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. Author manuscript; available in PMC: 2010 Sep 1.
Published in final edited form as: Arch Intern Med. 2009 Sep 28;169(17):1578–1586. doi: 10.1001/archinternmed.2009.263

Table 2.

Comparison of types of communication, providers and imaging for diagnostic imaging alerts with and without timely follow-up at 4-weeks

Lack of Timely Follow- Up
n = 92 (7.7)
Timely Follow-Up
n = 1104 (92.3)
p- value
n (%) n (%)
Alert Status p = 0.22
    Acknowledged 71 (77.2) 908 (82.2)
    Unacknowledged 21 (22.8) 196 (17.8)
Communication Characteristics p < 0.0001
    Electronic Alert Communication* 84 (11.3) 661 (88.7)
    Electronic Alert + Verbal Communication ** 3 (1.5) 203 (98.5)
    Electronic Alert + Admission 5 (2.9) 167 (97.1)
    Electronic Alert + Verbal Communication + Admission 0 (0.0) 73 (100.0)
Ordering provider Characteristics p = 0.09
    Attending physician 44 (6.3) 652 (93.7)
    Physician Assistants 21 (8.7) 220 (91.3)
    Trainees (Interns, Residents, Fellows)^ 19 (9.9) 173 (90.1)
    Nurse Practitioners 8 (11.9) 59 (88.1)
Types of Abnormal Imaging Reported p = 0.0016
    X- ray 52 (9.1) 520 (90.9)
    CT Scan 25 (5.4) 434 (94.6)
    Ultrasound 10 (9.6) 94 (90.4)
    MRI 4 (6.7) 56 (93.3)
    Mammography 1 (100.0) 0 (0.0)
Ordering Provider Specialty p = 0.12
    Primary Care 57 (9.5) 544 (90.5)
    Emergency Medicine 8 (3.0) 256 (97.0)
    Hematology/ Oncology 4 (8.0) 46 (92.0)
    Pulmonary Disease 3 (7.5) 37 (92.5)
    General Surgery 3 (7.9) 35 (92.1)
    Specialty Surgery 11 (9.2) 109 (90.8)
    Other Medical Specialties 5 (8.2) 56 (91.8)
    Other Non-specified Specialties 1 (4.6) 21 (95.4)
Dual Communication p = 0.17
    Dual 53 (8.7) 554 (91.3)
    Single 39 (6.6) 550 (93.4)
*

Only electronic communication of alert

**

Electronic and verbal communication of alert

Electronic communication of alert followed by a hospital admission prior to chart review

Electronic and verbal communication of alert followed by a hospital admission prior to chart review

^

Trainees who provide care in our outpatient setting do so at an average of ½-1 day every 2 weeks.