Commentary Rethinking peer review: what aviation can teach radiology about performance improvement. Citation Text: Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 31, 2011 Larson DB, Nance JJ. Radiology. 2011;259(3):626-32. View more articles from the same authors. This commentary explores how lessons from aviation can guide safety improvement in radiology. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. December 7, 2016 Choosing your words carefully: how physicians would disclose harmful medical errors to patients. August 16, 2006 Indication alerts to improve problem list documentation. January 26, 2022 Advancing the science of patient safety. May 25, 2011 Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014. September 27, 2017 National cluster-randomized trial of duty-hour flexibility in surgical training. February 10, 2016 How trainees would disclose medical errors: educational implications for training programmes. April 13, 2011 The attitudes and experiences of trainees regarding disclosing medical errors to patients. March 19, 2008 The quality of pharmacologic care for vulnerable older patients. March 6, 2005 Improving handoffs in the emergency department. October 28, 2009 The top patient safety strategies that can be encouraged for adoption now. March 13, 2013 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. November 14, 2007 Crossing to safety: transforming healthcare organizations for patient safety. April 15, 2005 Role-modeling and medical error disclosure: a national survey of trainees. February 12, 2014 Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. September 11, 2019 Composite measures for profiling hospitals on bariatric surgery performance. October 30, 2013 A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). July 31, 2013 Discrimination, abuse, harassment, and burnout in surgical residency training. November 20, 2019 Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. June 8, 2022 Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. August 12, 2015 Management of anesthesia equipment failure: a simulation-based resident skill assessment. August 19, 2009 Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. March 1, 2017 Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? April 21, 2005 ACR guidance document on MR safe practices: 2013. March 21, 2013 Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. June 21, 2023 ASHP guidelines on remote medication order processing. July 7, 2010 Patient safety issues in advanced practice nursing students' care settings. November 9, 2011 Advanced practice nursing students' identification of patient safety issues in ambulatory care. April 10, 2013 Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017 Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. February 20, 2008 Effect of genetic diagnosis on patients with previously undiagnosed disease. November 7, 2018 Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017 A patient reported approach to identify medical errors and improve patient safety in the emergency department. November 23, 2016 Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. April 2, 2014 American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. December 7, 2005 Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. September 4, 2019 Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. March 6, 2005 Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022 Readiness of US general surgery residents for independent practice. October 4, 2017 Views of practicing physicians and the public on medical errors. March 27, 2005 Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. January 12, 2022 Transforming the medication regimen review process using telemedicine to prevent adverse events. December 16, 2020 Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. January 14, 2015 Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. September 2, 2015 Effect of nonpayment for preventable infections in U.S. hospitals. October 24, 2012 Lessons learned from implementing a principled approach to resolution following patient harm. January 9, 2019 Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. February 8, 2006 Errors in surgery: a case control study. December 14, 2022 A randomized trial of a multifactorial strategy to prevent serious fall injuries. July 29, 2020 The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. April 19, 2006 Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. November 8, 2006 Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 17, 2007 Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. May 10, 2023 Perception of patient safety culture in pediatric long-term care settings. February 13, 2019 Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. November 25, 2015 Burnout in pediatric residents: three years of national survey January 22, 2020 Effect of computer order entry on prevention of serious medication errors in hospitalized children. March 19, 2008 Using social and behavioural science to support COVID-19 pandemic response. June 3, 2020 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 Potential medication dosing errors in outpatient pediatrics. January 11, 2006 Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021 Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023 Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. February 10, 2016 Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. October 14, 2009 A framework for patient safety: a defense nuclear industry-based high-reliability model. May 1, 2013 Isolation precautions for visitors. April 29, 2015 Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. June 7, 2023 Decision making in trauma settings: simulation to improve diagnostic skills. March 11, 2015 A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014 Safety culture and complications after bariatric surgery. November 14, 2012 Unintended doses in radiotherapy—over, under and outside? April 18, 2018 Getting doctors to report medical errors: project DISCLOSE. July 5, 2006 An intervention to decrease catheter-related bloodstream infections in the ICU. January 3, 2007 Clinical data sharing improves quality measurement and patient safety. March 24, 2021 Targeted versus universal decolonization to prevent ICU infection. May 1, 2013 Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study. December 14, 2016 Opportunities to enhance laboratory professionals' role on the diagnostic team. November 16, 2016 Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. September 12, 2018 Establishing a global learning community for incident-reporting systems. November 10, 2010 Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. May 12, 2010 Using contemporary leadership skills in medication safety programs. June 29, 2016 Surgical skill and complication rates after bariatric surgery. October 23, 2013 Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. August 1, 2012 Meaningful use's benefits and burdens for US family physicians. May 30, 2018 Board of pharmacy practices related to medication errors and their potential impact on patient safety. August 1, 2018 Medical malpractice lawsuits involving surgical residents. September 20, 2017 Cascades of care after incidental findings in a US national survey of physicians. November 6, 2019 Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. May 6, 2020 Developing expert medical teams: toward an evidence-based approach. October 15, 2008 Surgical team behaviors and patient outcomes. October 1, 2008 Questionable hospital chart documentation practices by physicians. September 24, 2008 Academic detailing to improve laboratory testing among outpatient medication users. October 17, 2007 Evaluating sample medications in primary care: a practice-based research network study. December 6, 2006 Medication errors related to computerized order entry for children. November 22, 2006 Surgeon age and operative mortality in the United States. October 25, 2006 