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.