Outcome of Critical Radiologic Rapid Response Report: Experience in Ramathibodi Hospital

Abstract

Background: Monitoring for communication of critical radiologic results to the physician and/or caregiver team immediately, not more than 60 minutes, was performed by Department of Diagnostic and Therapeutic Radiology.

Objectives: To collect rate of critical radiologic results communicated with the referring physician and/or caregiver team and ensure the clinical management after having been reported, and to detect the corresponding diagnosis between radiological and clinical diagnosis.

Methods: The critical radiologic reports at Ramathibodi Hospital from 1^st January to 31^st December 2015 were collected. Collection rate of the critical radiologic results was reported from Envision and the following management from Department of Health Analytics Unit.

Results: A total of 419 patients have been reported critical radiologic results, 194 females (46.3%) and 225 males (53.7%). The mean age of the patients was 55.45 years (range 0 - 93 years). About 70.17% of these patients have been reported the critical radiologic results within 60 minutes, and 40% of these patients have been done surgery in the proper time. Mortality rate was 23.15%. The corresponding diagnosis between radiological and clinical diagnosis was 90.76%.

Conclusions: The rate of the critical radiologic results reported was 70.17% which did not meet the goal of 80%. There was multiple problems involving in this process such as some examinations have been reviewed by part-time radiologist. However, the corresponding diagnosis between radiological and clinical diagnosis was high.