Failures in communication or follow-up of unexpected significant radiological findings

From the investigation: Failures in communication or follow-up of unexpected significant radiological findings

Recommendation date:

Safety recommendation

It is recommended that NHS England and NHS Improvement’s patient safety team takes steps to ensure providers are aware of the safety recommendations in this report and act to implement the key findings regarding risk controls such as a monitored acknowledgement system for critical, urgent and unexpected significant findings.

Response:

Once the Royal College of Radiologists, and partner organisations, have developed and published their proposals and definitions (as outlined in Recommendation 2019/039) the national patient safety team will utilise avenues at its disposal, including a national patient safety alert (if the nationally agreed criteria are met), to promote systematic implementation of the safety recommendations related to unexpected significant radiological findings.

Response received on 14 October 2019.

Back to safety recommendations log