ArticleJoint Commission journal on quality and patient safety2021
RADAR: A Closed-Loop Quality Improvement Initiative Leveraging A Safety Net Model for Incidental Pulmonary Nodule Management.
Article in Joint Commission journal on quality and patient safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Pooled it
- Clinical Decision Support: Point-Closing Gaps Between Evidence and Practice to Mitigate Diagnostic Error.AJR. American journal of roentgenology · 2026Article
- Incidental Pulmonary Nodules: What Should We Do in 2026?Respiration; international review of thoracic diseases · 2026Review
- Cumulative Effect of Targeted Interventions on Radiologist Recommendations for Additional Imaging.Radiology · 2025Article
- Use of ChatGPT Large Language Models to Extract Details of Recommendations for Additional Imaging From Free-Text Impressions of Radiology Reports.AJR. American journal of roentgenology · 2025Article
- Evolving and Novel Applications of Artificial Intelligence in Thoracic Imaging.Diagnostics (Basel, Switzerland) · 2024Review
- Development and External Validation of an Artificial Intelligence Model for Identifying Radiology Reports Containing Recommendations for Additional Imaging.AJR. American journal of roentgenology · 2023Article
- 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
- Machine Learning Model Drift: Predicting Diagnostic Imaging Follow-Up as a Case Example.Journal of the American College of Radiology : JACR · 2022Article
- Incidental Pulmonary Nodules - What Do We Know in 2022.Respiration; international review of thoracic diseases · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThis study was conducted to assess whether patients with incidental pulmonary nodules (IPNs) received timely follow-up care after implementation of a quality improvement (QI) initiative between radiologists and primary care providers (PCPs).
methodsA QI study was conducted at an academic medical center for IPNs identified on chest imaging ordered by PCPs, performed between February 1, 2017, and March 31, 2019, and with at least one-year follow-up. A QI initiative, RADAR (Radiology Result Alert and Development of Automated Resolution), was implemented on March 1, 2018, consisting of (1) a novel, electronic communication tool enabling radiologist-generated alerts with time frame and modality for IPN follow-up recommendations, and (2) a safety net team for centralized care coordination to ensure that communication loops were closed. A preintervention IPN cohort was generated through a natural language processing (NLP) algorithm for radiology reports paired with manual chart review. A postintervention IPN cohort was identified using alerts captured in RADAR. The primary outcome was percentage of IPN follow-up alerts resolved on time (defined as receiving follow-up care within the recommended time frame), comparing pre- and postintervention IPN cohorts. Secondary outcomes included agreement between PCPs and radiologists on the recommended follow-up care plan.
resultsA total of 218 IPN alerts were assessed following exclusions: 110 preintervention and 108 postintervention. IPN timely follow-up improved from 64.5% (71/110) to 84.3% (91/108) (p = 0.001). Postintervention, there was 87.0% (94/108) agreement between PCPs and radiologists on the recommended follow-up plan.
conclusionThe RADAR QI initiative was associated with increased timely IPN follow-up. This safety net model may be scaled to other radiology findings and clinical care settings.
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What OpenQuestion holds
Registered trials
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.