Journal Article

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.

McCreadie G; Oliver TB.

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.