Skip to main content
SpringerLink
Log in

Errors in Emergency and Trauma Radiology: General Principles

  • Chapter
  • First Online:
Errors in Emergency and Trauma Radiology

Abstract

Radiological diagnosis in general and in emergency and trauma setting demands quick decision-making under conditions of often substantial uncertainty, in which the availability of clinical information, and/or of prior imaging examinations, and/or the use of proper techniques, is often highly variable. Therefore, all such decisions have inherent error rates. While diagnostic errors are responsible for only approximately 10–15% of potentially preventable deaths in trauma center audits, as selective non-operative management has become increasingly feasible after abdominopelvic trauma, the accurate diagnosis of injuries requiring surgical or interventional management has become more imperative. As such, injuries missed on multi-detector computed tomography (MDCT) have the potential to result in more dire consequences. Radiologists are key members of the multidisciplinary trauma team, and play a critical role in not only diagnosing acute, potentially life-threatening injuries, but also in directing the clinical decision-making process toward appropriate surgical, interventional, or conservative management. Radiological errors in the emergency setting follow predictable patterns, including satisfaction of search errors and cognitive biases. By analyzing these patterns, individual and system-wide measures may be enacted to help prevent similar errors from being made in the future.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Makary MA, Daniel M. Medical error: the third leading cause of death in the US. BMJ. 2016;353:2139.

    Article  Google Scholar 

  2. Gruver RH, Freis ED. A study of diagnostic errors. Ann Intern Med. 1957;47:108–20.

    Article  CAS  PubMed  Google Scholar 

  3. Anderson RE, Hill RB, Key CR. The sensitivity and specificity of clinical diagnostics during five decades: toward an understanding of necessary fallibility. JAMA. 1989;261:1610–7.

    Article  CAS  PubMed  Google Scholar 

  4. Roosen J, Frans E, Wilmer A, Knockaert DC, Bobbaers H. Comparison of premortem clinical diagnoses in critically ill patients and subsequent autopsy findings. Mayo Clin Proc. 2000;75:562–7.

    Article  CAS  PubMed  Google Scholar 

  5. Berlin L. Radiologic errors, past, present and future. Diagnosis. 2014;1(1):79–84.

    Article  PubMed  Google Scholar 

  6. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients: results of the Harvard medical practice Study II. N Engl J Med. 1991;324(6):377–84.

    Article  CAS  PubMed  Google Scholar 

  7. Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 suppl):S2–23.

    Article  PubMed  Google Scholar 

  8. Saber Tehrani AS, Lee H, Mathews SC, Shore A, Makary MA, Pronovost PJ, et al. 25-year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the National Practitioner Data Bank. BMJ Qual Saf. 2013;22(8):672–80.

    Article  PubMed  Google Scholar 

  9. Kohn LT, Corrigan JM, Donaldson MS. Executive summary. In: To err is human: building a safer heath system. Washington, DC: National Academy Press; 2000. p. 1–16.

    Google Scholar 

  10. Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493–9.

    Article  PubMed  Google Scholar 

  11. Bruno MA, Walker EA, Abujudeh HH. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. Radiographics. 2015;35:1668–76.

    Article  PubMed  Google Scholar 

  12. Whang JS, Baker SR, Patel R, Luk L, Castro A. The causes of medical malpractice suits against radiologists in the United States. Radiology. 2013;266(2):548–54.

    Article  PubMed  Google Scholar 

  13. Berlin L. Radiologic errors and malpractice: a blurry distinction. Am J Roentgenol. 2007;189(3):517–22.

    Article  Google Scholar 

  14. Tuddenham WJ. Roentgen image perception – a personal survey of the problem. Radiol Clin North Am. 1969;7:499–501.

    CAS  PubMed  Google Scholar 

  15. Yerushalmy J. The statistical assessment of the variability in observer perception and description of roentgenographic pulmonary shadows. Radiol Clin North Am. 1969;7:381–92.

