{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T14:06:31Z","timestamp":1772460391611,"version":"3.50.1"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Objective To assess whether integrating critical result management software\u2014Alert Notification of Critical Results (ANCR)\u2014with an electronic health record (EHR)-based results management application impacts closed-loop communication and follow-up of nonurgent, clinically significant radiology results by primary care providers (PCPs).<\/jats:p>\n               <jats:p>Materials and Methods This institutional review board-approved study was conducted at a large academic medical center. Postintervention, PCPs could acknowledge nonurgent, clinically significant ANCR-generated alerts (\u201calerts\u201d) within ANCR or the EHR. Primary outcome was the proportion of alerts acknowledged via EHR over a 24-month postintervention. Chart abstractions for a random sample of alerts 12 months preintervention and 24 months postintervention were reviewed, and the follow-up rate of actionable alerts (eg, performing follow-up imaging, administering antibiotics) was estimated. Pre- and postintervention rates were compared using the Fisher exact test. Postintervention follow-up rate was compared for EHR-acknowledged alerts vs ANCR.<\/jats:p>\n               <jats:p>Results Five thousand nine hundred and thirty-one alerts were acknowledged by 171 PCPs, with 100% acknowledgement (consistent with expected ANCR functionality). PCPs acknowledged 16% (688 of 4428) of postintervention alerts in the EHR, with the remaining in ANCR. Follow-up was documented for 85 of 90 (94%; 95% CI, 88%-98%) preintervention and 79 of 84 (94%; 95% CI, 87%-97%) postintervention alerts ( P &amp;gt; .99). Postintervention, 11 of 14 (79%; 95% CI, 52%-92%) alerts were acknowledged via EHR and 68 of 70 (97%; 95% CI, 90%-99%) in ANCR had follow-up ( P = .03).<\/jats:p>\n               <jats:p>Conclusions Integrating ANCR and EHR provides an additional workflow for acknowledging nonurgent, clinically significant results without significant change in rates of closed-loop communication or follow-up of alerts.<\/jats:p>","DOI":"10.1093\/jamia\/ocv105","type":"journal-article","created":{"date-parts":[[2015,9,3]],"date-time":"2015-09-03T01:04:19Z","timestamp":1441242259000},"page":"333-338","source":"Crossref","is-referenced-by-count":23,"title":["Does integrating nonurgent, clinically significant radiology alerts within the electronic health record impact closed-loop communication and follow-up?"],"prefix":"10.1093","volume":"23","author":[{"given":"Stacy D","family":"O\u2019Connor","sequence":"first","affiliation":[{"name":"Center for Evidence Based Imaging, Brookline, Massachusetts, USA"},{"name":"Department of Radiology Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anuj K","family":"Dalal","sequence":"additional","affiliation":[{"name":"Center for Evidence Based Imaging, Brookline, Massachusetts, USA"},{"name":"Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V Anik","family":"Sahni","sequence":"additional","affiliation":[{"name":"Center for Evidence Based Imaging, Brookline, Massachusetts, USA"},{"name":"Department of Radiology Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronilda","family":"Lacson","sequence":"additional","affiliation":[{"name":"Center for Evidence Based Imaging, Brookline, Massachusetts, 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