Lecture 5: Reviewing prior studies to reduce errors
Goal: Understand how reviewing prior imaging can influence interpretation and reduce diagnostic errors
Objectives
- Describe examples of diagnostic errors that occur because radiologists do not review prior imaging
- List common scenarios where not reviewing prior imaging and/or reports result in diagnostic errors
Recommended reading
Lecture 5 Pretest
In the 2013 retrospective study by Kim and Mansfield about types of diagnostic error, the percentage of errors attributed to not reviewing prior imaging studies was:
- 5%
- 22%
- 0.9%
- 2%
Which of the following is NOT a contributing factor to radiologists failing to review relevant prior studies?
- Prior examination was performed at an outside institution
- Lack of evidence that reviewing prior studies reduces errors
- Failure of a PACS server to retrieve prior exams at the time of interpretation
- PACS automatically selects prior studies for comparison
Which of the following types of cognitive bias can occur when a radiologist reads the prior imaging report before reviewing an imaging study?
- Hindsight bias
- Availability bias
- Alliterative bias
- Anchoring bias
According to the ACR’s practice parameter for the performance of chest radiography, a radiologist should:
- Review the most recent prior chest x-ray
- Review all recent chest x-rays
- Review all prior chest x-rays
- Review all pertinent imaging studies
Among the following options, the most common type of error is when:
- The finding is identified and interpreted correctly, but the message fails to reach the ordering provider
- The finding is identified but attributed to the wrong cause
- The finding is missed because of failure to continue to search for additional abnormalities after the first abnormality was found
- The finding is missed because of failure to consult prior radiologic studies or reports
Click to see answersWatch Lecture 5