    CAS  PubMed  Google Scholar 

  16. Leape LL. Error in medicine. JAMA. 1994;272:181–7.

    Article  Google Scholar 

  17. Berlin L. Defending the “missed” radiographic diagnosis. Am J Roentgenol. 2001;176:317–22.

    Article  CAS  Google Scholar 

  18. Fitzgerald R. Error in radiology. Clin Radiol. 2001;56(12):938–46.

    Article  CAS  PubMed  Google Scholar 

  19. Potchen EJ, Cooper TG, Sierra AE. Measuring performance in chest radiography. Radiology. 2000;217:456–9.

    Article  CAS  PubMed  Google Scholar 

  20. Garland LH. On the scientific evaluation of diagnostic procedures. Radiology. 1949;52(3):309–28.

    Article  CAS  PubMed  Google Scholar 

  21. Garland LH. Studies on the accuracy of diagnostic procedures. Am J Roentgenol. 1959;82:25–38.

    CAS  Google Scholar 

  22. Smith MJ. Error and variation in diagnostic radiology. Springfield, IL: Thomas; 1967. 4, 73–74, 144–69.

    Google Scholar 

  23. Stevenson CA. Accuracy of the X-ray report. JAMA. 1969;207:1140–1.

    Article  CAS  PubMed  Google Scholar 

  24. Berlin L. Does the “missed” radiographic diagnosis constitute malpractice? Radiology. 1977;123:523–7.

    Article  CAS  PubMed  Google Scholar 

  25. Markus JB, Somers S, Franic SE, Moola C, Stevenson GW. Interobserver variation in the interpretation of abdominal radiographs. Radiology. 1989;171:69–71.

    Article  CAS  PubMed  Google Scholar 

  26. Siegle RL, Baram EM, Reuter SR, Clarke EA, Lancaster JL, McMahan CA. Rates of disagreement in imaging interpretation in a group of community hospitals. Acad Radiol. 1998;5:148–54.

    Article  CAS  PubMed  Google Scholar 

  27. Soffa DJ, Lewis RS, Sunshine JH, Bhargavan M. Disagreement in interpretation: a method for the development of benchmarks for quality assurance in imaging. J Am Coll Radiol. 2004;1:212–7.

    Article  PubMed  Google Scholar 

  28. Abujudeh HH, Boland GW, Kaewlai R, Rabiner P, Halpern EF, Gazelle GS, et al. Abdominal and pelvic computed tomography (CT) interpretation: discrepancy rates among experienced radiologists. Eur Radiol. 2010;20(8):1952–7.

    Article  PubMed  Google Scholar 

  29. Borgstede JP, Lewis RS, Bhargavan M, Sunshin JH. RADPEER quality assurance program: a multifactorial study of interpretive disagreement rates. J Am Coll Radiol. 2004;1:59–65.

    Article  PubMed  Google Scholar 

  30. Renfrew DL, Franken EA, Berbaum KS, Weigelt FH, Abu-Yousef MM. Error in radiology: classification and lessons in 182 cases presented at a case conference. Radiology. 1992;183:145–50.

    Article  CAS  PubMed  Google Scholar 

  31. FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol. 2005;15(8):1760–7.

    Article  PubMed  Google Scholar 

  32. Brady A, Laoide RÓ, McCarthy P, McDermott R. Discrepancy and error in radiology: concepts, causes and consequences. Ulster Med J. 2012;81(1):3–9.

    PubMed  PubMed Central  Google Scholar 

  33. Lev MH, Rhea JT, Bramson RT. Avoidance of variability and error in radiology. Lancet. 1999;354(9175):272.

    Article  CAS  PubMed  Google Scholar 

  34. Ashman CJ, Yu JS, Wolfman D. Satisfaction of search in osteo-radiology. Am J Roentgenol. 2000;175:541–4.

    Article  CAS  Google Scholar 

  35. Rogers LF. Keep looking: satisfaction of search. Am J Roentgenol. 2000;175:287.

    Article  CAS  Google Scholar 

  36. Samei E, Krupinski E, editors. The handbook of medical image perception and techniques. 1st ed. Cambridge: Cambridge University Press; 2014. 438 p

    Google Scholar 

  37. Donald JJ, Barnard SA. Common patterns in 558 diagnostic radiology errors. J Med Imaging Radiat Oncol. 2012;56:173–8.

    Article  PubMed  Google Scholar 

  38. Kundel HL, Nodine CF, Carmody D. Visual scanning, pattern recognition and decision-making in pulmonary nodule detection. Invest Radiol. 1978;13(3):175–81.

