Where would a limited second-reader service add the most safety?
Instruction: Define a focused prospective review pathway, its boundary with retrospective learning, and the measures that would justify keeping or changing it.
Context: A fictional department has found repeated difficulty with a defined group of complex postoperative abdominal CTs. A suitable subspecialist can offer a limited review session, but cannot reread every emergency examination. The clinical teams want relevant advice before decisions about management, and some cases arrive when that reviewer is unavailable.
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I would use the service for the defined postoperative group where an additional interpretation can still influence the clinical decision. A review after discharge may teach us something, but it cannot provide the same protection as advice available when the team needs it. We should be clear which purpose we are funding...
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