Radiology Callbacks to a Pediatric Emergency Department and Their Clinical Impact

Pediatric Emergency Care
Rajan Arora, Nirupama Kannikeswaran

Abstract

Clinical impact of radiology callbacks (missed initial radiologic diagnosis) remains largely unknown in the pediatric emergency department (PED). The aim of this study was to describe the incidence, nature of radiology callbacks, and the impact on clinical care during the return visit (RV). We performed a retrospective chart review of quality assurance database of RVs for radiology callbacks to our PED over a 1-year period. Return visit rate to our PED was 3% (2765/92,000) of which 1.9% (55/2765) was for radiology callbacks. Radiology misses involved mostly x-ray interpretations (92.7%), occurred after-hours (83.6%), with fractures being the most common missed finding. Majority of patients (94.5%) required 1 or more interventions during the RV; 34.5% of radiology callbacks had a major impact on clinical management; 27.2% of radiology callbacks were false-positive. Although RVs secondary to radiology callback remain low, one third of them resulted in major changes in diagnosis, treatment, or disposition and impacted patient outcome.

References

Apr 30, 1998·Pediatric Radiology·R I MarkowitzK E Fellows
Nov 9, 2000·Clinical Radiology·S M WilliamsD J Wilson
Feb 13, 2001·AJR. American Journal of Roentgenology·L Berlin
Jul 4, 2001·Emergency Medicine Journal : EMJ·H R Guly
Apr 20, 2004·Pediatric Emergency Care·Evaline A AlessandriniKathy N Shaw
Sep 10, 2010·The American Journal of Emergency Medicine·Bruno PetinauxJaime Aristizabal
Jul 20, 2013·International Journal of Emergency Medicine·Steven Marc FriedmanAmit Chopra
Oct 24, 2014·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Ayobami T AkenroyeAnne M Stack
Nov 4, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·John ChengShabnam Jain

❮ Previous
Next ❯

Citations

May 15, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Laura Mattijssen-HorstinkEdward Camillus Thwan Han Tan
Mar 7, 2021·The American Journal of Emergency Medicine·Rajan AroraUsha Sethuraman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The American Journal of Emergency Medicine
Nathan L Timm, Richard M Ruddy
Pediatric Emergency Care
Evaline A AlessandriniKathy N Shaw
Paediatrics & Child Health
Kristie Cramer, Terry P Klassen
© 2022 Meta ULC. All rights reserved