    Article  CAS  PubMed  Google Scholar 

  39. Brook OR, O’Connell AM, Thornton E, Eisenberg RL, Mendiratta-Lala M, Kruskal JB. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401–10.

    Article  PubMed  Google Scholar 

  40. Pinto A, Scuderi MG, Daniele S. Errors in radiology: definition and classification. In: Errors in radiology. Milano: Springer; 2012. p. 1–7. Available from: https://link.springer.com/chapter/10.1007/978-88-470-2339-0_1.

    Google Scholar 

  41. Provenzale JM, Kranz PG. Understanding errors in diagnostic radiology: proposal of a classification scheme and application to emergency radiology. Emerg Radiol. 2011;18(5):403–8.

    Article  PubMed  Google Scholar 

  42. Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. Am J Roentgenol. 2014;202(3):465–70.

    Article  Google Scholar 

  43. Revesz G, Kundel HL. Psychophysical studies of detection errors in chest radiology. Radiology. 1977;123(3):559–62.

    Article  CAS  PubMed  Google Scholar 

  44. Waite S, Scott J, Gale B, Fuchs T, Kolla S, Reede D. Interpretive error in radiology. Am J Roentgenol. 2017;208(4):739–49.

    Article  Google Scholar 

  45. Lee CS, Nagy PG, Weaver SJ, Newman-Toker DE. Cognitive and system factors contributing to diagnostic errors in radiology. Am J Roentgenol. 2013;201(3):611–7.

    Article  Google Scholar 

  46. Berlin L, Berlin JW. Malpractice and radiologists in Cook County, IL: trends in 20 years of litigation. Am J Roentgenol. 1995;165(4):781–8.

    Article  CAS  Google Scholar 

  47. Pinto A, Brunese L. Spectrum of diagnostic errors in radiology. World J Radiol. 2010;2(10):377–83.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Fleck MS, Samei E, Mitroff SR. Generalized “satisfaction of search”: adverse influences on dual-target search accuracy. J Exp Psychol Appl. 2010;16:60–71.

    Article  PubMed  Google Scholar 

  49. Berbaum KS, Franken EA, Caldwell RT. Satisfaction of search in radiographic modalities. Radiology. 2011;261:1000–1.

    Article  PubMed  Google Scholar 

  50. Berbaum KS, Schartz KM, Caldwell RT. Satisfaction of search from detection of pulmonary nodules in computed tomography of the chest. Acad Radiol. 2013;20:194–201.

    Article  PubMed  Google Scholar 

  51. Berbaum KS, Brandser EA, Franken EA, Dorfman DD, Caldwell RT, Krupinski EA. Gaze dwell times on acute trauma injuries missed because of satisfaction of search. Acad Radiol. 2001;8(4):304–14.

    Google Scholar 

  52. Waite S, Scott JM, Legasto A, Kolla S, Gale B, Krupinski EA. Systemic error in radiology. Am J Roentgenol. 2017;209(3):629–39.

    Article  Google Scholar 

  53. McDonald RJ, Schwartz KM, Eckel LJ, Diehn FE, Hunt CH, Bartholmai BJ, et al. The effects of changes in utilization and technological advancements of cross-sectional imaging on radiologist workload. Acad Radiol. 2015;22(9):1191–8.

    Article  PubMed  Google Scholar 

  54. Krupinski EA, Berbaum KS, Caldwell RT, Schartz KM, Kim J. Long radiology workdays reduce detection and accommodation accuracy. J Am Coll Radiol. 2010;7(9):698–704.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Vertinsky T, Forster B. Prevalence of eye strain among radiologists: influence of viewing variables on symptoms. Am J Roentgenol. 2005;184(2):681–6.

    Article  Google Scholar 

  56. Rohatgi S, Hanna TN, Sliker CW, Abbott RM, Nicola R. After-hours radiology: challenges and strategies for the radiologist. Am J Roentgenol. 2015;205(5):956–61.

    Article  Google Scholar 

  57. Hanna TN, Lamoureux C, Krupinski EA, Weber S, Johnson J-O. Effect of shift, schedule, and volume on interpretive accuracy: a retrospective analysis of 2.9 million radiologic examinations. Radiology. 2017;287(1):205–12.

    Article  PubMed  Google Scholar 

  58. Sokolovskaya E, Shinde T, Ruchman RB, Kwak AJ, Lu S, Shariff YK, et al. The effect of faster reporting speed for imaging studies on the number of misses and interpretation errors: a pilot study. J Am Coll Radiol. 2015;12(7):683–8.

