Etiology and disposition associated with radiology discrepancies on emergency department patients

The American Journal of Emergency Medicine
Liza Gergenti, Robert P Olympia

Abstract

Diagnostic errors made by radiology resident physicians may lead to significant morbidity/mortality and patient dissatisfaction. To determine the etiology and disposition associated with radiology discrepancies on emergency department (ED) patients. We conducted a retrospective electronic chart review of patients presenting to our ED during "off hours" at the Penn State Hershey Medical Center during October 2013-November 2014 and had a radiology discrepancy, defined as a patient discharged from the ED with a diagnostic interpretation disagreement between the initial radiology resident physician read and final radiology attending physician read. 81,201 images were performed during "off hours", with 174 radiology discrepancies (0.214%) identified. Most discrepancies were associated with CT scans (62%). The most common final diagnostic interpretations associated with discrepancies were missed fracture (10.9%), incidental findings of mass or cyst (10.3%), gastrointestinal inflammation (6.3%), and pneumonia (5.7%). 10% of radiology discrepancies were instructed to emergently return to the ED. The most common modality associated with ED follow-up was CT scan of the abdomen/pelvis (50%). Of the 17 patients that returned to the ED, 10 ...Continue Reading

Citations

May 15, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Laura Mattijssen-HorstinkEdward Camillus Thwan Han Tan
Feb 25, 2021·The American Surgeon·Madison E MorganFrederick B Rogers

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