Systematic approach to human error in radiology

We propose a systematic approach to human errors in radiology. We consider perceptual, cognitive and system errors. Practical aspects with psychological and clinical involvement are discussed with tree diagrams.

[1]  J. Reason Human error: models and management , 2000, BMJ : British Medical Journal.

[2]  D. Kopans Mammography screening is saving thousands of lives, but will it survive medical malpractice? , 2004, Radiology.

[3]  L. Berlin Malpractice issues in radiology. Emerging technologies. , 1999, AJR. American journal of roentgenology.

[4]  E Raufaste,et al.  EXPERTISE ET DIAGNOSTIC RADIOLOGIQUE : Etude empirique , 1998 .

[5]  D. Wilson,et al.  Radiological review of accident and emergency radiographs: a 1-year audit. , 2000, Clinical radiology.

[6]  L. Bassett Clinical image evaluation. , 1995, Radiologic clinics of North America.

[7]  E. S. de Paredes,et al.  Missed breast carcinoma: pitfalls and pearls. , 2003, Radiographics : a review publication of the Radiological Society of North America, Inc.

[8]  R. Wachter,et al.  The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safety. , 2004, Joint Commission journal on quality and safety.

[9]  R. Leppek,et al.  [X-rays taken by radiologists! Influence on a continuous quality improvement process?]. , 2000, RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin.

[10]  J. V. van Engelshoven,et al.  [The limited detection of lung cancer on chest X-rays]. , 2003, Nederlands tijdschrift voor geneeskunde.

[11]  Missed mammographic abnormalities, malpractice, and expert witnesses: does majority rule in the courtroom? , 2003, Radiology.

[12]  R. Fitzgerald Error in radiology. , 2001, Clinical radiology.

[13]  K. Berbaum,et al.  Error in radiology: classification and lessons in 182 cases presented at a problem case conference. , 1992, Radiology.

[14]  L R Brooks,et al.  The correlation of feature identification and category judgments in diagnostic radiology , 1992, Memory & cognition.

[15]  A. Scally,et al.  Confidence intervals and sample size calculations for studies of film-reading performance. , 2003, Clinical radiology.

[16]  R. Gibberd,et al.  Epidemiology of medical error , 2000, BMJ : British Medical Journal.

[17]  B. Dall,et al.  Can the NHS Breast Screening Programme afford not to double read screening mammograms? , 2003, Clinical radiology.

[18]  K S Berbaum,et al.  Impact of clinical history on fracture detection with radiography. , 1988, Radiology.

[19]  E Raufaste,et al.  EXPERTISE ET DIAGNOSTIC RADIOLOGIQUE : Avancées théoriques , 1998 .

[20]  G Pessina,et al.  [Diagnostic procedure in radiology. Theoretical model and experimental research]. , 1975, Journal de radiologie, d'electrologie, et de medecine nucleaire.

[21]  S. Buetow Why the need to reduce medical errors is not obvious. , 2005, Journal of evaluation in clinical practice.

[22]  Malpractice issues in radiology. Alliterative errors. , 2000, AJR. American journal of roentgenology.

[23]  S. Somers,et al.  Double-contrast barium enema studies: effect of multiple reading on perception error. , 1990, Radiology.

[24]  Jackie Moczygemba,et al.  Reducing Medical Errors Through Better Documentation , 2004, The health care manager.

[25]  L. Berlin Malpractice issues in radiology. Admitting mistakes. , 1999, AJR. American journal of roentgenology.

[26]  B P Wood,et al.  Decision making in radiology. , 1999, Radiology.

[27]  C. Valls Pitfalls of the vague radiology report. , 2001, AJR. American journal of roentgenology.

[28]  R. Vettor,et al.  Clinical and laboratory logic. , 1999, Clinica chimica acta; international journal of clinical chemistry.

[29]  Michael H Lev,et al.  Avoidance of variability and error in radiology , 1999, The Lancet.

[30]  K. Berbaum,et al.  Satisfaction of search in diagnostic radiology. , 1989, Investigative radiology.

[31]  L. Berlin The importance of proper radiographic positioning and technique. , 1996, AJR. American journal of roentgenology.

[32]  L. Berlin,et al.  Malpractice issues in radiology. Perceptual errors. , 1996, AJR. American journal of roentgenology.

[33]  L. Berlin Malpractice issues in radiology. Possessing ordinary knowledge. , 1996, AJR. American journal of roentgenology.