    Article  PubMed  Google Scholar 

  59. Balint BJ, Steenburg SD, Lin H, Shen C, Steele JL, Gunderman RB. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623–8.

    Article  PubMed  Google Scholar 

  60. Loy CT, Irwig L. Accuracy of diagnostic tests read with and without clinical information: a systematic review. JAMA. 2004;292(13):1602–9.

    Article  CAS  PubMed  Google Scholar 

  61. Berbaum KS, el-Khoury GY, Franken EA, Kathol M, Montgomery WJ, Hesson W. Impact of clinical history on fracture detection with radiography. Radiology. 1988;168(2):507–11.

    Article  CAS  PubMed  Google Scholar 

  62. Doubilet P, Herman PG. Interpretation of radiographs: effect of clinical history. Am J Roentgenol. 1981;137(5):1055–8.

    Article  CAS  Google Scholar 

  63. Leslie A, Jones AJ, Goddard PR. The influence of clinical information on the reporting of CT by radiologists. Br J Radiol. 2000;73(874):1052–5.

    Article  CAS  PubMed  Google Scholar 

  64. Robinson PJA. Radiology’s Achilles’ heel: error and variation in the interpretation of the Roentgen image. Br J Radiol. 1997;70:1085–98.

    Article  CAS  PubMed  Google Scholar 

  65. Berlin L. Malpractice and radiologists, update 1986: an 11.5-year perspective. Am J Roentgenol. 1986;147(6):1291–8.

    Article  CAS  Google Scholar 

  66. Harrigal CL, Erly WK. On-call radiology: community standards and current trends. Semin Ultrasound CT MRI. 2007;28(2):85–93.

    Article  Google Scholar 

  67. Gruen RL, Jurkovich GJ, McIntyre LK, Maier RV. Patterns of errors contributing to trauma mortality: lessons learned from 2594 deaths. Ann Surg. 2006;244(3):371–80.

    PubMed  PubMed Central  Google Scholar 

  68. Pinto A, Reginelli A, Pinto F, Lo Re G, Midiri F, Muzj C, et al. Errors in imaging patients in the emergency setting. Br J Radiol. 2016;89(1061):20150914.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Scaglione M, Iaselli F, Sica G, Feragalli B, Nicola R. Errors in imaging of traumatic injuries. Abdom Imaging. 2015;40(7):2091–8.

    Article  PubMed  Google Scholar 

  70. West CO, Anderson J, Lee JS, Finnell CW, Raval BK. Patterns of diagnostic error in trauma abdominal CT. Emerg Radiol. 2002;9(4):195.

    PubMed  Google Scholar 

  71. Janjua KJ, Sugrue M, Deane SA. Prospective evaluation of early missed injuries and the role of tertiary trauma survey. J Trauma. 1998;44(6):1000–6.

    Article  CAS  PubMed  Google Scholar 

  72. Teixeira PG, Inaba K, Hadjizacharia P, et al. Preventable or potentially preventable mortality at a mature trauma center. J Trauma Acute Care Surg. 2007;63(6):1338–47.

    Article  Google Scholar 

  73. Sung CK, Kim KH. Missed injuries in abdominal trauma. J Trauma. 1996;41(2):276–82.

    Article  CAS  PubMed  Google Scholar 

  74. Brooks A, Holroyd B, Riley B. Missed injury in major trauma patients. Injury. 2004;35(4):407–10.

    Article  PubMed  Google Scholar 

  75. Houshian S, Larsen MS, Holm C. Missed injuries in a level I trauma center. J Trauma. 2002;52(4):715–9.

    PubMed  Google Scholar 

  76. Vles WJ, Veen EJ, Roukema JA, Meeuwis JD, Leenen LPH. Consequences of delayed diagnoses in trauma patients: a prospective study. J Am Coll Surg. 2003;197(4):596–602.

    Article  PubMed  Google Scholar 

  77. Pfeifer R, Pape H. Missed injuries in trauma patients: a literature review. Patient Saf Surg. 2008;2:20.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Barendregt WB, de Boer HH, Kubat K. Quality control in fatally injured patients: the value of necropsy. Eur J Surg. 1993;159:9–13.

