Outcome of Critical Radiologic Rapid Response Report: Experience in Ramathibodi Hospital

Main Article Content

Wiboon Suriyajakryuththana
Chutcharn Kongphanich
Paphavee Suwannaphan
Kolanit Saisema

Abstract

Background: Monitoring for communication of critical radiologic results to the physician and/or caregiver team immediately, not more than 60 minutes, was performed by Department of Diagnostic and Therapeutic Radiology.


Objectives: To collect rate of critical radiologic results communicated with the referring physician and/or caregiver team and ensure the clinical management after having been reported, and to detect the corresponding diagnosis between radiological and clinical diagnosis.


Methods: The critical radiologic reports at Ramathibodi Hospital from 1st January to 31st December 2015 were collected. Collection rate of the critical radiologic results was reported from Envision and the following management from Department of Health Analytics Unit.


Results: A total of 419 patients have been reported critical radiologic results, 194 females (46.3%) and 225 males (53.7%). The mean age of the patients was 55.45 years (range 0 - 93 years). About 70.17% of these patients have been reported the critical radiologic results within 60 minutes, and 40% of these patients have been done surgery in the proper time. Mortality rate was 23.15%. The corresponding diagnosis between radiological and clinical diagnosis was 90.76%.


Conclusions: The rate of the critical radiologic results reported was 70.17% which did not meet the goal of 80%. There was multiple problems involving in this process such as some examinations have been reviewed by part-time radiologist. However, the corresponding diagnosis between radiological and clinical diagnosis was high.

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How to Cite
1.
Suriyajakryuththana W, Kongphanich C, Suwannaphan P, Saisema K. Outcome of Critical Radiologic Rapid Response Report: Experience in Ramathibodi Hospital. Rama Med J [Internet]. 2017 Dec. 29 [cited 2024 Mar. 29];40(4):20-8. Available from: https://he02.tci-thaijo.org/index.php/ramajournal/article/view/97210
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Original Articles

References

Patients safety goals: SIMPLE. The Healthcare Accreditation Institute website. https://www.ha.or.th/Backend/fileupload/Quality%20Tools/Attach/Patient%20Safety%20Goals%20%20SIMPLE%202008.pdf. Published May 2011. Accessed October 6, 2016.

Practice parameter for communication of diagnostic imaging finding. The American College of Radiology website. https://www.acr.org/~/media/C5D1443C9EA4424AA12477D1AD1D927D.pdf. Published 2014. Accessed October 6, 2016.

AA Mancuso. Guidelines for documentation of special verbally communicated imaging findings. The Department of Radiology at Shands U.F website. http://xray.ufl.edu/files/2008/06/Critical-and-Unexpected-Findings-Reporting-Policy.pdf. Published July 2009. Accessed October 6, 2016.

Standards for the communication of critical, urgent and unexpected significant radiological findings second edition. The Royal College of Radiologist website. https://www.rcr.ac.uk/sites/default/files/docs/radiology/pdf/BFCR(12)11_urgent.pdf. Published 2008. Accessed October 11, 2016.

Policy for communicating critical and/or discrepant results. Department of Radiology, Brigham and Woman’s Hospital website. http://www.brighamandwomens.org/research/labs/cebi/files/Radiology%20Policy%20Critical-Discrepant%20Results.pdf. Published March 10, 2009. Accessed October 16, 2016.