Larson Paul A, Berland Lincoln L, Griffith Brent, Kahn Charles E, Liebscher Lawrence A
Radiology Associates of the Fox Valley, Neenah, Wisconsin.
University of Alabama at Birmingham, Birmingham, Alabama.
J Am Coll Radiol. 2014 Jun;11(6):552-8. doi: 10.1016/j.jacr.2013.12.016. Epub 2014 Jan 30.
The ACR formed the Actionable Reporting Work Group to address the potential role of IT in the communication of imaging findings, especially in cases that require nonroutine communication because of the urgency of the findings or their unexpected nature. These findings that require special communication with referring clinicians are classified as "actionable findings." The work group defines 3 categories of actionable findings that require, respectively, communication and clinical decision within minutes (category 1), hours (category 2), or days (category 3). Although the work group does not believe that there can be definitive lists of such findings, it developed lists in each category that would apply in most general hospital settings. For each category, the work group discusses ways in which IT can assist interpreting radiologists in successfully communicating to the relevant clinicians to ensure optimal patient care. IT systems can also help document the communication and facilitate auditing of the documentation. The work group recommends that vendors develop platforms that can be customized on the basis of local preferences and needs. Whatever system is used, it should be highly reliable and fit seamlessly into radiologists' workflow.
美国放射学会（ACR）成立了可操作报告工作组，以探讨信息技术在影像检查结果沟通中可能发挥的作用，特别是在因检查结果紧急或性质意外而需要进行非常规沟通的情况下。这些需要与转诊临床医生进行特殊沟通的检查结果被归类为“可操作结果”。该工作组定义了三类可操作结果，分别需要在数分钟（第1类）、数小时（第2类）或数天（第3类）内进行沟通并做出临床决策。尽管该工作组认为不可能有此类结果的确切清单，但它制定了适用于大多数综合医院环境的每类清单。对于每一类，该工作组都讨论了信息技术可以如何帮助解读放射科医生成功地与相关临床医生进行沟通，以确保为患者提供最佳护理。信息技术系统还可以帮助记录沟通情况并便于对文档进行审核。该工作组建议供应商开发能够根据当地偏好和需求进行定制的平台。无论使用何种系统，它都应该高度可靠，并能无缝融入放射科医生的工作流程。
