AHRQ Patient Safety Network

The Collection > Radiology

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (44)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (13)

•Medication Safety (2)

•Medical Complications (4)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (4)

Origin/Sponsor

•Africa (1)

•Asia (1)

•Australia and New Zealand (2)

Resource Types

•Clinical Guideline (1)

•Journal Article (63)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (7)

•Press Release/Announcement (2)

•Tools/Toolkit (1)

Error Types

•Epidemiology of Errors and Adverse Events (22)

•Active Errors (30)

•Latent Errors (10)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (16)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (34)

•Communication Improvement (15)

•Human Factors Engineering (10)

•Teamwork (3)

•Specialization of Care (3)

•Logistical Approaches (7)

•Culture of Safety (7)

•Technologic Approaches (9)

•Education and Training (9)

Clinical Areas
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Radiology

Target Audience

•Health Care Providers (74)

•Health Care Executives and Administrators (52)

•Non-Health Care Professionals (15)

•Patients (5)

Setting of Care

•Hospitals (35)

•Ambulatory Care (5)

•Outpatient Surgery (1)

•Patient Transport (2)

1 - 20 of 79

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STUDY

The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.

Cruz MF, Edwards J, Dinh DM, Barnes EH. Med J Aust. 2012;197:161-165.

BOOK/REPORT

Unintended exposure of patient Lisa Norris during radiotherapy treatment at the Beatson Oncology Centre, Glasgow in January 2006.

Johnson AM. Edinburgh, Scotland: Scottish Executive; 2006.

COMMENTARY

Radiology reporting—where does the radiologist's duty end?

Garvey CJ, Connolly S. Lancet. 2006;367:443-445.

STUDY

Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals.

Worster A, Fernandes CM, Malcolmson C, Eva K, Simpson D. J Emerg Nurs. 2006;32:276-280.

STUDY

Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions.

Heck RK, O'Malley AM, Kellum EL, Donovan TB, Ellzey A, Witte DA. Clin Orthop Rel Res. 2007;459:28-33.

STUDY

Missed lesions at abdominal oncologic CT: lessons learned from quality assurance.

Siewert B, Sosna J, McNamara A, Raptopoulos V, Kruskal JB. Radiographics. 2008;28:623-638.

COMMENTARY

Improving patient safety in radiotherapy by learning from near misses, incidents and errors.

Williams MV. Br J Radiol. 2007;80:297-301.

STUDY

CT for suspected appendicitis in children: an analysis of diagnostic errors.

Taylor GA, Callahan MJ, Rodriguez D, Smink DS. Pediatr Radiol. 2006;36:331-337.

BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

STUDY

Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections.

Gould KL, Pan T, Loghin C, Johnson NP, Guha A, Sdringola S. J Nucl Med. 2007;48:1112-1121.

REVIEW

Radiologic errors and malpractice: a blurry distinction.

Berlin L. AJR Am J Roentgenol. 2007;189:517-522.

STUDY

Clinically missed cancer: how effectively can radiologists use computer-aided detection?

Nishikawa RM, Schmidt RA, Linver MN, Edwards AV, Papaioannou J, Stull MA. AJR Am J Roentgenol. 2012;198:708-716.

NEWSPAPER/MAGAZINE ARTICLE

M.R.I.'s strong magnets cited in accidents.

McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.

NEWSPAPER/MAGAZINE ARTICLE

Safety improvements urged for MRI facilities.

Mitka M. JAMA. 2005;294:2145, 2148.

BOOK/REPORT

Why Current Breast Pathology Practices Must Be Evaluated.

Dallas, TX: Susan G. Komen Breast Cancer Foundation; June 2006.

STUDY

Medical emergency team calls in the radiology department: patient characteristics and outcomes.

Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].

REVIEW

Missed breast cancers at US-guided core needle biopsy: how to reduce them.

Youk JH, Kim EK, Kim MJ, Lee JY, Oh KK. Radiographics. 2007;27:79-94.

PRESS RELEASE/ANNOUNCEMENT

FDA public health notification: MRI-caused injuries in patients with implanted neurological stimulators.

Schultz DG. Rockville, MD: Center for Devices and Radiological Health, Food and Drug Administration; May 10, 2005.

COMMENTARY

Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but...

Berlin L. Radiology. 2010;257:836-845.

NEWSPAPER/MAGAZINE ARTICLE

Error rate greatest in hospital radiology.

Stein R. The Washington Post. January 18, 2006:A03.

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