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Incidental radiology findings: effectiveness of a radiology- electronic medical records interface system for improving communication (JCOM, March)

by medstaff on March 23, 2012

“The increased use of CT scanning for a variety of situations has also increased the identification of incidental findings not related to the primary indication for the study. Prior work has documented that combined thoracoabdominal scanning for trauma patients, a common practice in trauma centers, identifies incidental findings in as many as 33% of patients, with around 7% of those patients requiring additional workup. Unfortunately, it has also been demonstrated that in as many as 75% of patients there is inadequate chart documentation or mention of the incidental findings in the patient’s discharge summary. In another study, almost half of findings concerning for malignancy were not referred for follow-up.(J Hosp Med, Mar)    click here for full-text