Page 52 - Diagnostic Radiology - Interpreting the Risks Part One

SVMIC Diagnostic Radiology: Interpreting the Risks

» The definition of critical results of tests and diagnostic

procedures

» By whom and to whom critical results of tests and
diagnostic procedures are reported

» The acceptable length of time between the availability
and reporting of critical results of tests and diagnostic

procedures.

• Implement the procedures for managing the critical results
of tests and diagnostic procedures.

• Evaluate the timeliness of reporting the critical results of

tests and diagnostic procedures.
21

While SVMIC’s risk advice and the standards set forth by
the ACR may seem arbitrary, unrealistic, and impractical for

the “real-world” practitioner, radiologists must become more
comfortable communicating to other healthcare providers

and patients when there is an unexpected finding. New
techniques to identify instances of failed follow-up are being

used: electronic transfers using artificial intelligence, machine
learning, and reading room coordinators are all being used to

identify patients who may have fallen through the cracks. A
simple phone call and documentation of the conversation is

still a good option. Moreover, a conversation with a referring
provider helps maintain a good relationship with that referring

provider and can also provide the radiologist with additional
diagnostic information. It’s better to spend a few minutes

contacting a referring provider than spend anxious days and
weeks preparing for litigation.

21 “National Patient Safety Goals Effective January 2019”. The Joint Commission. Oct. 16, 2018. https://
www.jointcommission.org/hap_2017_npsgs/.

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