Standardized Call Report Policy:
POLICY: Medically emergent findings are to be called by the radiologist regardless of the hour of the day. The radiologist is to document the time of call and person spoken to in the radiology report.
Emergent findings include: Pneumothorax, Intracranial hemorrhage, free air / perforated viscus, line malposition, ectopic pregnancy and any previously undiagnosed condition that could require urgent surgery.
JCAHO adds the following: Leaking / ruptured aorta, ischemic bowel on CT, Unstable spine fracture, large hemoperitoneum seen on CT or US.
Call Reports must be made for the following critical test results: (per JCAHO’s 2005 National Patient Safety Goal)
- Pneumothorax, if unexpected finding
- Tension pneumothorax
- Leaking/ruptured abdominal aortic aneurysm
- Ischemic bowel on CT scan
- Acute extra-axial collection, including acute subdural and epidural hematoma
- Unstable spine fracture
- Pneumoperitoneum (not post-op)
- Significant misplacement of tubes or catheters
- Massive hemoperitoneum on CT or ultrasound
- Significant unexpected findings