    CAS  PubMed  Google Scholar 

  79. Catre MG. Diagnostic peritoneal lavage versus abdominal computed tomography in blunt abdominal trauma: a review of prospective studies. Can J Surg. 1995;38(2):117–22.

    CAS  PubMed  Google Scholar 

  80. Gonzales RP, Ickler J, Gachassin P. Complementary roles of diagnostic peritoneal lavage and computed tomography in the evaluation of blunt abdominal trauma. J Trauma. 2001;51(6):1128–34.

    Google Scholar 

  81. Ekeh AP, Saxe J, Walusimbi M, et al. Diagnosis of blunt intestinal and mesenteric injury in the era of multidetector CT technology - are results better? J Trauma. 2008;65(2):354–9.

    Article  PubMed  Google Scholar 

  82. Velmahos GC, Tabbara M, Gross R, et al. Blunt pancreatoduodenal injury: a multi-center study on the Research Consortium of New England Centers for Trauma (Re-CONECT). Arch Surg. 2009;144(5):413–9.

    Article  PubMed  Google Scholar 

  83. Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology. 2012;265(3):678–93.

    Article  PubMed  Google Scholar 

  84. Poletti P-A, Wintermark M, Schnyder P, Becker CD. Traumatic injuries: role of imaging in the management of the polytrauma victim (conservative expectation). Eur Radiol. 2002;12(5):969–78.

    Article  PubMed  Google Scholar 

  85. Schurink GW, Bode PJ, van Luijt PA, van Vugt AB. The value of physical examination in the diagnosis of patients with blunt abdominal trauma: a retrospective study. Injury. 1997;28(4):261–5.

    Article  CAS  PubMed  Google Scholar 

  86. Mutze S, Rademacher G, Matthes G. Blunt cerebrovascular injury in patients with blunt multiple trauma: diagnostic accuracy of duplex Doppler US and early CT angiography. Radiology. 2005;237:884–92.

    Article  PubMed  Google Scholar 

  87. Hessmann MH, Hofmann A, Kreitner KF, Lott C, Rommens PM. The benefit of multislice CT in the emergency room management of polytraumatized patients. Acta Chir Belg. 2006;106(5):500–7.

    Article  CAS  PubMed  Google Scholar 

  88. Hilbert P, zur Nieden K, Hofmann GO, Hoeller I, Koch R, Stuttmann R. New aspects in the emergency room management of critically injured patients: a multi-slice CT-oriented care algorithm. Injury. 2007;38(5):552–8.

    Article  CAS  PubMed  Google Scholar 

  89. Kanz K-G, Paul AO, Lefering R, Kay MV, Kreimeier U, Linsenmaier U, et al. Trauma management incorporating focused assessment with computed tomography in trauma (FACTT) - potential effect on survival. J Trauma Manag Outcomes. 2010;4:4.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Huber-Wagner S, Lefering R, Qvick L-M, Körner M, Kay MV, Pfeifer K-J, et al. Effect of whole-body CT during trauma resuscitation on survival: a retrospective, multicentre study. Lancet. 2009;373(9673):1455–61.

    Google Scholar 

  91. Drost TF, Rosemurgy AS, Kearney RE, Roberts P. Diagnostic peritoneal lavage. Limited indications due to evolving concepts in trauma care. Am Surg. 1991;57(2):126–8.

    CAS  PubMed  Google Scholar 

  92. Ivatury RR, Guilford K, Malhotra AK, Duane T, Aboutanos M, Martin N. Patient safety in trauma: maximal impact management errors at a level I trauma center. J Trauma. 2008;64(2):265–70.

    Article  PubMed  Google Scholar 

  93. Hirshberg A, Wall MJ, Allen MK, Mattox KL. Causes and patterns of missed injuries in trauma. Am J Surg. 1994;168(4):299–303.

    Article  CAS  PubMed  Google Scholar 

  94. Nicolaou S, Eftekhari A, Sedlic T, Hou DJ, Mudri MJ, Aldrich J, et al. The utilization of dual source CT in imaging of polytrauma. Eur J Radiol. 2008;68(3):398–408.

