Increasing Utilization and Improving Documentation in a Radiology Critical Alert System.

Effective communication of critical imaging findings is an important patient safety issue. Despite an increase in exam volumes, our institution saw a decrease in the number of alerts sent through our critical alert system, indicating that critical findings were not being communicated. The purpose of our interventions was to increase the number of critical alerts, while also improving documentation and improving our provider database. We used a program of education for our radiologists and systematic reinforcement to increase the usage of our critical alert system. We also implemented a new time-stamp macro in our dictation system to improve documentation of emergency alerts, and engaged with other departments to improve the contact information in our provider database. Our interventions led to an increase in the monthly number of critical alerts, most notably for findings that require clinical or imaging follow-up (17 alerts per month). There was also a steady improvement in documentation (96.9% compliance), along with an increase in the number of alerts to providers with current contact information (0.5% per month). Our efforts show that educational and collaborative efforts can result in improved communication of radiologic critical results.