Tired in the Reading Room: The Influence of Fatigue in Radiology

Waite, Stephen; Kolla, Srinivas; Jeudy, Jean; Legasto, Alan C.; Macknik, Stephen L.; Martínez-Conde, Susana; Krupiński, Elizabeth A.; Reede, Deborah L.

doi:10.1016/j.jacr.2016.10.009

Cited by 86 publications

(45 citation statements)

References 51 publications

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“…Although this parsimonious account must be treated as a working hypothesis that needs to be tested in further experiments, radiologists should be aware of the likely increase in error rates due to combined effects of fatigue and SOS. Although more research is needed, there have been a number of articles with recommendations on how to reduce or possibly even avoid fatigue in the radiology reading room (4–8). The more obvious solutions include such things as taking scheduled breaks and maintaining regular sleep habits, but some of the more technical include the use of tools such as checklists, structured reporting and computer-aided detection/decision systems (5).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Fatigue on Satisfaction of Search in Chest Radiography

et al. 2017

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Purpose To assess the nature of the satisfaction of search (SOS) effect in chest radiography when observers are fatigued; determine if we could replicate recent findings that have documented the nature of the SOS effect to be due to a threshold shift rather than a change in diagnostic accuracy as in earlier film-based studies. Materials and Methods Nearing or at the end of a clinical workday, 20 radiologists read 64 chest images twice, once with and once without the addition of a simulated pulmonary nodule. Half of the images had different types of “test” abnormalities. Decision thresholds were analyzed using the center of the range of false positive (FP) and true positive (TP) fractions associated with each Receiver Operating Characteristic (ROC) point for reporting test abnormalities. Detection accuracy was assessed with ROC technique and inspection time was recorded. Results The SOS effect was confirmed to be a reduction in willingness to respond (threshold shift). The center of the FP range was significantly reduced (FP = 0.10 without added nodules, FP = 0.05 with added nodules, F(1,18) = 19.85, p = 0.0003). The center of the TP range was significantly reduced (TP = 0.39 without added nodules, TP = 0.33 with added nodules, F(1,18) = 10.81, p = 0.004). Conclusion This study suggests that fatigue does not change the nature of the SOS effect, but rather may be additive with the SOS effect. SOS reduces both true and false positive responses, whereas fatigue reduces true positives more than false positives.

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Section: Discussionmentioning

confidence: 99%

The Impact of Fatigue on Satisfaction of Search in Chest Radiography

et al. 2017

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“…67,70,71 Similar reports exist with regard to the issue of fatigue. Waite et al, 72 in 2017 compiled a review on the influence of fatigue within radiology. In this paper, fatigue was similarly defined as a weariness and depletion of energy that can manifest physically and cognitively.…”

Section: Fatigue/burnoutmentioning

confidence: 99%

Patient safety in medical imaging: A joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS)

2019

Radiography

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a b s t r a c tThe fundamental professional roles of radiographers and radiologists are focused on providing benefit to patients with our skills, while maintaining their safety at all times. There are numerous patient safety issues in radiology which must be considered. These encompass: protection from direct harm arising from the techniques and technologies we use; ensuring physical and psychological well-being of patients while under our care; maintaining the highest possible quality of service provision; and protecting the staff to ensure they can deliver safe services. This paper summarises the key categories of safety issues in the provision of radiology services, from the joint perspectives of radiographers and radiologists, and provides references for further reading in all major relevant areas. This is a joint statement of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS), published simultaneously in Insights into Imaging [DOI: https://doi.org/10.1186/s13244-019-0721-y] and Radiography [

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“…For over 10 years, a number of us have been studying the impact of fatigue on radiologists’ performance interpreting a variety of imaging studies (e.g. nodule detection in chest x‐ray and CT images, fractures in bone image, multiple trauma in CT) . It has been consistently shown that after an average of just 8 hours of imaging work (when most workdays last much longer than that), radiologists are significantly less able to visually accommodate (i.e.…”

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confidence: 99%

“…nodule detection in chest x-ray and CT images, fractures in bone image, multiple trauma in CT). 9,10 It has been consistently shown that after an average of just 8 hours of imaging work (when most workdays last much longer than that), radiologists are significantly less able to visually accommodate (i.e. focus) especially at near distances (i.e.…”

mentioning

confidence: 99%