    Article  CAS  PubMed  Google Scholar 

  95. Guly H. Diagnostic errors in an accident and emergency department. Emerg Med J. 2001;18(4):263–9.

    Google Scholar 

  96. Williams SM, Connelly DJ, Wadsworth S, Wilson DJ. Radiological review of accident and emergency radiographs: a 1-year audit. Clin Radiol. 2000;55(11):861–5.

    Article  CAS  PubMed  Google Scholar 

  97. Stanescu L, Talner LB, Mann FA. Diagnostic errors in polytrauma: a structured review of the recent literature. Emerg Radiol. 2006;12(3):199–23.

    Article  Google Scholar 

  98. Krueger MA, Green DA, Hoyt D, Garfin SR. Overlooked spine injuries associated with lumbar transverse process fractures. Clin Orthop. 1996;327:191–5.

    Article  Google Scholar 

  99. Patten RM, Gunberg SR, Brandenburger DK. Frequency and importance of transverse process fractures in the lumbar vertebrae at helical abdominal CT in patients with trauma. Radiology. 2000;215(3):831–4.

    Article  CAS  PubMed  Google Scholar 

  100. Cain G, Shepherdson J, Elliott V. Imaging suspected cervical spine injury: plain radiography or computed tomography? Systematic review. Radiography. 2010;16:68–77.

    Article  Google Scholar 

  101. Voeller GR, Reisser JR, Fabian TC, Kudsk K, Mangiante EC. Blunt diaphragm injuries. A five-year experience. Am Surg. 1990;56:28–31.

    CAS  PubMed  Google Scholar 

  102. Reber PU, Schmied B, Seiler CA, Baer HU, Patel AG, Buchler MW. Missed diaphragmatic injuries and their long-term sequelae. J Trauma Inj Infect Crit Care. 1998;44(1):183–8.

    Article  CAS  Google Scholar 

  103. Onuora VC, Patil MG, al-Jasser AN. Missed urological injuries in children with polytrauma. Injury. 1993;24(9):619–21.

    Article  CAS  PubMed  Google Scholar 

  104. Bochicchio GV, Napolitano LM, Haan J, Champion H, Scalea T. Incidental pregnancy in trauma patients. J Am Coll Surg. 2001;192(5):566–9.

    Article  CAS  PubMed  Google Scholar 

  105. Lawson CM, Daley BJ, Ormsby CB, Enderson B. Missed injuries in the era of the trauma scan. J Trauma. 2011;70(2):452–6.

    Article  PubMed  Google Scholar 

  106. Malinoski DJ, Patel MS, Yakar DO, Green D, Qureshi F, Inaba K, et al. A diagnostic delay of 5 hours increases the risk of death after blunt hollow viscus injury. J Trauma. 2010;69(1):84–7.

    Article  PubMed  Google Scholar 

  107. LeBedis CA, Anderson SW, Bates DDB, Khalil R, Matherly D, Wing H, et al. CT imaging signs of surgically proven bowel trauma. Emerg Radiol. 2016;23(3):213–9.

    Article  PubMed  Google Scholar 

  108. Matsushima K, Mangel PS, Schaefer EW, Frankel HL. Blunt hollow viscus and mesenteric injury: still underrecognized. World J Surg. 2013;37(4):759–65.

    Article  PubMed  Google Scholar 

  109. Patlas MN. Invited commentary on “MDCT imaging of surgically proven blunt bowel and mesenteric injury”. Radiographics. 2017;37:625–7.

    Article  PubMed  Google Scholar 

  110. Provenzale JM, Joseph GJ, Barboriak DP. Dural sinus thrombosis: findings on CT and MR imaging and diagnostic pitfalls. Am J Roentgenol. 1998;170(3):777–83.

    Article  CAS  Google Scholar 

  111. Raskin MM. Survival strategies for radiology: some practical tips on how to reduce the risk of being sued and losing. J Am Coll Radiol. 2006;3(9):689–93.

    Article  PubMed  Google Scholar 

  112. American College of Radiology. ACR practice guideline for communication of diagnostic imaging findings. In: 2005 practice guideline and technical standards. Reston, VA: American College of Radiology; 2005. p. 5–9.

    Google Scholar 

  113. Guida F, Bocchini G, Sica G, Frezza A, Scaglione M. Errors in polytrauma. In: Errors in radiology. Milano: Springer; 2012. p. 27–37. Available from: https://link.springer.com/chapter/10.1007/978-88-470-2339-0_4.

