Lecture 6: Reviewing the electronic medical record to reduce errors
Goal: Understand how reviewing the electronic medical record (EMR) can influence interpretation and reduce diagnostic errors
Objectives
- Describe examples of diagnostic errors that occur because radiologists miss important information in the EMR
- List types of information available in the EMR that can impact interpretation and diagnostic accuracy
Recommended reading
Lecture 6 Pretest
In a study by Dalla Palma et al. on the impact of clinical-radiological consultations, how often was the initial clinical diagnosis changed?
- 10%
- 25%
- 50%
- 75%
In the setting of trauma, what relevant information in the EMR can significantly impact diagnostic errors?
- Lab values (e.g. white count and liver function tests)
- Tumor markers
- Prior surgeries
- Localizing signs and symptom
When evaluating for biliary obstruction on CT after cholecystectomy, what relevant information in the EMR can impact diagnostic errors?
- Lab values (e.g. white count and liver function tests)
- Tumor markers
- Prior surgeries
- Localizing signs and symptom
When evaluating for recurrent tumor after prostatectomy, what relevant information in the EMR can impact diagnostic errors?
- Lab values (e.g. white count and liver function tests)
- Tumor markers
- Prior surgeries
- Localizing signs and symptom
Which of the following is a system-related cause of diagnostic error?
- Hindsight bias
- Alliterative error
- Case complexity
- Workload
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