Filling the void: a low-cost, high-yield approach to addressing incidental findings in trauma patients
| Autor: | Danelle Bertozzi, Laura Gartner, James Yuschak, Praveen Sabapathi, Philip S. Lim, Jonathan Sternlieb, Ryan Shadis, Andrew Rogers, Waed Alswealmeen, Nicholas Sich, Orlando Kirton |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty MEDLINE Truth Disclosure 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Clinical Protocols Trauma Centers X ray computed Chart review Prevalence Humans Medicine Intensive care medicine Aged Retrospective Studies Incidental Findings business.industry Electronic medical record 030208 emergency & critical care medicine Retrospective cohort study Middle Aged Tomography x ray computed Harm Wounds and Injuries Female Surgery Tomography X-Ray Computed business |
| Zdroj: | Surgery. 163:657-660 |
| ISSN: | 0039-6060 |
| Popis: | Background Incidental findings are prevalent in imaging but often go unreported to patients. Such unreported findings may present the potential for harm as well as medico-legal ramifications. Methods A chart review of trauma patients was undertaken over a year. Systems-based changes were made utilizing our electronic medical record system and our staff protocols to improve the disclosure of clinically relevant incidental findings to patients. Results During the preintervention period, 674 charts were reviewed. Trauma patients had a rate of incidental findings of 70%, and 36% of patients had clinically relevant incidentals. Rates of follow-up recommendation and disclosure to patients were 22% and 27%, respectively. In the postintervention period, of the 648 charts were reviewed, the rates of a clinically relevant incidental finding were 35%, but the rates of follow-up recommendation and disclosure to patients were 68% and 85%, respectively. Conclusion Incidental findings are more prevalent herein than previously reported. With simple changes and minimal resources, clinically relevant and important improvement in reporting incidental findings can be made to mitigate the harm and medico-legal impact of an incidental finding going unreported. |
| Databáze: | OpenAIRE |
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