site. Radiography. https://doi.org/10.1016/j.radi.2018.01.009
Digital training platform for interpreting radiographic images of the chest
McLauchlin, L., Woznitza, N., Cairns, A., McFadden, S., Bond, R., Hughes, C., Elsayed, A., Finlay, D. and McConnell, J. 2018. Digital training platform for interpreting radiographic images of the chest. Radiography. 24 (2), pp. 159-164. https://doi.org/10.1016/j.radi.2017.12.010
Immediate reporting of chest X-rays referred from general practice by reporting radiographers: a single centre feasibility study
Woznitza, N., Piper, K., Rowe, S. and Bhowmik, A. 2017. Immediate reporting of chest X-rays referred from general practice by reporting radiographers: a single centre feasibility study. Clinical Radiology. https://doi.org/10.1016/j.crad.2017.11.016
Twitter journal clubs and continuing professional development: An analysis of a #MedRadJClub tweet chat
Bolderston, A., Watson, J., Woznitza, N., Westerink, A., Di Prospero, L., Currie, G., Beardmore, C. and Hewis, J. 2017. Twitter journal clubs and continuing professional development: An analysis of a #MedRadJClub tweet chat. Radiography. 24 (1), pp. 3-8. https://doi.org/10.1016/j.radi.2017.09.005
Becoming a clinical radiographer: role, role development and specialisation
Woznitza, N. 2017. Becoming a clinical radiographer: role, role development and specialisation.
Radiographer reporting of magnetic resonance imaging breast examinations: findings of an accredited postgraduate programme
Pittock, L., Piper, K. and Woznitza, N. 2017. Radiographer reporting of magnetic resonance imaging breast examinations: findings of an accredited postgraduate programme.
Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial
Woznitza, N., Devaraj, A., Janes, S., Duffy, S., Bhowmik, A., Rowe, S., Piper, K., Maughn, S. and Baldwin, D. 2017. Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway (radioX): study protocol for a randomised control trial. Trials. 18 (521). https://doi.org/10.1186/s13063-017-2268-x
Expanding the role of radiographers in reporting suspected lung cancer: a cost-effectiveness analysis using a decision tree model
Bajre, M., Pennington, M., Woznitza, N., Beardmore, C., Radhakrishnan, M., Harris, R. and Mccrone, P. 2017. Expanding the role of radiographers in reporting suspected lung cancer: a cost-effectiveness analysis using a decision tree model. Radiography. 23 (4), pp. 273-278. https://doi.org/10.1016/j.radi.2017.07.011
Twitter journal club in medical radiation science
Currie, G., Woznitza, N., Bolderston, A., Weserink, A., Watson, J., Beardmore, C., Di Prospero, L., McCuig, C. and Nightingale, J. 2017. Twitter journal club in medical radiation science. Journal of Medical Imaging and Radiation Sciences. 48 (1), pp. 83-89. https://doi.org/10.1016/j.jmir.2016.09.001
Optimisation de la prise en charge en Rafiologie: Approts des manipulateurs experts interprétant des examens: Cas pratique au Royaume Uni
Woznitza, N., Piper, K., West, C. and Rowe, S. 2014. Optimisation de la prise en charge en Rafiologie: Approts des manipulateurs experts interprétant des examens: Cas pratique au Royaume Uni.
Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists
Woznitza, N., Piper, K., Burke, S., Ellis, S. and Bothamley, G. 2015. Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists.
Team working in radiology: optimising care
Woznitza, N. 2016. Team working in radiology: optimising care.
Advanced practice in diagnostic imaging
Woznitza, N. 2016. Advanced practice in diagnostic imaging.
Team working in radiology: what is possible?
Woznitza, N., Piper, K., Ratcliff, C., McGuinness, N. and Rowe, S. 2016. Team working in radiology: what is possible?
The Twitter Journal Club for Medical Radiation Professionals (#medradjclub): CPD/CE for the 21st century
Currie, G., Woznitza, N., Bolderston, A., Westerink, A., Waton, J., Beardmore, C., Di Prospero, L., McCuaig, C. and Nightingale, J. 2016. The Twitter Journal Club for Medical Radiation Professionals (#medradjclub): CPD/CE for the 21st century.
Bloom’s taxonomy of Twitter: higher order thinking and the Twitter Journal Club
Currie, G., Woznitza, N., Bolderston, A., Westerink, A., Watson, J., Beardmore, C., Di Prospero, L., McCuaig, C. and Nightingale, J. 2016. Bloom’s taxonomy of Twitter: higher order thinking and the Twitter Journal Club. Society of Nuclear Medicine and Molecular Imaging.
Chest x-ray interpretation by radiographers: diagnostic accuracy and influence on diagnostic reasoning
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2016. Chest x-ray interpretation by radiographers: diagnostic accuracy and influence on diagnostic reasoning.
Diagnostic accuracy of radiographer chest x-ray reporting
Woznitza, N., Piper, K., Burke, S. and Bothamley, G. 2016. Diagnostic accuracy of radiographer chest x-ray reporting.
The diagnostic accuracy of reporting radiographer chest x-ray interpretations and their influence on clinicians’ diagnostic decision-making: a comparison with consultant radiologists
Woznitza, N. 2016. The diagnostic accuracy of reporting radiographer chest x-ray interpretations and their influence on clinicians’ diagnostic decision-making: a comparison with consultant radiologists. PhD Thesis Canterbury Christ Church University School of Allied Health Professions
The radiography workforce: current challenges and changing needs
Beardmore, C., Woznitza, N., Goodman, S. and Society & College of Radiographers 2016. The radiography workforce: current challenges and changing needs. College of Radiographers.
Chest reporting by radiographers: Findings of an accredited postgraduate programme.
Piper, K., Cox, S., Paterson, A., Thomas, A., Thomas, N., Jeyagopal, N. and Woznitza, N. 2014. Chest reporting by radiographers: Findings of an accredited postgraduate programme. Radiography. 20 (2), pp. 94-99. https://doi.org/10.1016/j.radi.2014.01.003
Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S., Grayson, K. and Bothamley, G. 2014. Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme. Radiography. 20 (3), pp. 223-229. https://doi.org/10.1016/j.radi.2014.03.002
Optimizing patient care in radiology through team-working: A case study
Woznitza, N., Piper, K., Rowe, S. and West, C. 2014. Optimizing patient care in radiology through team-working: A case study. Radiography. 20 (3), pp. 258-263. https://doi.org/10.1016/j.radi.2014.02.007
Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession
Smith, Tony, Harris, J., Woznitza, N., Marese, S. and Sale, C. 2015. Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession. Journal of Medical Radiation Sciences. 62 (3), pp. 204-211. https://doi.org/10.1002/jmrs.115
e-Learning for Healthcare – Image Interpretation Project
Woznitza, N., e-Learning for Healthcare and College of Radiographers 2012. e-Learning for Healthcare – Image Interpretation Project. e-Learning for Healthcare.
An unusual cause of respiratory distress
Woznitza, N., Datsopolous, S., Shukla, R. and Aladangady, N. 2012. An unusual cause of respiratory distress. Archives of Disease in Childhood. 97, pp. A12-A13. https://doi.org/10.1136/archdischild-2012-301885.30
Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S. and Grayson, K. 2013. Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom.
Radiographer clinical reporting
Woznitza, N. 2014. Radiographer clinical reporting.
Commentary: radiographer reporting
Woznitza, N. 2014. Commentary: radiographer reporting. Journal of Medical Radiation Sciences. 61 (2), pp. 66-68. https://doi.org/10.1002/jmrs.51
Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations
Woznitza, N., Piper, K., Bothamley, G. and Burke, S. 2014. Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations.
Optimizing patient care in radiology through team-working: audit data
Woznitza, N. 2014. Optimizing patient care in radiology through team-working: audit data.
Optimizing neonatal X-ray quality: results of an audit
Woznitza, N., Hayes, N., Malshava, N. and McGuinness, D. 2014. Optimizing neonatal X-ray quality: results of an audit.
Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer
Woznitza, N., Piper, K., Aladangady, N., Iliadis, K., Prakash, R. and Santos, R. 2014. Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer.
Advanced radiographic practice in adult chest imaging
Woznitza, N. 2014. Advanced radiographic practice in adult chest imaging.
Can reporting radiographers produce clinically relevant reports?
Woznitza, N. and Piper, K. 2011. Can reporting radiographers produce clinically relevant reports?