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Critical Findings Communication: Building a Reliable Escalation Process
A critical finding is only useful once the right clinician knows about it. How to design escalation paths that work across remote and on-site teams.
1 min read

Every radiology service needs a dependable way to get urgent results to the care team. With remote reporting, that process has to work across organizations, not just across a corridor.
Define what counts as critical
Start with a shared list of findings that require direct communication, aligned with the facility's own policy. Everyone reading studies should work from the same definitions.
Map the escalation path
- 1Who is contacted first for each department and time of day
- 2Who is contacted next if the first person cannot be reached
- 3Which communication channels are approved
- 4How the communication is documented in the report
An escalation path that has never been tested is only a plan on paper.
Close the loop
Record who received the result and when. Periodic audits of critical-finding communication help confirm the process works in practice, not just in policy.


