Lecture 8: Incorporating second opinions to reduce errors
Goal: Discuss how to incorporate second opinions into routine practice to reduce diagnostic errors
Objectives
- List ways to incorporate second opinions into clinical workflow to reduce diagnostic errors
- Describe clinical scenarios where double reading may reduce diagnostic errors
Recommended reading
Lecture 8 Pretest
In the study on radiologist-initiated double reading of abdominal CT by Lauritzen et al., what was the most common category of pathology where double-reading identified clinically important changes?
- Trauma
- Cancer
- Infection
- Obstruction
During which of the following activities is double-reading incorporated into routine practice?
- Performance of invasive procedures
- Curbside consults
- Case conferences
- Tumor boards
Which of the following is a major advantage of prospective double reading over traditional retrospective peer review?
- Diagnostic errors are identified before they impact patient care
- Less time to perform
- Double reads can be submitted for reimbursement
- Eliminates diagnostic errors
Which of the following is an example of metacognition?
- Using heuristics to make decisions when there is uncertainty
- Employing pattern recognition to make a diagnosis
- Tendency to be influenced by how a problem is presented
- Recognizing instances when data are not fitting together
Which of the following strategies can be used by radiologists when they are interpreting a study and the data are not fitting together?
- Recommend another imaging study
- Consult a colleague
- Leave exam for someone else to interpret
- Follow-up case to determine if an error was made
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