"Words are All We Have" - Communication Issues in Radiology

Authors

Paul Read, MD, Thomas Jefferson UniversityFollow

Document Type

Presentation

Publication Date

7-10-2024

Comments

Presentation: 24:10

Abstract

Providing high-quality radiologic care to patients is a complex, multi-step process. From the initial step of appropriate ordering and protocoling of an imaging study through the ultimate delivery of a finalized report, effective communication throughout the process is crucial to success. The purpose of this study is to identify common communication issues in radiology, the potential negative outcomes associated with absent or ineffective communication, and possible means of improving patient safety by improving communication. A literature search was conducted consisting of the terms "radiology," "patient safety," and "communication." A review of the existing literature yields three problem areas primarily involving communication: 1. lack of clarity between radiologist and ordering provider when communicating uncertainty/confidence of findings, 2. suboptimal communication regarding need for follow-up tests or care based on findings from radiological studies, and 3. process heterogeneity and lack of standardization regarding transitions of care within radiology, i.e., "hand-offs". The issues identified in this search are by no means comprehensive but do provide an initial way forward in terms of identifying potential action items to effect positive change. These communication problems can also be inter-related to some degree. For example, a study that was protocolled inappropriately (a process problem) may not be performed in a way that is optimal to answer the clinical question and thus yield a report that lacks a high degree of confidence (a clarity issue). Potential solutions that can help address these communication issues include: 1. confidence scores/standardized lexicons to address potential uncertainty of findings, 2. leveraging technology tools to help "close the loop" regarding need for follow-up tests/care, 3. incorporating checklists to help improve standardization of processes as patients move through the imaging process. There is no single solution to fix a problem that is as broad and complicated as communication is within radiology, but there is some evidence that a multi-faceted approach can yield significant improvements.

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Language

English