“Rule out appendicitis”: a Canadian emergency radiology perspective on medicolegal risks, imaging pitfalls, and strategies to improve care

We provide a unique Canadian perspective on the medicolegal risks associated with imaging acute appendicitis, incorporating data requested from the Canadian Medical Protective Association (CMPA) on closed medicolegal cases over the past decade. We include a review of current clinical and imaging gui...

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Bibliographic Details
Published in:Emergency radiology 2024-04, Vol.31 (2), p.239-249
Main Authors: Treanor, Lee, Drury, Anne, Egri, Csilla, Barrett, Sarah
Format: Article
Language:English
Subjects:
Abdomen
Appendicitis
Complaints
Diagnosis
Emergency medical care
Emergency medical services
Emergency Medicine
Failure
Imaging
Medical imaging
Medical malpractice
Medicine
Medicine & Public Health
Patients
Physicians
Radiation
Radiology
Review Article
Standard of care
Surgery
Ultrasonic imaging
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Description
Summary:We provide a unique Canadian perspective on the medicolegal risks associated with imaging acute appendicitis, incorporating data requested from the Canadian Medical Protective Association (CMPA) on closed medicolegal cases over the past decade. We include a review of current clinical and imaging guidelines in the diagnosis and management of this common emergency room presentation. A case-based approach is implemented in this article to explore ways to mitigate potential errors in the diagnosis of acute appendicitis.
ISSN:1438-1435
1070-3004
1438-1435
DOI:10.1007/s10140-024-02214-4