Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

Anika G Patel; Victor J Pizzitola; C. Daniel Johnson; Nan Zhang; Maitray D Patel

Study

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

September 9, 2020

Patel AG, Pizzitola VJ, Johnson CD, et al. Radiology. 2020;297(2):374-379.

View more articles from the same authors.

The authors analyzed CT interpretation errors committed by radiology fellows working off-hours over a four-year period and found that interpretation errors occurred more frequently at night and in the latter half of night assignments.

PubMed citation

Available at

Related Resources From the Same Author(s)

Mandating limits on workload, duty, and speed in radiology.

July 6, 2022

What can patient safety teach us about clinician burnout?

January 8, 2020

Emotional harm in the radiology department: analysis of an underrecognized preventable error.

February 9, 2022

Two decades since To Err Is Human: progress, but still a "chasm".

January 13, 2021

Preventing a parallel pandemic - a national strategy to protect clinicians' well-being.

June 10, 2020

Effect of patient- and medication-related factors on inpatient medication reconciliation errors.

March 7, 2012

To care is human—collectively confronting the clinician-burnout crisis.

February 7, 2018

Patient safety in plastic surgery.

September 12, 2012

The evolution of procedural competency in internal medicine training.

November 1, 2017

Nurse staffing, burnout, and health care-associated infection.

August 15, 2012

National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.

March 5, 2008

An intervention to decrease catheter-related bloodstream infections in the ICU.

January 3, 2007

Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest.

July 8, 2020

Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction.

November 11, 2015

Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.

March 2, 2022

March 16, 2022

Body CT: technical advances for improving safety.

August 3, 2011

The effect of clinician feedback interventions on opioid prescribing.

April 27, 2022

Preventing and mitigating radiology system failures: a guide to disaster planning.

February 2, 2022

The successful anesthesia patient safety officer.

September 15, 2021

Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment.

September 29, 2021

Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings.

July 21, 2010

Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems.

March 29, 2023

Conversations on diagnostic uncertainty and its management among pediatric acute care physicians.

April 27, 2022

Fundamentals of diagnostic error in imaging.

October 10, 2018

Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies.

June 21, 2017

Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.

March 18, 2015

Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample.

April 23, 2014

Unexpected death within 72 hours of emergency department visit: were those deaths preventable?

May 6, 2015

Inequities in quality and safety outcomes for hospitalized children with intellectual disability.

March 16, 2022

A new frontier in healthcare risk management: working to reduce avoidable patient suffering.

February 24, 2016

Central venous catheter guidewire retention: lessons from England's never event database.

May 4, 2022

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

Successful use of a rapid response team in the pediatric oncology outpatient setting.

January 20, 2010

Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.

September 30, 2020

Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.

March 17, 2021

The standardisation of handoffs in a large academic paediatric emergency department using I-PASS.

July 28, 2021

Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions.

August 10, 2022

Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.

February 2, 2022

Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members.

December 8, 2021

A piece of my mind. Writing the wrong.

August 26, 2015

Missed breast cancer: effects of subconscious bias and lesion characteristics.

August 5, 2020

Effect of clinical pharmacists on care in the emergency department: a systematic review.

August 12, 2009

Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices.

July 17, 2019

Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy.

August 5, 2009

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

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 2020

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.

October 20, 2010

Association between opioid prescribing patterns and abuse in ophthalmology.

November 29, 2017

Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy.

August 11, 2021

Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire.

May 21, 2014

New perspectives on error in critical care.

September 17, 2008

Clinical cognition and biomedical informatics: issues of patient safety.

August 24, 2005

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.

November 17, 2021

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

Inpatient patient safety events in vulnerable populations: a retrospective cohort study.

November 18, 2020

The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital.

October 9, 2013

E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety.

January 30, 2019

Variation in medication information for elderly patients during initial interventions by emergency department physicians.

January 16, 2008

Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.

June 5, 2019

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.

June 29, 2005

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes.

August 8, 2018

Crisis preparedness: a systems-based framework for avoiding harm in surgery.

