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A new complication registration system for errors in radiology: Initial 5-year experience in a tertiary care radiology department
•A new radiologic complication registration system was introduced in this study.•Implementation of this new system in clinical practice proved feasible.•Its yield in a tertiary care radiology department was described. To describe and evaluate our initial 5-year experience with a new complication reg...
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Published in: | European journal of radiology 2020-09, Vol.130, p.109167-109167, Article 109167 |
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Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | •A new radiologic complication registration system was introduced in this study.•Implementation of this new system in clinical practice proved feasible.•Its yield in a tertiary care radiology department was described.
To describe and evaluate our initial 5-year experience with a new complication registration system for errors in radiology.
This study reviewed all cases that were submitted to a new complication registration system of a tertiary care radiology department between 2015–2019.
Sixty-seven cases were included. In the group of diagnostic complications/errors (n = 34), there were 21 perceptual errors and 13 cognitive errors. This 61.8 % (21/34) perceptual error rate was not significantly different (P = 0.297) from the 70 % perceptual error rate known from previous literature. In the group of interventional complications (n=19), most cases (47.4 % [9/19]) concerned symptomatic or major hemorrhage. In the group of organizational complications/errors (n=14), the leading incident type according to the International Classification System for Patient Safety was clinical process/procedure with wrong body part/side/site as subclassification (35.7 % [5/14]). Harm severities were none (n=35), mild (n=10), moderate (n=10), severe (n=6), death (n=5), and unknown (n=1). Harm severity of interventional complications was significantly higher (P |
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ISSN: | 0720-048X 1872-7727 |
DOI: | 10.1016/j.ejrad.2020.109167 |