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Analysis of Radiology Report Recommendation Characteristics and Rate of Recommended Action Performance

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Key Points Question What types of recommendations are contained in radiology reports, and how often are recommended follow-up actions carried out in the primary care setting? Findings In this quality… Click to show full abstract

Key Points Question What types of recommendations are contained in radiology reports, and how often are recommended follow-up actions carried out in the primary care setting? Findings In this quality improvement study including 598 radiology reports at a single academic center, a taxonomy of recommended actions, time frames, and contingencies was developed. Application of this taxonomy showed that 1 of 7 recommendations were associated with failures to carry them out, and factors related to the report, patients, and clinicians were associated with successful vs unsuccessful follow-up. Meaning The findings of this study suggest that no follow-up on action-requiring abnormalities represents an important patient safety and malpractice risk; structured reports may help codify recommended actions and identify lack of follow-up.

Keywords: radiology; analysis radiology; radiology report; report; report recommendation; action

Journal Title: JAMA Network Open
Year Published: 2022

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