Ramírez AJL, Rodríguez TC, Quiroz CO, Motta RGA

Idioma: Español
Referencias bibliográficas: 44
Paginas: 228-232
Archivo PDF: 72.72 Kb.

RESUMEN

La comunicación adecuada entre los médicos tratantes y los radiólogos se considera esencial en la práctica médica de alta calidad, facilita entre otros intercambiar opiniones sobre pacientes referidos, así como obtener la información clínica necesaria, ya que el carecer de ella puede conducir a interpretaciones deficientes o erróneas. Existe una responsabilidad compartida del radiólogo para informar al médico tratante cuando observa hallazgos radiológicos de importancia o que requieren atención urgente. Esta comunicación muchas veces debe ser adicional al informe radiológico, ya sea por vía telefónica o electrónica. El clínico, por otra parte debe recabar la información de los pacientes que refiere al Departamento de Radiología. El radiólogo también tiene la obligación de comunicar directamente al paciente los hallazgos importantes o de gravedad para garantizar que la información llegue a su médico. Esta comunicación debe llevarse a cabo en forma abierta, clara y con sensibilidad. Estos conceptos de comunicación forman parte de la relación médico-paciente y están contemplados en el profesionalismo médico de alto nivel.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA 2002; 287: 226-235.

2. Stanley RJ. What does good medicine mean. AJR 2006; 187: 1145.

3. John Hopkins and American Health Ways. Consensus Report Defining the Patient-physician Relationship of the 21st century. Disease Management 2004; 7(3): 161-179

4. Clinger NJ, Hunter TB, Hillman BJ. Radiology reports: Attitudes of referring physicians. Radiology 1998; 169: 825-826.

5. Walsh J. Problem-oriented diagnostic radiology. The need of clinical information. Applied Radiology Sept.-Oct 1984.

6. Espinoza JA, Nolan TW. Reducing errors made by emergency physicians in interpreting radiographs: Longitudinal Study. BMJ 2000; 320: 737-740.

7. American College of Radiology. ACR Practice Guideline for Communication of Diagnostic Imaging Findings. In: Practice Guidelines and Technical Standards. Reston, Va: American College of Radiology; 2005: 5-9.

8. Connal JG, Connaly S. Radiology reporting-where does the radiologist’s duty end. In: www.thelancet.com Vol. 367, February 2006.

9. Woodard PK. Radiologists, clinicians and patients care. Radiology 1992; 184: 582.

10. Motta-Ramirez A, Castillo-Lima JA, Gómez del Campo. Radiólogos, clínicos y atención médica. Rev Sanid Militar 1997; 51: 247.

11. Carvallo A. Médicos y profesionalismo. Pacientes e información. Rev Med Chile 2005; 133: 253-258.

12. McLoughlin RF, So CB, Gray RR. Radiology reports: How much descriptive details is enough. AJR 1995; 165: 803.

13. Rothman M. Malpractice issues in radiology: Radiology reports. AJR 1998; 170: 1108.

14. Berlin L. Communication of the significant but not urgent findings. AJR 1997; 168: 329-331.

15. Raskin M. Survival strategies for radiology: Some practical tips on how to reduce the risk of being sued and losing. J AM Coll of Radiology 2006; 3: 689-693.

16. Sherman RS. The roentgenologist as a consultant. Radiology 1960; 75: 293-295.

17. Ortega D, García C. Communication between radiologists and patients: An unsolved issue. J AM Coll of Radiology 2006: 472.

18. Hickey PM. Standarization of roentgen-ray reports. AJR 1922; 9: 422-426.

19. Berlin L. Pitfalls of the vague radiology report. AJR 2000; 174: 1511-1518.

20. Lautin EM. Writing, signing and reading the radiology report. Who is responsible and when. AJR 2001; 177: 246.

21. Berlin L. Comparing new radiographs with those obtained previously. AJR 1999; 172: 3-6.

22. Berlin L. Defending the missed radiographic diagnosis. AJR 2001; 176: 317-322.

23. Flexed R. The art of readable writing. 25th Anniversary ed New York: Harper & Row 1974: 210-215.

24. Berlin L. Replacing traditional texts radiology reports with image-centric reports: A shift from epiphany to enigma. AJR 2006; 187: 1156-1159.

25. Paris Jr A. Handbook of radiologic dictation. Proscan MRI Education Foundation 2004: 3-11.

26. American College of Radiology. ACR Standard for Communication: Diagnostic Radiology. In: ACR Standard. Reston, Va: American College of Radiology; 1991.

27. American College of Radiology. ACR Standard for Communication: Diagnostic Radiology. In: ACR Standard. Reston, Va: American College of Radiology; 1995.

28. American College of Radiology. ACR Standard for Communication: Diagnostic Radiology. In: ACR Standard. Reston, Va: American College of Radiology; 1999.

29. Department of Health. Manual of Cancer Measures -1E – 205 Rapid Notification of Unsuspected Imaging Diagnosis of Cancer. London. UK: Department of Health 2004.

30. Dalinka MK. Communication, the deep pocket and ACR Standards. AJR 2001; 177: 248.

31. White P. Patient safety on hold. The Case for Fail – Safe Medical Communications Systems. RBMA Bulletin, Sept- Oct 2004.

32. Kolata G. Sick and scared and waiting, waiting, waiting. New York Times; 2005, August 20.

33. Levinson W. Physicians-patient communication, a key to malpractice prevention. JAMA 1994; 272: 1619-1620.

34. Levitsky DB, Frank MS, Richardson ML. How should radiologists reply when patients ask about their diagnosis? A survey of radiologists and clinicians preferences. AJR 1993; 161: 433-436

35. ACR Bulletin. 1998; Vol. 54, Issue 10: 17-21.

36. Palma D. Tomorrow radiologist: What future. Radiol Med 2006; 111: 621-633.

37. Berlin L. Communicating findings of radiologic examinations. Whither goest the radiologist’s duty? AJR 2002; 178: 809-815.

38. Gunderman RB. Patient communication. What to teach radiology residents. AJR 2001; 177: 41-43.

39. Hoffman NY. When the patient asks for the results of her mammogram, how should the radiologists reply. AJR 1994; 162: 597-599.

40. Schreiber M, Morton L. Disclosure of imaging findings to patients. Directly by radiologists. AJR 1995; 165: 467-469.

41. Liu S, Bassett WL, Sayre J. Women’s attitudes about receiving mammographic results directly from radiologists. Radiology 1994; 193: 783-786.

42. Steinbrook R. The age of teleradiology. NEJM 2007; 357: 5-7.

43. Rainer B, Siegel E. Radiology reports; returning to our image-centric roots. AJR 2006; 187: 1151-1155.

44. Stern DT, Papadakis M. The development physician becoming a professional. NEJM 2006; 355(17): 1794-1798.