Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
John T. Milliken Department of Medicine, Washington University School of Medicine, St Louis, Missouri.
J Am Coll Radiol. 2022 Jul;19(7):823-828. doi: 10.1016/j.jacr.2022.05.002. Epub 2022 May 31.
Communication failures are a documented cause of malpractice litigation against radiologists. As imaging volumes have increased, and with them the number of findings requiring further workup, radiologists are increasingly expected to communicate with ordering clinicians. However, communication may be unsuccessful for a variety of reasons that expose radiologists to potential malpractice risk. Informatics solutions have the potential to improve communication and decrease this risk. We discuss human-powered, purely automated, and hybrid approaches to closing the communications loop. In addition, we describe the Patient Test Results Information Act (Pennsylvania Act 112) and its implications for closing the loop on noncritical actionable findings.
沟通失败是导致放射科医生医疗事故诉讼的一个已证实的原因。随着影像学检查量的增加，需要进一步检查的结果数量也随之增加，放射科医生越来越需要与开单临床医生进行沟通。然而，由于各种原因，沟通可能并不成功，这使放射科医生面临潜在的医疗事故风险。信息学解决方案有可能改善沟通并降低这种风险。我们讨论了用于闭合沟通循环的有人工参与的、纯自动化的和混合式方法。此外，我们还描述了《患者检验结果信息法案》（宾夕法尼亚州第 112 号法案）及其对闭合非关键性可采取措施的检查结果的影响。
