ArticleWorld journal of clinical cases2026
Impact of a dedicated consult shift on reducing time to resolution of diagnostic disagreements: A quality improvement initiative.
Article in World journal of clinical cases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDelays in resolving diagnostic disagreements within the quantitative imaging analysis core can impede clinical workflow and compromise patient care. To address this, a dedicated consult shift was initiated in 2023. This intervention included real-time monitoring through a dashboard overseen by an imaging specialist who alerted the designated consultant for immediate evaluation and resolution.
aimTo evaluate the impact of a dedicated consult shift on diagnostic disagreement resolution times and operational efficiency.
methodsThis retrospective quality improvement study analyzed timestamp data from 1245 cases of diagnostic disagreement spanning the period from 2017 to 2025. Cases were stratified into two groups: Pre-implementation (2017-2022) and post-implementation (2023-2025). The primary metric was time to resolution in days. Both means and medians were compared using an independent samples
resultsThe average time to resolution significantly decreased from 100.58 days (2017-2022) to 33.05 days (2023-2025) (
conclusionThe introduction of a dedicated consult shift, supported by real-time dashboard tracking, led to a significant improvement in both average and median resolution times for diagnostic disagreements. This intervention optimized the workflow and reinforced quality assurance processes in a clinical trial imaging setting.
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