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Nurses take ownership of rads discrepancies.

The ED at Catawba Valley Medical Center in Hickory, NC, has improved its responses to radiology discrepancies by redesigning its process and giving ownership of that process to two nurses. Here are some of the key aspects of the process: every day the coordinators check the computer system, into which discrepancies are entered by radiology. Diagnosis and treatment are reviewed with one of the ED physicians. If the patient has been discharged, the coordinator will contact the patient via phone or follow-up letter.