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Published in: European Radiology 8/2005

01-08-2005 | Radiological Education

Radiological error: analysis, standard setting, targeted instruction and teamworking

Author: Richard FitzGerald

Published in: European Radiology | Issue 8/2005

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Abstract

Diagnostic radiology does not have objective benchmarks for acceptable levels of missed diagnoses [1]. Until now, data collection of radiological discrepancies has been very time consuming. The culture within the specialty did not encourage it. However, public concern about patient safety is increasing. There have been recent innovations in compiling radiological interpretive discrepancy rates which may facilitate radiological standard setting. However standard setting alone will not optimise radiologists’ performance or patient safety. We must use these new techniques in radiological discrepancy detection to stimulate greater knowledge sharing, targeted instruction and teamworking among radiologists. Not all radiological discrepancies are errors. Radiological discrepancy programmes must not be abused as an instrument for discrediting individual radiologists. Discrepancy rates must not be distorted as a weapon in turf battles. Radiological errors may be due to many causes and are often multifactorial. A systems approach to radiological error is required. Meaningful analysis of radiological discrepancies and errors is challenging. Valid standard setting will take time. Meanwhile, we need to develop top-up training, mentoring and rehabilitation programmes.
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Metadata
Title
Radiological error: analysis, standard setting, targeted instruction and teamworking
Author
Richard FitzGerald
Publication date
01-08-2005
Publisher
Springer-Verlag
Published in
European Radiology / Issue 8/2005
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-005-2662-8

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