Reporting of Malposition of Lines and Tubes on Portable Radiographs using Alert Notification of Critical Results

Publication date: Available online 28 September 2016
Source:Current Problems in Diagnostic Radiology
Author(s): Rachna Madan, LaTia D. Peavy, Breland Crudup, Andetta Hunsaker
Line malposition may result in significant iatrogenic complications. Awareness of the most common types of line malposition and the frequency of significant line related complications is an important reminder to the radiologist to look carefully at all lines, especially the devices that are most commonly subject to malposition. Alert Notification of Critical Results (ANCR) are computer-generated pages or emails created by the radiologist to inform referring clinicians of significant radiologic findings. The alert is logged on the computer and all data is saved for future review. The primary purpose of the ANCR is to ensure that radiologists and clinicians have an effective and well-documented method of communication regarding significant imaging findings. A secondary purpose of ANCR data is the ability to review clinical practice. We have used the ANCR data to identify the frequency and types of line malpositions in the ICU.



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