Driscoll D O, Halpenny D, Guiney M
Department of Radiology, St James's Hospital, James's St, Dublin 8.
Ir Med J. 2012 Jun;105(6):172-4.
This study reviews cases discussed at radiology departmental discrepancy meetings and retrospectively determines patterns of radiological error. All cases discussed since the inception of our departmental discrepancy meetings (20-month period) were reviewed. Discrepancies were classified according to the RADPEER score. The imaging method from which the discrepancy arose was recorded. An attendance log at all meetings was kept. 111 discrepancies were identified in 104 patients. 52 (46.85%) of the 111 discrepancies arose in relation to plain film radiography, 46 (41.44%) to CT, 11 (9.9%) to magnetic resonance imaging, and 2 (1.8%) to nuclear medicine examinations. Several repeating discrepancies were identified. Discrepancy Meetings facilitate collective learning from radiology discrepancies and thereby improve patient safety. They provide radiologists with the invaluable opportunity to reconsider current practice and when indicated to change and improve practice. The majority of discrepancies are due to false negative interpretation and occur primarily in plain film and CT reporting.
本研究回顾了在放射科差异会议上讨论的病例，并回顾性地确定放射学错误模式。对自我们科室差异会议开始（20个月期间）以来讨论的所有病例进行了回顾。差异根据RADPEER评分进行分类。记录产生差异的成像方法。保存了所有会议的出勤记录。在104例患者中发现了111处差异。111处差异中的52处（46.85%）与X线平片摄影有关，46处（41.44%）与CT有关，11处（9.9%）与磁共振成像有关，2处（1.8%）与核医学检查有关。发现了几处反复出现的差异。差异会议有助于从放射学差异中进行集体学习，从而提高患者安全。它们为放射科医生提供了宝贵的机会来重新审视当前的做法，并在需要时改变和改进做法。大多数差异是由于假阴性解读，主要发生在X线平片和CT报告中。
