Optimizing Patient-centered Communication and Multidisciplinary Care Coordination in Emergency DiagnosticImaging: A Research Agenda.

Sabbatini AK1, Merck LH2,3, Froemming AT4, Vaughan W5, Brown MD6, Hess EP7,8, Applegate KE9, Comfere NI10.

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Abstract

Patient-centered emergency diagnostic imaging relies on efficient communication and multispecialty care coordination to ensure optimal imagingutilization. The construct of the emergency diagnostic imaging care coordination cycle with three main phases (pretest, test, and posttest) provides a useful framework to evaluate care coordination in patient-centered emergency diagnostic imaging. This article summarizes findings reached during the patient-centered outcomes session of the 2015 Academic Emergency Medicine consensus conference "Diagnostic Imaging in the EmergencyDepartment: A Research Agenda to Optimize Utilization." The primary objective was to develop a research agenda focused on 1) defining component parts of the emergency diagnostic imaging care coordination process, 2) identifying gaps in communication that affect emergency diagnosticimaging, and 3) defining optimal methods of communication and multidisciplinary care coordination that ensure patient-centered emergencydiagnostic imaging. Prioritized research questions provided the framework to define a research agenda for multidisciplinary care coordination inemergency diagnostic imaging.