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《放射学中的错误:标准综述》

Errors in Radiology: A Standard Review.

作者信息

Pesapane Filippo, Gnocchi Giulia, Quarrella Cettina, Sorce Adriana, Nicosia Luca, Mariano Luciano, Bozzini Anna Carla, Marinucci Irene, Priolo Francesca, Abbate Francesca, Carrafiello Gianpaolo, Cassano Enrico

机构信息

Breast Imaging Division, Radiology Department, IEO European Institute of Oncology IRCCS, Via Giuseppe Ripamonti 435, 20141 Milan, Italy.

Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy.

出版信息

J Clin Med. 2024 Jul 23;13(15):4306. doi: 10.3390/jcm13154306.

Abstract

Radiological interpretations, while essential, are not infallible and are best understood as expert opinions formed through the evaluation of available evidence. Acknowledging the inherent possibility of error is crucial, as it frames the discussion on improving diagnostic accuracy and patient care. A comprehensive review of error classifications highlights the complexity of diagnostic errors, drawing on recent frameworks to categorize them into perceptual and cognitive errors, among others. This classification underpins an analysis of specific error types, their prevalence, and implications for clinical practice. Additionally, we address the psychological impact of radiological practice, including the effects of mental health and burnout on diagnostic accuracy. The potential of artificial intelligence (AI) in mitigating errors is discussed, alongside ethical and regulatory considerations in its application. This research contributes to the body of knowledge on radiological errors, offering insights into preventive strategies and the integration of AI to enhance diagnostic practices. It underscores the importance of a nuanced understanding of errors in radiology, aiming to foster improvements in patient care and radiological accuracy.

摘要

放射学解读虽然至关重要,但并非绝对正确,最好将其理解为通过对现有证据进行评估而形成的专家意见。认识到错误存在的内在可能性至关重要,因为这为讨论提高诊断准确性和患者护理奠定了基础。对错误分类的全面回顾凸显了诊断错误的复杂性,借鉴近期的框架将其分为感知错误和认知错误等。这种分类为分析特定错误类型、其发生率及其对临床实践的影响提供了支撑。此外,我们探讨了放射学实践的心理影响,包括心理健康和职业倦怠对诊断准确性的影响。讨论了人工智能在减少错误方面的潜力,以及其应用中的伦理和监管考量。这项研究为放射学错误方面的知识体系做出了贡献,提供了关于预防策略以及人工智能整合以改进诊断实践的见解。它强调了对放射学中错误进行细致入微理解的重要性,旨在促进患者护理和放射学准确性的提高。

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