November 30, 2022

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims.

November 10, 2021

Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation.

November 30, 2022

A systematic review of the literature on the evaluation of handoff tools: implications for research and practice.

June 26, 2013

Bridging gaps in handoffs: a continuity of care based approach.

May 23, 2012

Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences.

March 2, 2016

Comprehensive analysis of a medication dosing error related to CPOE.

August 31, 2005

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

June 8, 2011

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

August 29, 2012

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

March 27, 2005

Error detection and recovery in dialysis nursing.

November 30, 2011

Role of cognition in generating and mitigating clinical errors.

May 20, 2015

Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III.

March 27, 2005

Progress in interoperability: measuring US hospitals' engagement in sharing patient data.

October 25, 2017

Engaging patients in medication reconciliation via a patient portal following hospital discharge.

October 2, 2013

We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry.

July 1, 2015

Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.

March 21, 2007

ISMP medication error report analysis.

May 27, 2009

Clinical benefits of electronic health record use: national findings.

January 15, 2014

Emergency department visits for antibiotic-associated adverse events.

August 27, 2008

Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service.

June 1, 2005

Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis.

April 1, 2020

The role of cognitive bias in breast radiology diagnostic and judgment errors.

May 27, 2020

Medication complexity, medication number, and their relationships to medication discrepancies.

July 27, 2016

Understanding pharmacist decision making for adverse drug event (ADE) detection.

April 15, 2009

Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures.

November 4, 2015

The medical student as a patient: attitudes towards involvement in the quality and safety of health care.

October 30, 2013

Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy.

May 26, 2010

Applying aviation factors to oral and maxillofacial surgery—the human element.

February 1, 2012

Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.

December 2, 2015

Decisions about critical events in device-related scenarios as a function of expertise.

June 1, 2005

Description of inpatient medication management using cognitive work analysis.

December 16, 2009

Evaluation of perioperative medication errors and adverse drug events.

November 4, 2015

Poor resident–attending intraoperative communication may compromise patient safety.

June 15, 2011

The nature and occurrence of registration errors in the emergency department.

July 4, 2007

Diagnostic error in children presenting with acute medical illness to a community hospital.

July 30, 2014

The impact of a pharmacist's participation on hospitalists' rounds.

March 10, 2010

Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011.

May 23, 2012

Related Resources

Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms.

May 31, 2023

Reducing errors resulting from commonly missed chest radiography findings.

May 31, 2023

Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic.

May 31, 2023

Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study.

May 3, 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

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study.

July 20, 2022

Mandating limits on workload, duty, and speed in radiology.

July 6, 2022

Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists.

April 6, 2022

Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned.

March 2, 2022

The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study.

October 20, 2021

Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment.

September 29, 2021

WebM&M Cases

Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax

August 25, 2021

Racial disparities in diagnostic delay among women with breast cancer.

August 18, 2021

Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS.

August 4, 2021

ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review.

July 14, 2021

Errors in breast imaging: how to reduce errors and promote a safety environment.

July 7, 2021

WebM&M Cases

The Consequences of Miscommunication Regarding a Possible Artifact

June 30, 2021

AI for radiographic COVID-19 detection selects shortcuts over signal.

June 16, 2021

Machine learning is booming in medicine. It’s also facing a credibility crisis.

June 16, 2021

Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review.

March 24, 2021

WebM&M Cases

Delayed Breast Cancer Diagnosis: A False Sense of Security.

December 23, 2020

Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis.

November 18, 2020

The radiology impact of healthcare errors during shift work.

October 28, 2020

Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.

September 16, 2020

Chronic hospital nurse understaffing meets COVID-19: an observational study.

September 9, 2020

Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students.

September 9, 2020

Increased patient safety-related incidents following the transition into Daylight Savings Time.

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

The use of anatomical side markers in general radiology: a systematic review of the current literature.

August 26, 2020

See More About The Topic

Hospitals

Ambulatory Clinic or Office

Facility and Group Administrators

Radiology

Radiograph Interpretation Error

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site