ACR 2016 The Crossroads of Radiology

ACR2016VM39 - Actionable Findings and Communication: Challenges and Opportunities

May 17, 2016 1:30pm ‐ May 17, 2016 3:00pm


The purpose of this session is to focus in part on critical test results management (CTRM) - the reporting and communication of critical test results that could change patient management within minutes to hours. However, equally important and sometimes more challenging is the reporting of non-critical actionable findings: those that can impact the patient's health months to years later if downstream testing is not completed. While critical test results are often identified on emergency department patients or inpatients whose providers are in the hospital at the time, non-critical actionable findings are often identified in outpatients whose providers may not even belong to the same hospital or health system. In addition, determining if downstream testing has occurred months later further confounds this problem. In this session, we identify some of the challenges associated with monitoring patients with incomplete follow-up and discuss some solutions that have been implemented to address this opportunity to improve the care of our patients.

Learning Objectives:

  1. Discuss some of the challenges associated with monitoring the follow-up of non-critical actionable findings identified on imaging.
  2. Compare and contrast the problems of reporting and communicating critical vs. non-critical actionable findings.
  3. Identify components of possible solutions to monitoring patients awaiting follow-up of non-critical actionable findings.


  • General Radiology


  • Computer Tomography, Magnetic Resonance Imaging, Radiography/Fluoro, Ultrasound




  • Tessa Cook: None

  • Katherine Andriole: None

  • Hanna Zafar: Honorarium-Advanced Cytopathology Education

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