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Thomas H. Gallagher, MD; May 2011
Transferred to a tertiary hospital, a child with severe swelling of the brain is found to have venous sinus thromboses and little chance of survival. Further review revealed that the referring hospital had missed subtle signs of cerebral edema on the initial CT scan days earlier, raising the question of whether to disclose the errors of other facilities or caregivers.
Journal Article > Study
Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?
Crocker M, Cato-Addison WB, Pushpananthan S, Jones TL, Anderson J, Bell BA. Br J Neurosurg. 2010;24:391-395.
This British study contends that the inability to reliably transmit CT and MRI images between hospitals for patients with possible neurosurgical emergencies is a potential source of diagnostic error and patient harm.