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It is 17:10 in your Emergency Department.
A 42-year-old man presents with acute right-sided upper back pain after lifting a heavy box at work.
He describes the pain as sharp, localised around the right scapula, and aggravated by movement or deep inspiration.
During triage, he experiences a brief vasovagal syncope secondary to pain.
Your resident, concerned about possible pulmonary embolism, orders a CT pulmonary angiogram (CTPA).
The CTPA is negative for PE but the radiologist later notes an incidental 4 mm right-upper-lobe pulmonary nodule, unrelated to his presenting complaint.
Your resident seeks your guidance on how to manage this under the RCEM Best Practice Standard Operating Procedure (SOP) for investigation result.
According to the RCEM Best Practice Guideline (2023): Management of Investigation Results in the ED, which of the following statements about the SOP is not correct?

A. Critical Results should be reviewed in real-time

B. Non-urgent results should be reviewed within 48 hours

C. There must be clear accountability for review and action

D. Documentation should be traceable and auditable

E. A defined communication pathway must exist

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References

https://rcem.ac.uk/wp-content/uploads/2023/02/Management_of_Investigation_Results_in_the_ED_Feb-2023.pdf

Score

1-
2-

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