The Effects of Fatigue From Overnight Shifts on Radiology Search Patterns and Diagnostic Performance

Hanna, Tarek N.; Zygmont, Matthew E.; Peterson, Ryan B.; Theriot, David; Shekhani, Haris; Johnson, Jamlik-Omari; Krupiński, Elizabeth A.

doi:10.1016/j.jacr.2017.12.019

Cited by 57 publications

(40 citation statements)

References 37 publications

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“…Kundel et al (2007) found a wide range of diagnostic performance across residents, fellows, and attendings when looking at a test set of mammograms. Hanna et al (2018) likewise found that residents could outperform attendings in a fracture detection task under both fatigued and non-fatigued conditions. Lesgold et al (1988) discovered that more advanced residents were occasionally less likely to make a correct interpretation on several complex x-rays compared to more junior residents.…”

Section: Challenges To the Functional Definition Of Expertisementioning

confidence: 75%

“…Hanna et al (2018) found that after an overnight shift fatigued radiologists demonstrated worse diagnostic performance (with increased false negatives and positives) and increased time to fixate on fractures when examining bone radiographs. Although total viewing time per case was longer for all radiologists when fatigued, the effect was significantly more pronounced with residents compared to faculty members.…”

Section: Eye Movements and Search Patterns In Radiologymentioning

confidence: 99%

“…Although total viewing time per case was longer for all radiologists when fatigued, the effect was significantly more pronounced with residents compared to faculty members. In effect, in their fatigued states, faculty members had eye-tracking parameters more characteristic of non-fatigued residents (Hanna et al, 2018).…”

Section: Eye Movements and Search Patterns In Radiologymentioning

confidence: 99%

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Analysis of Perceptual Expertise in Radiology – Current Knowledge and a New Perspective

Waite

Grigorian

Alexander

et al. 2019

Front. Hum. Neurosci.

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Radiologists rely principally on visual inspection to detect, describe, and classify findings in medical images. As most interpretive errors in radiology are perceptual in nature, understanding the path to radiologic expertise during image analysis is essential to educate future generations of radiologists. We review the perceptual tasks and challenges in radiologic diagnosis, discuss models of radiologic image perception, consider the application of perceptual learning methods in medical training, and suggest a new approach to understanding perceptional expertise. Specific principled enhancements to educational practices in radiology promise to deepen perceptual expertise among radiologists with the goal of improving training and reducing medical error.

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Section: Challenges To the Functional Definition Of Expertisementioning

confidence: 75%

Section: Eye Movements and Search Patterns In Radiologymentioning

confidence: 99%

Section: Eye Movements and Search Patterns In Radiologymentioning

confidence: 99%

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Analysis of Perceptual Expertise in Radiology – Current Knowledge and a New Perspective

Waite

Grigorian

Alexander

et al. 2019

Front. Hum. Neurosci.

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“…Similarly, exhausting working conditions (long hours, shift work, stressful work environment) result in decreased cognitive performance. Fatigue from overnight hospital shifts resulted in worse diagnostic performance among radiologists, and the mean time to first fixate on a fracture increased by 34% among the fatigued physicians [19]. The link between fatigue and risk of road traffic accidents is well established, including in car drivers [20] and rail freight-regulating employees [21].…”

Section: Fatigue Lack Of Energy and Lower Physical And Cognitive Permentioning

confidence: 99%

Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence

et al. 2020

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Vitamins and minerals are essential to humans as they play essential roles in a variety of basic metabolic pathways that support fundamental cellular functions. In particular, their involvement in energy-yielding metabolism, DNA synthesis, oxygen transport, and neuronal functions makes them critical for brain and muscular function. These, in turn, translate into effects on cognitive and psychological processes, including mental and physical fatigue. This review is focused on B vitamins (B1, B2, B3, B5, B6, B8, B9 and B12), vitamin C, iron, magnesium and zinc, which have recognized roles in these outcomes. It summarizes the biochemical bases and actions of these micronutrients at both the molecular and cellular levels and connects them with cognitive and psychological symptoms, as well as manifestations of fatigue that may occur when status or supplies of these micronutrients are not adequate.

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“…visuelle Detektionsfähigkeit in der Radiologie nach langen Arbeitstagen bzw. durch Ermüdung nachts nachweisen [11][12][13][14].…”

Section: Wochentagsverteilung Sowie Tages-und Nachtzeitenunclassified

Charakterisierung teleradiologisch untersuchter Patienten an einem Krankenhaus der Schwerpunktversorgung

et al. 2020

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Zusammenfassung Ziel Evaluation teleradiologischer Untersuchungen bezüglich der häufigsten Anforderungszeiten, der Häufigkeit angefragter Untersuchungen und klinischer Fragestellungen sowie zusätzlicher Auswertung der Pathologiefrequenz, gegliedert nach Organregionen und Fragestellungen. Material und Methoden Retrospektive Analyse der klinischen Angaben, Fragestellungen, untersuchten Organregionen und Diagnosen aller konsekutiven teleradiologischen Computertomographie(CT)-Untersuchungen eines Schwerpunktversorgers aus dem Jahr 2018, der 3 Kliniken der Basis- und Grundversorgung teleradiologisch betreut. Subgruppenanalysen häufiger klinischer Angaben und Befunde nach Organregionen und eine zusätzliche Auswertung des Untersuchungszeitpunktes (Datum und Tageszeit) wurden durchgeführt. Ergebnisse Es wurden 1207 Fälle aus der teleradiologischen Befundung eingeschlossen. Am häufigsten wurden CT-Untersuchungen des Schädels mit 77,9 % (davon 14,6 % mit Pathologie) durchgeführt, gefolgt von Abdomen mit 14 % (63,9 % pathologisch), Wirbelsäule/Extremitäten mit 8,8 % (50 % pathologisch) und des Thorax mit 7,9 % (53,7 % pathologisch). Die meisten Anforderungen wurden am Wochenende zwischen 8 und 16 Uhr, gefolgt von 16 bis 18 Uhr an Werktagen gestellt. Die geringste Untersuchungsfrequenz lag zwischen 2 und 4 Uhr morgens. Schlussfolgerung Teleradiologische CT-Untersuchungen werden vorwiegend zur Abklärung von zerebralen Pathologien durchgeführt, gefolgt von Fragestellungen bezüglich vermuteter Pathologien des Abdomens/Beckens, Skelettsystems und des Thorax. Dabei weist die zerebrale Bildgebung die niedrigste, die Bildgebung von Abdomen/Becken die höchste Pathologie-Inzidenz auf.

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The Effects of Fatigue From Overnight Shifts on Radiology Search Patterns and Diagnostic Performance

Abstract: After ONS, radiologists were more fatigued with worse diagnostic performance, a 45% increase in view time per case, a 60% increase in total gaze fixations, and a 34% increase in time to fixate on the fracture. The effects of fatigue were more pronounced in residents.

Cited by 57 publications

References 37 publications

Analysis of Perceptual Expertise in Radiology – Current Knowledge and a New Perspective

Analysis of Perceptual Expertise in Radiology – Current Knowledge and a New Perspective

Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence

Charakterisierung teleradiologisch untersuchter Patienten an einem Krankenhaus der Schwerpunktversorgung

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