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Imaging Actionable Incidental Findings: Communication and Follow Up to Eliminate Preventable Harm
Mallory A Koshiol1, Richard Dery2, Lori Reiland1
1Allina Health Safety, Quality, and Experience, Minneapolis, MN.
Summary
Most incidental imaging findings require follow-up, but electronic medical record communication only aids follow-up in 29% of cases. This highlights a gap in managing incidental findings effectively.
Area of Science:
- Radiology and Health Informatics
Background:
- Incidental imaging findings are common.
- Effective management of these findings is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the actionability of incidental imaging findings.
- To assess the impact of an electronic medical record (EMR)-based communication workflow on follow-up rates.
Main Methods:
- Retrospective study of 1217 incidental findings.
- Analysis of actionability and follow-up completion.
- Evaluation of EMR-based communication workflow effectiveness.
Main Results:
- 97% of incidental findings were actionable and required follow-up.
- The EMR-based communication workflow contributed to follow-up in 29% of cases.
Conclusions:
- A high percentage of incidental imaging findings are actionable.
- Current EMR-based communication workflows have limited impact on ensuring follow-up for incidental findings.
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