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PSNet: Patient Safety Network
Journal Article
Study

Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital.

Khalatbari H, Menashe SJ, Otto RK, et al. Pediatr Radiol. 2020;50(10):1409-1420.

This study reviewed safety events involving diagnostic or interventional radiology at one children’s hospital and used data from the root cause analyses to characterize the contributing system failures and key activities and processes. Approximately one-quarter of the safety events were secondary to diagnostic errors.  The most common key processes involved in these events were diagnostic and procedural services, and the most common key activities were interpreting/analyzing and coordinating activities.