Department of Radiology, SUNY Upstate Medical University, Syracuse, NY, USA.
Department of Radiology, University of British Colombia, Vancouver, British Columbia, Canada.
Can Assoc Radiol J. 2022 May;73(2):384-395. doi: 10.1177/08465371211025738. Epub 2021 Jul 6.
Diagnostic errors in neuroradiology are inevitable, yet potentially avoidable. Through extensive literature search, we present an up-to-date review of the psychology of human decision making and how such complex process can lead to radiologic errors. Our focus is on neuroradiology, so we augmented our review with multiple explanatory figures to show how different errors can reflect on real-life clinical practice. We propose a new thematic categorization of perceptual and cognitive biases in this article to simplify message delivery to our target audience: emergency/general radiologists and trainees. Additionally, we highlight individual and organizational remedy strategies to decrease error rate and potential harm.
神经放射诊断中的错误难以避免，但也并非不可预防。我们通过广泛的文献研究，对人类决策心理学以及此类复杂过程如何导致放射学错误进行了最新的综述。我们的重点是神经放射学，因此在综述中增加了多个解释性图表，以展示不同的错误如何反映在实际的临床实践中。我们在本文中提出了一种新的感知和认知偏差主题分类方法，以简化向我们的目标受众（急诊/普通放射科医生和受训者）传达信息。此外，我们还强调了个人和组织的补救策略，以降低错误率和潜在危害。
