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Learning from diagnostic errors: a good way to improve education in radiology.
Eur J Radiol. 2011 Jun; 78(3):372-6.EJ

Abstract

PURPOSE

To evaluate the causes and the main categories of diagnostic errors in radiology as a method for improving education in radiology.

MATERIAL AND METHODS

A Medline search was performed using PubMed (National Library of Medicine, Bethesda, MD) for original research publications discussing errors in diagnosis with specific reference to radiology. The search strategy employed different combinations of the following terms: (1) diagnostic radiology, (2) radiological error and (3) medical negligence. This review was limited to human studies and to English-language literature. Two authors reviewed all the titles and subsequently the abstracts of 491 articles that appeared pertinent. Additional articles were identified by reviewing the reference lists of relevant papers. Finally, the full text of 75 selected articles was reviewed.

RESULTS

Several studies show that the etiology of radiological error is multi-factorial. The main category of claims against radiologists includes the misdiagnoses. Radiologic "misses" typically are one of two types: either missed fractures or missed diagnosis of cancer. The most commonly missed fractures include those in the femur, the navicular bone, and the cervical spine. The second type of "miss" is failure to diagnose cancer. Lack of appreciation of lung nodules on chest radiographs and breast lesions on mammograms are the predominant problems.

CONCLUSION

Diagnostic errors should be considered not as signs of failure, but as learning opportunities.

Authors+Show Affiliations

Department of Diagnostic Imaging, A. Cardarelli Hospital, I-80131 Naples, Italy. antopin1968@libero.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21255952

Citation

Pinto, Antonio, et al. "Learning From Diagnostic Errors: a Good Way to Improve Education in Radiology." European Journal of Radiology, vol. 78, no. 3, 2011, pp. 372-6.
Pinto A, Acampora C, Pinto F, et al. Learning from diagnostic errors: a good way to improve education in radiology. Eur J Radiol. 2011;78(3):372-6.
Pinto, A., Acampora, C., Pinto, F., Kourdioukova, E., Romano, L., & Verstraete, K. (2011). Learning from diagnostic errors: a good way to improve education in radiology. European Journal of Radiology, 78(3), 372-6. https://doi.org/10.1016/j.ejrad.2010.12.028
Pinto A, et al. Learning From Diagnostic Errors: a Good Way to Improve Education in Radiology. Eur J Radiol. 2011;78(3):372-6. PubMed PMID: 21255952.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Learning from diagnostic errors: a good way to improve education in radiology. AU - Pinto,Antonio, AU - Acampora,Ciro, AU - Pinto,Fabio, AU - Kourdioukova,Elena, AU - Romano,Luigia, AU - Verstraete,Koenraad, Y1 - 2011/01/20/ PY - 2010/12/09/received PY - 2010/12/14/accepted PY - 2011/1/25/entrez PY - 2011/1/25/pubmed PY - 2011/11/4/medline SP - 372 EP - 6 JF - European journal of radiology JO - Eur J Radiol VL - 78 IS - 3 N2 - PURPOSE: To evaluate the causes and the main categories of diagnostic errors in radiology as a method for improving education in radiology. MATERIAL AND METHODS: A Medline search was performed using PubMed (National Library of Medicine, Bethesda, MD) for original research publications discussing errors in diagnosis with specific reference to radiology. The search strategy employed different combinations of the following terms: (1) diagnostic radiology, (2) radiological error and (3) medical negligence. This review was limited to human studies and to English-language literature. Two authors reviewed all the titles and subsequently the abstracts of 491 articles that appeared pertinent. Additional articles were identified by reviewing the reference lists of relevant papers. Finally, the full text of 75 selected articles was reviewed. RESULTS: Several studies show that the etiology of radiological error is multi-factorial. The main category of claims against radiologists includes the misdiagnoses. Radiologic "misses" typically are one of two types: either missed fractures or missed diagnosis of cancer. The most commonly missed fractures include those in the femur, the navicular bone, and the cervical spine. The second type of "miss" is failure to diagnose cancer. Lack of appreciation of lung nodules on chest radiographs and breast lesions on mammograms are the predominant problems. CONCLUSION: Diagnostic errors should be considered not as signs of failure, but as learning opportunities. SN - 1872-7727 UR - https://www.unboundmedicine.com/medline/citation/21255952/Learning_from_diagnostic_errors:_a_good_way_to_improve_education_in_radiology_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0720-048X(10)00639-X DB - PRIME DP - Unbound Medicine ER -