Radiologists' responses to inadequate referrals.

European Radiology
Kristin Bakke LysdahlAnsgar Espeland

Abstract

To investigate radiologists' responses to inadequate imaging referrals. A survey was mailed to Norwegian radiologists; 69% responded. They graded the frequencies of actions related to referrals with ambiguous indications or inappropriate examination choices and the contribution of factors preventing and not preventing an examination of doubtful usefulness from being performed as requested. Ninety-five percent (344/361) reported daily or weekly actions related to inadequate referrals. Actions differed among subspecialties. The most frequent were contacting the referrer to clarify the clinical problem and checking test results/information in the medical records. Both actions were more frequent among registrars than specialists and among hospital radiologists than institute radiologists. Institute radiologists were more likely to ask the patient for additional information and to examine the patient clinically. Factors rated as contributing most to prevent doubtful examinations were high risk of serious complications/side effects, high radiation dose and low patient age. Factors facilitating doubtful examinations included respect for the referrer's judgment, patient/next-of-kin wants the examination, patient has arrived, unreachabl...Continue Reading

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Citations

May 18, 2011·Radiation Protection Dosimetry·M Koutalonis, J Horrocks
Nov 24, 2016·International Journal of Health Economics and Management·Tor Iversen, Anastasia Mokienko
May 13, 2020·BMC Health Services Research·Ann Mari GransjøenBjørn Morten Hofmann

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