ArticleAJR. American journal of roentgenology2014
Four-year impact of an alert notification system on closed-loop communication of critical test results.
Article in AJR. American journal of roentgenology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed.
- The Impact of Automated Notification on Follow-up of Actionable Tests Pending at Discharge: a Cluster-Randomized Controlled Trial.Journal of general internal medicine · 2018Trial
- Incidental Pulmonary Nodules: What Should We Do in 2026?Respiration; international review of thoracic diseases · 2026Review
- Theory of radiologist interaction with instant messaging decision support tools: A sequential-explanatory study.PLOS digital health · 2024Article
- Impact of an Automated Closed-Loop Communication and Tracking Tool on the Rate of Recommendations for Additional Imaging in Thoracic Radiology Reports.Journal of the American College of Radiology : JACR · 2023Article
- Deep Learning Approach for Negation and Speculation Detection for Automated Important Finding Flagging and Extraction in Radiology Report: Internal Validation and Technique Comparison Study.JMIR medical informatics · 2023Article
- Development and Assessment of an Information Technology Intervention to Improve the Clarity of Radiologist Follow-up Recommendations.JAMA network open · 2023Article
- A Comparison of Two Scheduling Models for Prompt Resolution of Diagnostic Imaging Orders.Journal of the American College of Radiology : JACR · 2023Article
- Article
- Incidental Pulmonary Nodules - What Do We Know in 2022.Respiration; international review of thoracic diseases · 2022Review
- RADAR: A Closed-Loop Quality Improvement Initiative Leveraging A Safety Net Model for Incidental Pulmonary Nodule Management.Joint Commission journal on quality and patient safety · 2021Article
- A practical system that enables physicians to respond expeditiously to significant unexpected findings (SUFs) in radiological reports.Japanese journal of radiology · 2021Article
- Survey of radiologists and emergency department providers after implementation of a global radiology report categorization system.Emergency radiology · 2021Article
- Delayed Diagnosis Is the Primary Cause of Sarcoma Litigation: Analysis of Malpractice Claims in the United States.Clinical orthopaedics and related research · 2020Article
- Variation in electronic test results management and its implications for patient safety: A multisite investigation.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Ambulatory Diagnostic Errors in Radiology.Journal of the American College of Radiology : JACR · 2020Article
- A Feasibility Study of Expanded Home-Based Telerehabilitation After Stroke.Frontiers in neurology · 2020Article
- Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Framework.Journal of the American College of Radiology : JACR · 2019Article
- Improving Communication of Actionable Findings in Radiology Imaging Studies and Procedures Using an EMR-Independent System.Journal of medical systems · 2019Article
- Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors framework.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Assessing Documentation of Critical Imaging Result Follow-up Recommendations in Emergency Department Discharge Instructions.Journal of digital imaging · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveOne of the patient safety goals proposed by the Joint Commission urges hospitals to develop a policy for communicating critical test results and to measure adherence to that policy. We evaluated the impact of an alert notification system on policy adherence for communicating critical imaging test results to referring providers and assessed system adoption over the first 4 years after implementation. MATERIALS AND
methodsThis study was performed in a 753-bed academic medical center. The intervention, an automated alert notification system for critical results, was implemented in January 2010. The primary outcome was adherence to institutional policy for timely closed-loop communication of critical imaging results, and the secondary outcome was system adoption. Policy adherence was determined through manual review of a random sample of radiology reports from the first 4 years after the intervention (n = 37,604) compared with baseline outcomes 1 year before the intervention (n = 9430). Adoption was evaluated by quantifying the use of the system overall and the proportion of alerts that used noninterruptive communication as a percentage of all reports generated by 320 radiologists (n = 1,538,059). A statistical analysis of the trend at 6-month intervals over 4 years was performed using a chi-square trend test.
resultsAdherence to the policy increased from 91.3% before the intervention to 95.0% after the intervention (p < 0.0001). There was a ninefold increase in the critical results communicated via the system (chi-square trend test, p < 0.0001). During the first 4 years after the intervention, 41,445 alerts (41% of the total number of alerts) used the system's noninterruptive process for communicating less urgent critical results, which was substantially unchanged over the 4 years postintervention, thus reducing unnecessary paging interruptions.
conclusionAn automated alert notification system for communicating critical imaging results was successfully adopted and was associated with increased adherence to institutional policy for communicating critical test results and with reduced workflow interruptions.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.