RISK MANAGEMENT IN RADIOLOGYRadiologists once thought that their purpose in radiology was to produce images, thereby saving lives while earning a living. Some radiologists still think this way. These archaic thoughts mislead physicians from the purpose of practicing modern medicine. Specifically, the purpose of radiology is to diminish uncertainty. Radiologists accomplish this by providing information. Understanding radiology in terms of providing information to reduce uncertainty offers the radiologist a reasonable approach to risk management. A discussion on the aspects of information, in which we will cover documentation (recording information), communication (information from the patient), informed consent (information to the patient), prudent doctor doctrine or reasonable patient standard (choice of information), and off-label use (information regulation), follows. Throughout the discussion, information is the operative term in current risk management and health care.
RISK MANAGEMENT-INFORMATION APPROACHRadiologists diminish uncertainty because they provide information. Their findings and opinions contribute additional data so the treating physician and the patient can make better-informed decisions. Reducing uncertainty in the medical care of patients and managing risk in professional liability share a common reliance on information being exchanged among people. Understanding how providing information enhances the management of risk begins with defining risk. Risk can be defined as the possibility that positive expectations are not fulfilled because of interfering events. Risk is determined by the quantity of harm and its unpredictable possibility of onset. 1 Simply stated, risk is the danger of failure in or of complications with a planned procedure. It follows that risk management is a systematic influence intended to minimize the consequences of risk.Risk management broadly integrates law and medicine. In today's litigious society, radiologists with 367 ABSTRACT Information is the key to practicing modern medicine. A radiologist provides information to patients, to the team that works with the radiologist, and to other healthcare providers. Information is defined as diminished randomness. Radiologists add value by decreasing randomness or diminishing uncertainty. They are in the business of uncertainty reduction. An understanding of the purpose of any human enterprise is a prerequisite to assessing the quality of an enterprise. This article discusses aspects of information that are relevant to improving patient care and therefore to reducing the risk of potential litigation. The discussion includes the following aspects: documentation, or the recording of information; communication, or the information from the patient; informed consent, or the information to the patient; the prudent doctor doctrine and the reasonable patient standard, or the choice of information; and off-label use, or the regulation of information.