Improving communication of unexpected findings: The radiology actional findings tracking (RAFT) program

Abstract

Incidental findings are unexpected, actionable discoveries made on diagnostic imaging that have significant patient care and medicolegal implications if not well managed. Despite their importance, few systems exist to manage incidental findings. The Radiology Actionable Findings Tracking (RAFT) Program was developed to improve communication of incidental findings to radiologists, providers, and their patients. The RAFT template is incorporated into the electronic medical record and discloses important information such as: Finding, Acuity, Communication Status, and General Recommendation for follow-up. This data is automatically compiled into a spreadsheet monitored by a clinical coordinator who is responsible for notifying the primary care physician or referring provider. The alert is resolved once appropriate communication is made and the recommended follow-up measures are documented. Between January 2021 and June 2023, the program has tracked the communication of 2,243 incidental findings, for an average of 75 incidental findings each month. Of those total findings, 270 findings (12 %) triggered additional protocols for provider and patient notification with subsequent follow-up. The program is effective in improving communication of incidental findings and can serve as a valuable tool for radiologists, providers, and the patients they serve.