PaperValue of radiograph audit in an accident service department
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Cited by (39)
After-hour trauma-radiograph interpretation in the emergency centre of a District Hospital
2022, African Journal of Emergency MedicineCitation Excerpt :The morbidity and mortality associated with missed fractures are well documented [7–10]. The accuracy of trauma radiographs reported by junior doctors has been extensively researched in the last half century [4,11–23]. Previous studies have largely been performed in well-resourced environments and have included all levels of healthcare facilities.
The accuracy of paediatric limb radiograph interpretation by nurse practitioners in a single centre
2019, International Emergency NursingCitation Excerpt :Paediatric radiographs can be challenging to interpret due to the presence of growth plates in skeletally immature children, which could lead NPs to misidentify them as fractures on an otherwise normal radiograph – it is conceivable that this contributed to the high number of false positive results [13]. Thomas et al. [22] reported that finger radiographs – particularly in children – had the highest rate of misinterpretations, closely followed by the ankle, wrist, foot, elbow and hand. Moreover, Deakin et al. [6] agree that diagnostic errors occur the highest in the extremities, with feet being the first, followed by knee, elbow, hand, wrist, hip and ankle.
The accuracy of adult limb radiograph interpretation by emergency nurse practitioners: A prospective comparative study
2014, International Journal of Nursing StudiesCitation Excerpt :It appears that flagging these radiographs as “possible” fractures was appropriate in the majority of cases by all three clinician groups and demonstrates the limitations of a plain radiograph. Thomas et al. (1992) reported that the foot, wrist, ankle and hand were the most common anatomical sites for misdiagnosis. A possible explanation for the difference in results is the length of specialist clinician experience.
Accuracy of radiographic readings in the emergency department
2011, American Journal of Emergency MedicineRadiographer emergency department hot reporting: An assessment of service quality and feasibility
2008, RadiographyCitation Excerpt :The highest number of discrepancies was shown amongst paediatric cases. Again, this finding is in line with those of other studies7,30,31 and suggests that additional training may be necessary to support reporting of these cases or alternatively, the adoption of double reporting. However, the numbers in this study were relatively small and further evaluation of this finding is recommended.
Missed and Delayed Diagnoses in the Emergency Department: A Study of Closed Malpractice Claims From 4 Liability Insurers
2007, Annals of Emergency MedicineCitation Excerpt :These intrinsic pressures of emergency care are amplified by crowding10-12 and increasing utilization by uninsured patients.13 Previous studies of missed diagnoses in the ED have focused on specific diagnoses or used epidemiologic methods to identify clinical risk factors.8,14-20 However, little is known about the system-of-care factors that lead to diagnostic errors.