Microsystems in health care: Part 2. Creating a rich information environment. March 6, 2005 Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. May 6, 2009 Physician burnout and medical errors: exploring the relationship, cost, and solutions received. August 9, 2023 Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. July 11, 2018 Association of communication between hospital-based physicians and primary care providers with patient outcomes. January 21, 2009 View More Related Resources Quality and Safety in Health Care. August 13, 2023 Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 Reducing errors resulting from commonly missed chest radiography findings. May 31, 2023 Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. May 24, 2023 Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. August 17, 2022 An evolution of reporting: identifying the missing link. August 10, 2022 Error and cognitive bias in diagnostic radiology. April 13, 2022 Preventing and mitigating radiology system failures: a guide to disaster planning. February 2, 2022 The perfect storm: exam of a medical error and factors contributing to its possible escalation. June 23, 2021 ACR guidance document on MR safe practices: updates and critical information 2019. August 14, 2019 Chasing zero harm in radiation oncology: using pre-treatment peer review. May 22, 2019 Structural racism--a 60-year-old black woman with breast cancer. April 10, 2019 Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Fundamentals of diagnostic error in imaging. October 10, 2018 Focus On: Health Care Policy and Quality. December 6, 2017 Systemic error in radiology. August 9, 2017 Key principles in quality and safety in radiology. May 3, 2017 Radiology research in quality and safety: current trends and future needs. April 19, 2017 Infusion medication error reduction by two-person verification: a quality improvement initiative. February 1, 2017 Overuse of medical imaging and its radiation exposure: who’s minding our children? September 28, 2016 Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. June 15, 2016 Collective intelligence meets medical decision-making: the collective outperforms the best radiologist. September 9, 2015 Risk management in radiology departments. July 15, 2015 Planning an MR suite: what can be done to enhance safety? May 6, 2015 Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. March 11, 2015 FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. October 22, 2014 Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. June 25, 2014 Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. June 4, 2014 Banning the handshake from the health care setting. May 28, 2014 Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. May 14, 2014 View More See More About The Topic Health Care Providers Quality and Safety Professionals Radiology Quality Improvement Strategies
Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. December 7, 2016
Choosing your words carefully: how physicians would disclose harmful medical errors to patients. August 16, 2006
Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014. September 27, 2017
How trainees would disclose medical errors: educational implications for training programmes. April 13, 2011
The attitudes and experiences of trainees regarding disclosing medical errors to patients. March 19, 2008
'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. November 14, 2007
Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. September 11, 2019
A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). July 31, 2013
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. June 8, 2022
Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. August 12, 2015
Management of anesthesia equipment failure: a simulation-based resident skill assessment. August 19, 2009
Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. March 1, 2017
Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? April 21, 2005
Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. June 21, 2023
Advanced practice nursing students' identification of patient safety issues in ambulatory care. April 10, 2013
Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017
Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. February 20, 2008
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
A patient reported approach to identify medical errors and improve patient safety in the emergency department. November 23, 2016
Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. April 2, 2014
American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. December 7, 2005
Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. September 4, 2019
Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. March 6, 2005
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. January 12, 2022
Transforming the medication regimen review process using telemedicine to prevent adverse events. December 16, 2020
Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. January 14, 2015
Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. September 2, 2015
Lessons learned from implementing a principled approach to resolution following patient harm. January 9, 2019
Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. February 8, 2006
The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. April 19, 2006
Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. November 8, 2006
Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 17, 2007
Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. May 10, 2023
Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. November 25, 2015
Effect of computer order entry on prevention of serious medication errors in hospitalized children. March 19, 2008
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
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023
Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. February 10, 2016
Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. October 14, 2009
Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. June 7, 2023
A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. March 26, 2014
Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study. December 14, 2016
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. September 12, 2018
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. May 12, 2010
Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. August 1, 2012
Board of pharmacy practices related to medication errors and their potential impact on patient safety. August 1, 2018
Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. May 6, 2020
Evaluating sample medications in primary care: a practice-based research network study. December 6, 2006
Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. May 6, 2009
Physician burnout and medical errors: exploring the relationship, cost, and solutions received. August 9, 2023
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. July 11, 2018
Association of communication between hospital-based physicians and primary care providers with patient outcomes. January 21, 2009
Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023
Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. August 17, 2022
The perfect storm: exam of a medical error and factors contributing to its possible escalation. June 23, 2021
Infusion medication error reduction by two-person verification: a quality improvement initiative. February 1, 2017
Overuse of medical imaging and its radiation exposure: who’s minding our children? September 28, 2016
Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. June 15, 2016
Collective intelligence meets medical decision-making: the collective outperforms the best radiologist. September 9, 2015
Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. March 11, 2015
FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. October 22, 2014
Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. June 25, 2014
Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. June 4, 2014