Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record.
Approach to Improving Safety
Setting of Care
Inadequate test result management is known to contribute to missed and delayed diagnosis. This Veterans Affairs study found that 0.17% of radiologic studies were not evaluated by radiologists. The study team identified several technical and process problems that contributed to these unread studies. They were able to address the issues to ensure all studies were read.