TY - JOUR
T1 - Radiology Callbacks to a Pediatric Emergency Department and Their Clinical Impact
AU - Arora, Rajan
AU - Kannikeswaran, Nirupama
N1 - Publisher Copyright:
© 2017 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Background Clinical impact of radiology callbacks (missed initial radiologic diagnosis) remains largely unknown in the pediatric emergency department (PED). Objective The aim of this study was to describe the incidence, nature of radiology callbacks, and the impact on clinical care during the return visit (RV). Methods We performed a retrospective chart review of quality assurance database of RVs for radiology callbacks to our PED over a 1-year period. Results Return visit rate to our PED was 3% (2765/92,000) of which 1.9% (55/2765) was for radiology callbacks. Radiology misses involved mostly X-ray interpretations (92.7%), occurred after-hours (83.6%), with fractures being the most common missed finding. Majority of patients (94.5%) required 1 or more interventions during the RV; 34.5% of radiology callbacks had a major impact on clinical management; 27.2% of radiology callbacks were false-positive. Conclusions Although RVs secondary to radiology callback remain low, one third of them resulted in major changes in diagnosis, treatment, or disposition and impacted patient outcome.
AB - Background Clinical impact of radiology callbacks (missed initial radiologic diagnosis) remains largely unknown in the pediatric emergency department (PED). Objective The aim of this study was to describe the incidence, nature of radiology callbacks, and the impact on clinical care during the return visit (RV). Methods We performed a retrospective chart review of quality assurance database of RVs for radiology callbacks to our PED over a 1-year period. Results Return visit rate to our PED was 3% (2765/92,000) of which 1.9% (55/2765) was for radiology callbacks. Radiology misses involved mostly X-ray interpretations (92.7%), occurred after-hours (83.6%), with fractures being the most common missed finding. Majority of patients (94.5%) required 1 or more interventions during the RV; 34.5% of radiology callbacks had a major impact on clinical management; 27.2% of radiology callbacks were false-positive. Conclusions Although RVs secondary to radiology callback remain low, one third of them resulted in major changes in diagnosis, treatment, or disposition and impacted patient outcome.
KW - Impact
KW - radiology callback
KW - return visit
UR - http://www.scopus.com/inward/record.url?scp=85048702732&partnerID=8YFLogxK
U2 - 10.1097/PEC.0000000000001510
DO - 10.1097/PEC.0000000000001510
M3 - Article
C2 - 29762336
AN - SCOPUS:85048702732
VL - 34
SP - 422
EP - 425
JO - Pediatric Emergency Care
JF - Pediatric Emergency Care
SN - 0749-5161
IS - 6
ER -