    Chapter  Google Scholar 

  114. Weninger P, Mauritz W, Fridrich P, Spitaler R, Figl M, Kern B, et al. Emergency room management of patients with blunt major trauma: evaluation of the multislice computed tomography protocol exemplified by an urban trauma center. J Trauma. 2007;62(3):584–91.

    Article  PubMed  Google Scholar 

  115. Yao DC, Jeffrey RB, Mirvis SE, Weekes A, Federle MP, Kim C, et al. Using contrast-enhanced helical CT to visualize arterial extravasation after blunt abdominal trauma: incidence and organ distribution. Am J Roentgenol. 2002;178(1):17–20.

    Article  Google Scholar 

  116. Willmann JK, Roos JE, Platz A, Pfammatter T, Hilfiker PR, Marincek B, et al. Multidetector CT: detection of active hemorrhage in patients with blunt abdominal trauma. Am J Roentgenol. 2002;179(2):437–44.

    Article  Google Scholar 

  117. Hamilton JD, Kumaravel M, Censullo ML, Cohen AM, Kievlan DS, West OC. Multidetector CT evaluation of active extravasation in blunt abdominal and pelvic trauma patients. Radiographics. 2008;28(6):1603–16.

    Article  PubMed  Google Scholar 

  118. Albrecht T, Foert E, Holtkamp R, Kirchin MA, Ribbe C, Wacker FK, et al. 16-MDCT angiography of aortoiliac and lower extremity arteries: comparison with digital subtraction angiography. Am J Roentgenol. 2007;189(3):702–11.

    Article  Google Scholar 

  119. Deck AJ, Shaves S, Talner L, Porter JR. Computerized tomography cystography for the diagnosis of traumatic bladder rupture. J Urol. 2000;164(1):43–6.

    Article  CAS  PubMed  Google Scholar 

  120. Anderson SW, Varghese JC, Lucey BC, Burke PA, Hirsch EF, Soto JA. Blunt splenic trauma: delayed-phase CT for differentiation of active hemorrhage from contained vascular injury in patients. Radiology. 2007;243(1):88–95.

    Article  PubMed  Google Scholar 

  121. Mulligan JM, Cagiannos I, Collins JP, Millward SF. Ureteropelvic junction disruption secondary to blunt trauma: excretory phase imaging (delayed films) should help prevent a missed diagnosis. J Urol. 1998;159(1):67–70.

    Article  CAS  PubMed  Google Scholar 

  122. Ortega SJ, Netto FS, Hamilton P, Chu P, Tien HC. CT scanning for diagnostic blunt ureteral and ureteropelvic junction injuries. BMC Urol. 2008;8(3):3.

    Article  PubMed  PubMed Central  Google Scholar 

  123. Stuhlfaut JW, Lucey BC, Varghese JC, Soto JA. Blunt abdominal trauma: utility of 5-minute delayed CT with a reduced radiation dose. Radiology. 2006;238(2):473–9.

    Article  PubMed  Google Scholar 

  124. Pinto A, Niola R, Tortora G, et al. Role of multidetector-row CT in assessing the source of arterial haemorrhage in patients with pelvic vascular trauma. Comparison with angiography. Radiol Med. 2010;115(4):648–67.

    Article  CAS  PubMed  Google Scholar 

  125. Nguyen D, Platon A, Shanmuganathan K, Mirvis SE, Becker CD, Poletti PA. Evaluation of a single-pass continuous whole-body 16-MDCT protocol for patients with polytrauma. Am J Roentgenol. 2009;192(1):3–10.

    Article  Google Scholar 

  126. Foster BR, Anderson SW, Uyeda J, Brooks JG, Soto JA. Integration of 64-detector lower extremity CT angiography into whole-body trauma imaging: feasibility and early experience. Radiology. 2011;261(3):787–95.

    Article  PubMed  Google Scholar 

  127. Patlas MN, Dreizin D, Menias CO, Tirada N, Bhalla S, Nicolaou S, et al. Abdominal and pelvic trauma: misses and misinterpretations at multidetector CT: trauma/emergency radiology. Radiographics. 2017;37(2):703–4.

