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dc.contributor.authorBaccei, Steven J
dc.contributor.authorChinai, Sneha A.
dc.contributor.authorReznek, Martin A
dc.contributor.authorHenderson, Scott
dc.contributor.authorReynolds, Kevin
dc.contributor.authorBrush, David Eric
dc.date2022-08-11T08:10:47.000
dc.date.accessioned2022-08-23T17:20:14Z
dc.date.available2022-08-23T17:20:14Z
dc.date.issued2018-01-03
dc.date.submitted2018-01-24
dc.identifier.citation<p>J Am Coll Radiol. 2018 Jan 3. pii: S1546-1440(17)31485-0. doi: 10.1016/j.jacr.2017.11.031. [Epub ahead of print] <a href="https://doi.org/10.1016/j.jacr.2017.11.031">Link to article on publisher's site</a></p>
dc.identifier.issn1546-1440 (Linking)
dc.identifier.doi10.1016/j.jacr.2017.11.031
dc.identifier.pmid29305076
dc.identifier.urihttp://hdl.handle.net/20.500.14038/48259
dc.description<p>See also this <a href="http://www.healthimaging.com/topics/practice-management/standardized-workflow-between-ed-radiology-improves-incidental-findings" target="_blank">blog post in Health Imaging</a> about this article.</p>
dc.description.abstractThe appropriate communication and management of incidental findings on emergency department (ED) radiology studies is an important component of patient safety. Guidelines have been issued by the ACR and other medical associations that best define incidental findings across various modalities and imaging studies. However, there are few examples of health care facilities designing ways to manage incidental findings. Our institution aimed to improve communication and follow-up of incidental radiology findings in ED patients through the collaborative development and implementation of system-level process changes including a standardized loop-closure method. We assembled a multidisciplinary team to address the nature of these incidental findings and designed new workflows and operational pathways for both radiology and ED staff to properly communicate incidental findings. Our results are based on all incidental findings received and acknowledged between November 1, 2016, and May 30, 2017. The total number of incidental findings discovered was 1,409. Our systematic compliance fluctuated between 45% and 95% initially after implementation. However, after overcoming various challenges through optimization, our system reached a compliance rate of 93% to 95%. Through the implementation of our new, standardized communication system, a high degree of compliance with loop closure for ED incidental radiology findings was achieved at our institution.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=29305076&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1016/j.jacr.2017.11.031
dc.subjectIncidental findings
dc.subjectcommunication
dc.subjectemergency department
dc.subjectpatient safety
dc.subjectradiology
dc.subjectsystem implementation
dc.subjectEmergency Medicine
dc.subjectHealth and Medical Administration
dc.subjectHealth Services Administration
dc.subjectRadiology
dc.titleSystem-Level Process Change Improves Communication and Follow-Up for Emergency Department Patients With Incidental Radiology Findings
dc.typeJournal Article
dc.source.journaltitleJournal of the American College of Radiology : JACR
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/radiology_pubs/370
dc.identifier.contextkey11416974
html.description.abstract<p>The appropriate communication and management of incidental findings on emergency department (ED) radiology studies is an important component of patient safety. Guidelines have been issued by the ACR and other medical associations that best define incidental findings across various modalities and imaging studies. However, there are few examples of health care facilities designing ways to manage incidental findings. Our institution aimed to improve communication and follow-up of incidental radiology findings in ED patients through the collaborative development and implementation of system-level process changes including a standardized loop-closure method. We assembled a multidisciplinary team to address the nature of these incidental findings and designed new workflows and operational pathways for both radiology and ED staff to properly communicate incidental findings. Our results are based on all incidental findings received and acknowledged between November 1, 2016, and May 30, 2017. The total number of incidental findings discovered was 1,409. Our systematic compliance fluctuated between 45% and 95% initially after implementation. However, after overcoming various challenges through optimization, our system reached a compliance rate of 93% to 95%. Through the implementation of our new, standardized communication system, a high degree of compliance with loop closure for ED incidental radiology findings was achieved at our institution.</p>
dc.identifier.submissionpathradiology_pubs/370
dc.contributor.departmentDepartment of Emergency Medicine
dc.contributor.departmentDepartment of Radiology


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