How would you arrange recall after a significant final-report change following discharge?

Instruction: Explain the recall and handover plan, the amended communication, and what must happen if the patient cannot initially be reached.

Context: An overnight cervical spine CT was preliminarily reported as showing no acute injury, and the patient was discharged. On morning review you identify a definite C6 facet fracture. The emergency department confirms persistent neck pain at discharge and no documented new neurological deficit. The overnight reporter has finished their shift. The emergency department has a current senior clinician and an urgent recall process.

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I would contact the current emergency department senior immediately, rather than wait for the overnight reporter. I would say: “The final review of this patient’s CT shows a C6 facet fracture that was not identified in the preliminary report...

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