Page 29 - Diagnostic Radiology - Interpreting the Risks Part Two_Neat
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SVMIC Diagnostic Radiology: Interpreting the Risks


                          record.


                       •  Proofread reports to minimize typographical errors,
                          deleted words, and confusing or conflicting statements.

                          Inaccuracies can look sloppy to a jury and communicate

                          indifference and a lack of care or concern for the patient.
                          It may be beneficial to highlight or bold directional terms,
                          such as “left or right” and “anterior or posterior”, in order

                          to assist with proofreading and provide clarity and focus

                          for ordering providers. It is important for these terms to be
                          accurately carried over from the body of the report to the
                          impression.


                       •  Under no circumstances alter a report or record. It will

                          appear self-serving and may all but destroy your chances
                          of prevailing in a medical malpractice lawsuit. If you need

                          to make a correction in the record, do so with a properly
                          dated and time-stamped addendum. If contemplating

                          making such correction after an adverse event, contact a
                          claims attorney to discuss the best course to take.


                       •  Be aware of the practice parameters developed by the
                          American College of Radiology for direct communication

                          of test results, and have a process in place to ensure timely
                          relay of the following:


                                 » Findings that suggest a need for immediate or urgent
                                 intervention.


                                 »  Findings that are discrepant with previous
                                 interpretation of the same exam and where failure to

                                 act may adversely affect patient health.


                                 »  Findings that the interpreting physician reasonably
                                 believes may be seriously adverse to the patient’s

                                 health and may not require immediate attention but,


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