Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL July 9, 2008 Siewert B, Sosna J, McNamara A, et al. Radiographics. 2008;28(3):623-38. View more articles from the same authors. Root cause analysis of errors in interpreting radiographic studies in oncology patients revealed several areas for improvement, ranging from technical factors to active errors and human factors. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Managing an acute adverse event in a radiology department. August 6, 2008 Emotional harm in the radiology department: analysis of an underrecognized preventable error. February 9, 2022 Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. January 15, 2020 Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. December 7, 2016 Application of failure mode and effect analysis in a radiology department. 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Emotional harm in the radiology department: analysis of an underrecognized preventable error. February 9, 2022
Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. January 15, 2020
Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. December 7, 2016
Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. May 29, 2019
Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. May 30, 2007
Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. July 14, 2021
Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? September 1, 2021
A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. February 6, 2019
A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. March 21, 2018
Information flow during pediatric trauma care transitions: things falling through the cracks. September 11, 2019
Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. July 29, 2020
Care transition of trauma patients: processes with articulation work before and after handoff. February 16, 2022
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022
Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. February 11, 2015
Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. April 27, 2016
Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. May 25, 2016
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Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. March 11, 2020
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Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial October 16, 2019
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Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. January 4, 2021
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Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. March 8, 2006
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020
Universal protection: operationalizing infection prevention guidance in the COVID-19 era. May 12, 2021
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics. November 3, 2021
Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. December 2, 2020
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A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. January 18, 2017
Patient safety indicators for judging hospital performance: still not ready for prime time. February 24, 2016
Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. April 20, 2016
FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. October 22, 2014
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Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. July 20, 2016
Cough and cold medication adverse events after market withdrawal and labeling revision. December 4, 2013
Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? June 5, 2013
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. July 11, 2012
Can we make postoperative patient handovers safer? A systematic review of the literature. May 30, 2012
A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. November 14, 2012
A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. March 7, 2018
Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. January 24, 2018
Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. August 31, 2016
Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. May 28, 2008
Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. April 21, 2005
Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. November 9, 2005
Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020
Missing the near miss: recognizing valuable learning opportunities in radiation oncology. December 16, 2020
Patient Safety Innovations Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors September 29, 2021
Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020
Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. January 19, 2022
Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. September 8, 2021
Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. October 5, 2022
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. May 11, 2022
Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. June 24, 2020
Artificial intelligence-supported screen reading versus standard double reading in the Mammography Screening with Artificial Intelligence trial (MASAI): a clinical safety analysis of a randomised, controlled, non-inferiority, single-blinded, screening accuracy study. November 15, 2023
Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023
Developing electronic clinical quality measures to assess the cancer diagnostic process. June 21, 2023
Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. August 17, 2022
Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. March 30, 2022
Emotional harm in the radiology department: analysis of an underrecognized preventable error. February 9, 2022
Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. November 10, 2021
WebM&M Cases Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax August 25, 2021
Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments. September 9, 2020
Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. September 2, 2020
Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. July 15, 2020
Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. June 24, 2020