Table 1

Major causes of interruptions and possible solutions

Communication with technicians
  • Protocol management

Instant messaging integrated with PACS (eg, Primordial Software).
Designated radiologist to handle exam-related issues with a dedicated room to reduce the load of calls to the reading room.
Empowering technologists to have decision-making capability.
Communication with physicians
  • Request for urgent review of study

Electronic alert system to request for an urgent review.
  • Clinical consultation

Secure encrypted messaging apps for communication (like WhatsApp, TigerConnect).
Rotating radiologist on-call for all clinical consultations.