    Article  PubMed  Google Scholar 

  128. An organisation with a memory: report of an expert group on learning from adverse events in the NHS chaired by the Chief Medical Officer. | AHRQ Patient Safety Network. Accessed 2 Apr 2018. Available from: https://psnet.ahrq.gov/resources/resource/1568/an-organisation-with-a-memory-report-of-an-expert-group-on-learning-from-adverse-events-in-the-nhs-chaired-by-the-chief-medical-officer.

  129. Chandy J, Goodfellow T, Vohrah A. Clinical governance in action: radiology. Hosp Med. 2000;61(5):326–9.

    Article  CAS  PubMed  Google Scholar 

  130. Hoffmann JC, Mittal S, Hoffmann CH, Fadl A, Baadh A, Katz DS, et al. Combating the health risks of sedentary behavior in the contemporary radiology reading room. Am J Roentgenol. 2016;206(6):1135–40.

    Article  Google Scholar 

  131. Rosenkrantz AB, Kang SK, Rybak L, Alexa D, Recht MP. The reading room coordinator: reducing radiologist burnout in the digital age. J Am Coll Radiol. 2018;15(1):65–8.

    Article  PubMed  Google Scholar 

  132. Recht M, Bryan RN. Artificial Intelligence: threat or boon to radiologists? J Am Coll Radiol. 2017;14(11):1476–80.

    Article  PubMed  Google Scholar 

  133. Thrall JH, Li X, Li Q, Cruz C, Do S, Dreyer K, et al. Artificial intelligence and machine learning in radiology: opportunities, challenges, pitfalls, and criteria for success. J Am Coll Radiol. 2018;15(3):504–8.

    Article  PubMed  Google Scholar 

  134. McGinty GB, Allen B. The ACR Data Science Institute and AI Advisory Group: Harnessing the power of artificial intelligence to improve patient care. J Am Coll Radiol. 2018;15(3):577–9.

    Article  PubMed  Google Scholar 

  135. Kahn CE. From images to actions: opportunities for artificial intelligence in radiology. Radiology. 2017;285(3):719–20.

    Article  PubMed  Google Scholar 

  136. Prevedello LM, Erdal BS, Ryu JL, Little KJ, Demirer M, Qian S, et al. Automated critical test findings identification and online notification system using artificial intelligence in imaging. Radiology. 2017;285(3):923–31.

    Article  PubMed  Google Scholar 

  137. Griffis JC, Allendorfer JB, Szaflarski JP. Voxel-based Gaussian naïve Bayes classification of ischemic stroke lesions in individual T1-weighted MRI scans. J Neurosci Methods. 2016;257:97–108.

    Article  PubMed  Google Scholar 

  138. Thornhill RE, Lum C, Jaberi A, Stefanski P, Torres CH, Momoli F, et al. Can shape analysis differentiate free-floating internal carotid artery thrombus from atherosclerotic plaque in patients evaluated with CTA for stroke or transient ischemic attack? Acad Radiol. 2014;21(3):345–54.

    Article  PubMed  Google Scholar 

  139. Obermeyer Z, Emanuel EJ. Predicting the future - big data, machine learning, and clinical Medicine. N Engl J Med. 2016;375(13):1216–9.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, McMaster University, Hamilton, ON, Canada

    Kate Hames & Michael N. Patlas

  2. Department of Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA

    Vincent M. Mellnick

  3. Department of Radiology, NYU Winthrop Hospital, Mineola, NY, USA

    Douglas S. Katz

Authors
  1. Kate Hames
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michael N. Patlas
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vincent M. Mellnick
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Douglas S. Katz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael N. Patlas .

Editor information

Editors and Affiliations

  1. Department of Radiology, McMaster University, Hamilton, ON, Canada

    Michael N. Patlas

  2. Department of Radiology, NYU Winthrop Hospital, Mineola, NY, USA

    Douglas S. Katz

  3. Department of Imaging, Pineta Grande Medical Center, Castel Volturno, Caserta, Italy

    Mariano Scaglione

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hames, K., Patlas, M.N., Mellnick, V.M., Katz, D.S. (2019). Errors in Emergency and Trauma Radiology: General Principles. In: Patlas, M., Katz, D., Scaglione, M. (eds) Errors in Emergency and Trauma Radiology. Springer, Cham. https://doi.org/10.1007/978-3-030-05548-6_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-05548-6_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05547-9

  • Online ISBN: 978-3-030-05548-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation