改善意外发现的沟通:放射学行动性发现跟踪 (RAFT) 计划
Sydney Whalen1, Surbhi Trivedi2, Josi Herren2
1University of Illinois College of Medicine, 1853W Polk St, Chicago, IL 60612, USA.
Current problems in diagnostic radiology
|February 25, 2025
概括
从诊断成像中管理偶然发现至关重要. 放射学可操作发现跟踪 (RAFT) 计划改善了放射科医生,提供者和患者之间的沟通,确保了对关键发现的及时跟进.
科学领域:
- 放射学 放射学是一门学科.
- 医疗信息学 医疗信息学
- 患者护理管理的管理.
背景情况:
- 诊断成像中的偶然发现是常见的,并带有重要的患者护理和医疗法律影响.
- 对于这些意想不到的发现,有效的管理系统目前有限.
- 对偶然发现的沟通不良可能导致患者的治疗结果低于最佳.
研究的目的:
- 引入和评估放射学可操作发现跟踪 (RAFT) 计划.
- 加强对放射科医生,医疗保健提供者和患者的偶然发现的沟通.
- 建立一个系统的方法来管理和记录随机发现的后续行动.
主要方法:
- 该RAFT程序使用标准化的电子医疗记录模板来捕获有关偶然发现的关键信息.
- 数据包括发现细节,敏度,通信状态和后续建议.
- 临床协调员监控编制的电子表格,以确保提供者和患者通知和记录后续情况.
主要成果:
- 在2021年1月至2023年6月期间,RAFT计划追踪了2,243个偶然发现.
- 每月平均管理75个偶然发现.
- 12%的追踪发现 (270) 需要额外的通知协议和随后的后续行动.
结论:
- 该RAFT计划在改善偶然发现的沟通方面表现出有效性.
- 该系统有助于及时通知和记录后续行动.
- RAFT 作为一种有价值的工具,可以提高患者护理,并减轻与偶然发现相关的医疗法律风险.
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