Cutting Off Errors: Structured Feedback Between Referrers and Radiologists may Improve Overall Patient Care

Diagnostic reports play a critical role in ensuring the fast recovery of serious condition patients in ICUs. All patients in the intensive care unit suffer from critical health conditions and need prompt and error-free treatment.

Any amount of negligence or delay in error recognition can become a matter of life and death for them.

A recent study by Gloria Muencha and the team has revealed some enlightening facts about the direct connection between feedback report communication between radiologists and physicians. According to the experts, this error-recognition system can be a lifesaver for many in the long run.

The Study

A recent study has shown that a methodical feedback system regarding communication between the physicians of the intensive care unit and the radiologists can reduce the frequency of occurrence of adverse events considerably.

The experts chose radiological tests or examinations within ICUs for conducting the study. The team of researchers carried out a QM (quality management) initiative and implemented it on these exams.

This attempt featured several multidisciplinary conferences that take place regularly between ICU physicians and radiologists.

The QM events included the standard ones like inappropriate criteria of imaging, interpretation errors, etc.

While these events remained the highlight of the initiative, the feedback of both entities earned the spotlight after the event. The recent publication of “Insight Into Imaging” has all the details of this initiative.

The main author of this article, Gloria Muench, who works at the “Berlin Institute Of Health”, explained that the conferences held during the initiative followed the same set of principles and rules maintained in any radiological demonstration.

In these conferences, radiologists re-interpret certain radiological examinations based on a set of clinical information, most likely unavailable to the readers.

The Outcomes

The MDCs dealt with almost 973 examinations over a period of June 2018 to December 2019. Of these, the QM event impacted 14%. The primary focus of the QM event was on report-related issues like missed findings.

Some of the events also dealt with procedure-related and indication-oriented issues. When the researchers compared the two halves of the MDC intervention, they found about a 14% drop in the QM events.

The intervention also revealed a faster identification of the errors which meant prompter medical facilities for the patients in the ICU who generally suffer from critical conditions. Therefore, the experts found the result to be quite positive for ICU patients in particular and all in general.

The Expert’s Conclusion

The author further clarified that when error recognition becomes faster and prompter, dealing with adverse events in critical patients becomes easier for physicians.

Therefore, the existence of a regular and methodical feedback mechanism might help all participants and improve the overall level of diagnostic workup quality.

The authors also added that the existence of such an efficiently working feedback communication system improves the communication environment. As a result, more junior physicians might feel encouraged to participate in the long run.

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