Lost to Follow-Up: Analysis of Never-Viewed Radiology Examinations.
J Am Coll Radiol. 2019 Apr;16(4 Pt A):478-481. doi: 10.1016/j.jacr.2018.08.022. Epub 2018 Nov 3.
Galinato A1, Alvin MD1, Yousem DM2.
The combination of radiology PACS networks and electronic medical records (EMRs) provides clinicians with a means to view both the images and the radiology report on their own without the radiologist. Clinicians’ independent access to these two components allows them to measure the “value” of the images (accessed by the PACS) versus the “value” of the radiologists who provide reports (accessed via the EMR) 1, 2. It also allows one to detect “missing cases,” where neither the report nor the images are reviewed by the clinical services. A previous study looking at this value equation found that 7.5% (622 of 8,268) of all radiology studies had neither the images nor the reports viewed . This led us to consider greater scrutiny of these missed cases to elucidate the characteristics of studies that were most at risk of being missed to determine methods of minimizing the number of missed cases.