A survey of accident and emergency reporting: Results and implications

The effect of a Picture Archiving and Communications System (PACS) on diagnostic performance in the accident and emergency department

“…However, the rates for both film and PACS images identified here are consistent with those reported in other studies. [1][2][3][4][5][6][7][8][9][10][11][12][13] In addition these results compare well with a study of conventional radiographic films by Walsh-Kelly et al 18 who reported that radiograph misinterpretation by emergency department physicians occurs but is unlikely to result in significant morbidity.…”

“…Misdiagnosis in the A&E department is an apparently common and potentially serious problem, and previous studies have found that misdiagnosis rates by A&E staV range from 0.6% to 7%. [1][2][3][4][5][6][7][8][9][10][11][12][13] Failure to interpret radiographic images correctly is a common cause of diagnostic error and litigation in the A&E department. 6 14 Radiology departments have begun to make use of new technology known as Picture Archiving and Communications System (PACS) that acquires, transports and stores radiographic images electronically.…”

The impact of immediate reporting on interpretive discrepancies and patient referral pathways within the emergency department: a randomised controlled trial

“…Previous studies have raised concerns regarding the accuracy of interpretation achieved by junior medical staff and ENPs, with reported interpretive discrepancy rates between ED and radiology ranging from 1.2% to 7.8% [12][13][14][15][16][17]. Undiagnosed injuries, or a delay in diagnosis, can predispose patients to longterm morbidity and have the potenfial for litigation [15,17,18].…”

How we made professionalism relevant to twenty-first century residents

“…The case titled ''Potassium level'' required participants to address issues of trust and reliability with a junior resident who incorrectly reports a high blood potassium level as being normal. Exercising tenets of professionalism, self-regulation and responsibility to the profession can be challenging when the trainee discovers unprofessional behavior by their superior (Berman et al 1985;Bosk 2009). To assist with developing an approach for this difficult situation, a case titled ''Dr.…”