Optimal risk groups

Group 1 (Error Rate)gGroup 2 (Error Rate)Group 3 (Error Rate)Group 4 (Error Rate)Odds Ratio 1 (P Value)Odds Ratio 2 (P Value)Odds Ratio 3 (P Value)LRT P Valueh
1 cut pointa26 and below (1.59)27+ (2.58)1.63 (<.001)d<.001
2 cut pointsb19 and below (1.34)20–28 (1.88)29+ (2.6)1.40 (.10)e1.94 (<.001)e<.001
3 cut pointsc24 and below (1.59)25–66 (2.44)67–90 (3.03)91+ (2.07)1.54 (<.001)f1.91 (<.001)f1.30 (.25)f,i<.001
  • Note:—LRT indicates likelihood ratio test.

  • a Search done for each shift volume level.

  • b Search done by fours.

  • c Search done by tens.

  • d Interpretation: The odds of containing an error are 63% higher for studies in group 2, compared with studies in group 1.

  • e Interpretation: The odds of containing an error are 40% higher for studies in group 2, compared with studies in group 1; the odds of containing an error are 94% higher for studies in group 3, compared with studies in group 1.

  • f Interpretation: The odds of containing an error are 54% higher for studies in group 2, compared studies in group 1; the odds of containing an error are 91% higher for studies in group 3, compared with studies in group 1; the odds of containing an error are 30% higher for studies in group 4, compared with studies in group 1.

  • g Error rate per 1000 exams.

  • h Optimal cutoff points are defined as the ones with the most significant (likelihood ratio test) split.

  • i Odds ratio 3 decreases, seemingly suggesting that group 4 is safer (than 2); however, this is due to sample size limitations in group 4.