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Study
Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.
May 20, 2009
McCreadie G, Oliver TB. Clin Radiol. 2009;64(5):491-501.
In this study, systematic analysis of missed and discrepant diagnoses, discovered through departmental quality assurance conferences, identified several common diagnostic errors in interpretation of computed tomographic (CT) studies. False-negative diagnoses were the most common type of error, but misdiagnosis relating to poor communication between departments also occurred in a significant proportion of cases. This study provides an example of how traditional morbidity and mortality teaching conferences may be used as a vehicle for improving patient safety.
