PMID: 3772618Sep 1, 1986Paper

Clinical significance of discrepancies in roentgenographic film interpretation in an acute walk-in area

Journal of General Internal Medicine
D A Snow

Abstract

To determine the clinical significance of discrepancies in roentgenographic film interpretation, housestaff's interpretations of 248 outpatient x-rays obtained in a walk-in/emergency room area were compared with the interpretations by radiologists. There was complete agreement for 134/248 (54%) films. Discrepancies for 114 films were classified as potentially significant (n = 28, 25%) or insignificant (n = 86, 75%). Most significant discrepancies (26 of 28) were related to the indication for the film. Most insignificant discrepancies (75 of 86) were unrelated to the film's indication. No discrepancies resulted in serious adverse patient outcomes, although one resulted in delayed treatment of a fractured humerus, one resulted in delay of antibiotic treatment, and three resulted in antibiotic use that may have been unnecessary. In two cases, the initial treatment plan was changed based on the final radiologist's report. These results indicate that while discrepancies in film interpretation are frequent, their clinical impact may be small.

References

Jan 1, 1975·Investigative Radiology·P G Herman, S J Hessel
Apr 1, 1969·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·J H BlandR V Clayton
Jan 1, 1984·Scandinavian Journal of Rheumatology·N BellamyW W Buchanan
Aug 3, 1963·JAMA : the Journal of the American Medical Association·M H SCHREIBER
Dec 1, 1947·American Review of Tuberculosis·S J SHIPMAN
Feb 8, 1947·Journal of the American Medical Association·C C BIRKELO, W E CHAMBERLAIN

❮ Previous
Next ❯

Citations

Sep 10, 2010·The American Journal of Emergency Medicine·Bruno PetinauxJaime Aristizabal
Apr 7, 2007·Journal of the American College of Radiology : JACR·David C Levin, Vijay M Rao
Apr 7, 2007·Journal of the American College of Radiology : JACR·David C Levin
Nov 14, 1997·Annals of Emergency Medicine·C J Lambrecht
Dec 4, 1992·Perspectives in Healthcare Risk Management·A Karcz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.