AHRQ Patient Safety Network

The Collection > Radiology

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Safety Target

•Device-related Complications (15)

•Diagnostic Errors (42)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (16)

•Medication Safety (7)

•Medical Complications (8)

•Nonsurgical Procedural Complications (35)

•Surgical Complications (7)

•Psychological and Social Complications (3)

Origin/Sponsor

•Africa (1)

•Asia (1)

•Australia and New Zealand (4)

•Central and South America (1)

•Europe (21)

•North America (91)

Resource Types

•Book/Report (2)

•Journal Article (93)

•Legislation/Regulation (5)

•Newspaper/Magazine Article (13)

•Press Release/Announcement (6)

•Special or Theme Issue (2)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (23)

•Active Errors (44)

•Latent Errors (16)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (36)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (44)

•Communication Improvement (26)

•Human Factors Engineering (26)

•Teamwork (6)

•Specialization of Care (3)

•Logistical Approaches (9)

•Culture of Safety (14)

•Technologic Approaches (19)

•Education and Training (18)

Clinical Areas
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Radiology

Target Audience

•Health Care Providers (109)

•Health Care Executives and Administrators (89)

•Non-Health Care Professionals (27)

•Patients (8)

Setting of Care

•Hospitals (58)

•Ambulatory Care (11)

•Outpatient Surgery (2)

•Patient Transport (1)

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STUDY

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study.

Tuncer S, Aksu N, Dilek H, Ozkan T, Hamzaoglu A. J Trauma. 2011;71:649-655.

COMMENTARY

A 60-year-old man with delayed care for a renal mass.

Schiff GD. JAMA. 2011;305:1890-1898.

COMMENTARY

Safety strategies in an academic radiation oncology department and recommendations for action.

Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.

PRESS RELEASE/ANNOUNCEMENT

Safety Investigation of CT Brain Perfusion Scans: Update 11/9/2010.

Rockville, MD: US Food and Drug Administration; November 9, 2010.

STUDY

Disclosing harmful mammography errors to patients.

Gallagher TH, Cook AJ, Brenner RJ, et al. Radiology. 2009;253:443-452.

COMMENTARY

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.

STUDY

Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record.

Gordon JRS, Wahls T, Carlos RC, Pipinos II, Rosenthal GE, Cram P. Ann Intern Med. 2009;151:21-27.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

STUDY

Effect of computerized physician order entry on radiologic examination order indication quality.

Schneider E, Franz W, Spitznagel R, Bascom DA, Obuchowski NA. Arch Intern Med. 2011;171:1036-1038.

STUDY

Accuracy of radiographic readings in the emergency department.

Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.

STUDY

The frequency of diagnostic errors in radiologic reports depends on the patient's age.

Diaz S, Ekberg O. Acta Radiol. 2010;51:934-938.

COMMENTARY

Flying Object Hits MRI.

Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.

REVIEW

An international review of patient safety measures in radiotherapy practice.

Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. Radiother Oncol. 2009;92:15-21.

SPECIAL OR THEME ISSUE

Errors and Malpractice in Radiology.

Pinto A, ed. Semin Ultrasound CT MR. 2012;33:273-382.

MULTI-USE WEBSITE

Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging.

Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 2010.

NEWSPAPER/MAGAZINE ARTICLE

Applying the Universal Protocol to improve patient safety in radiology services.

PA-PSRS Patient Saf Advis. June 2011;8:63-69.

STUDY

How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees.

Evans SB, Yu JB, Chagpar A. Int J Radiat Oncol Biol Phys. 2012;84:e131-e137.

STUDY

Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study.

Singh H, Hirani K, Kadiyala H, et al. J Clin Oncol. 2010;28:3307-3315.

STUDY

Diagnostic errors in pediatric radiology.

Taylor GA, Voss SD, Melvin PR, Graham DA. Pediatr Radiol. 2011;41:327-334.

STUDY

Errare humanum est: frequency of laterality errors in radiology reports.

Sangwaiya MJ, Saini S, Blake MA, Dreyer KJ, Kalra MK. AJR Am J Roentgenol. 2009;192:W239-W244.

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