Systemic error in radiology

Stephen Waite, Jinel Moore Scott, Alan Legasto, Srinivas Kolla, Brian Gale, Elizabeth A Krupinski

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

OBJECTIVE. Interpretive errors in diagnostic imaging result in significant patient morbidity and mortality, but the importance of errors and process failures in the imaging cycle other than during image interpretation is underappreciated. In this article, we describe these errors and potential solutions, providing a framework to improve patient safety and understand the changing roles of radiologists beyond image interpretation. CONCLUSION. For comprehensive improvements to health care delivery, other failures in the cycle besides diagnostic interpretive error-such as ordering inappropriate studies, PACS failures, and a lack of accurate clinician contact information (with resultant communication failure)-should be recognized as contributors to patient harm because they lead to wasted resources and delayed care. By taking ownership of the entire imaging cycle, radiologists can increase their net worth to patient care and cement their roles as experts in the effective, evidence-based use of imaging technologies.

Original languageEnglish (US)
Pages (from-to)629-639
Number of pages11
JournalAmerican Journal of Roentgenology
Volume209
Issue number3
DOIs
StatePublished - Sep 1 2017
Externally publishedYes

Fingerprint

Radiology
Patient Harm
Ownership
Diagnostic Imaging
Patient Safety
Diagnostic Errors
Patient Care
Communication
Technology
Morbidity
Delivery of Health Care
Mortality
Radiologists
Financial Statements

Keywords

  • Appropriateness criteria
  • Error in radiology
  • Imaging cycle
  • Systemic error

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Waite, S., Scott, J. M., Legasto, A., Kolla, S., Gale, B., & Krupinski, E. A. (2017). Systemic error in radiology. American Journal of Roentgenology, 209(3), 629-639. https://doi.org/10.2214/AJR.16.17719

Systemic error in radiology. / Waite, Stephen; Scott, Jinel Moore; Legasto, Alan; Kolla, Srinivas; Gale, Brian; Krupinski, Elizabeth A.

In: American Journal of Roentgenology, Vol. 209, No. 3, 01.09.2017, p. 629-639.

Research output: Contribution to journalArticle

Waite, S, Scott, JM, Legasto, A, Kolla, S, Gale, B & Krupinski, EA 2017, 'Systemic error in radiology', American Journal of Roentgenology, vol. 209, no. 3, pp. 629-639. https://doi.org/10.2214/AJR.16.17719
Waite S, Scott JM, Legasto A, Kolla S, Gale B, Krupinski EA. Systemic error in radiology. American Journal of Roentgenology. 2017 Sep 1;209(3):629-639. https://doi.org/10.2214/AJR.16.17719
Waite, Stephen ; Scott, Jinel Moore ; Legasto, Alan ; Kolla, Srinivas ; Gale, Brian ; Krupinski, Elizabeth A. / Systemic error in radiology. In: American Journal of Roentgenology. 2017 ; Vol. 209, No. 3. pp. 629-639.
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