Reducing errors in the accident department: a simple method using radiographers

The assessments by radiographers of 1628 consecutive patients referred for radiography in the casualty department were analysed. The radiographers missed abnormalities in the radiographs in 68 of the cases. Casualty officers missed abnormalities in 63 cases, but only 35 patients were common to both...

Full description

Saved in:
Bibliographic Details
Published in:BMJ 1985-02, Vol.290 (6466), p.421-422
Main Authors: Berman, L, de Lacey, G, Twomey, E, Twomey, B, Welch, T, Eban, R
Format: Article
Language:English
Subjects:
Accidents
Diagnostic Errors
Emergency departments
Emergency Service, Hospital - standards
England
False negative errors
Hospital emergency rooms
Humans
Medical specialists
Methods
Radiography
Radiography - standards
Radiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-b515t-bb5d65315a497330793343b7ec6dd886b0d6ce2f6413fbbdd111c927828655383
cites cdi_FETCH-LOGICAL-b515t-bb5d65315a497330793343b7ec6dd886b0d6ce2f6413fbbdd111c927828655383
container_end_page 422
container_issue 6466
container_start_page 421
container_title BMJ
container_volume 290
creator Berman, L
de Lacey, G
Twomey, E
Twomey, B
Welch, T
Eban, R
description The assessments by radiographers of 1628 consecutive patients referred for radiography in the casualty department were analysed. The radiographers missed abnormalities in the radiographs in 68 of the cases. Casualty officers missed abnormalities in 63 cases, but only 35 patients were common to both groups. Twenty eight of the radiographs interpreted wrongly by casualty officers were interpreted correctly by radiographers; 16 of these 28 were thought by the accident and emergency consultant to be clinically important. It is suggested that a system whereby radiographers signal abnormalities should be standard practice.
doi_str_mv 10.1136/bmj.290.6466.421
format article
fullrecord <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1417735</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>29518187</jstor_id><sourcerecordid>29518187</sourcerecordid><originalsourceid>FETCH-LOGICAL-b515t-bb5d65315a497330793343b7ec6dd886b0d6ce2f6413fbbdd111c927828655383</originalsourceid><addsrcrecordid>eNqFkd2L1DAUxYMo67C7774IBcEX6Zib7_ogyPiJy67oKr6FtMnMZGybmrSy_vebMsOs-uJTLpzfPTmXg9AjwEsAKp7X3W5JKrwUTIglI3APLYAJVXJF6X20wETIEgtCH6LzlHYYY0KlqgQ7QSe0AiWALNDVZ2enxvebwsUYYip8X4xbV5im8db1Y2HdYOLY5fFFYYrku6F1RefGbbDFlObFaKwPm2iGrYvpDD1Ymza588N7ir6-fXO9el9eXL37sHp1UdYc-FjWNbeCU-CGVZJSLCtKGa2la4S1SokaW9E4shYM6LqurQWApiJSESU4p4qeopd732GqO2ebnC-aVg_Rdyb-1sF4_bfS-63ehF8aGEhJeTZ4ejCI4efk0qg7nxrXtqZ3YUpa8qoCwnAGn_wD7sIU-3yczk6CMcFBZgrvqSaGlKJbH6MA1nNbOrelc1t6bkvntvLK4z9POC4curnTd2kM8SiTioMCNX9Z7nWfRndz1E38oYWkkuvLbyt9ffnxy_fXIPWnzD_b83OS_6a7BZMXtpU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1776446517</pqid></control><display><type>article</type><title>Reducing errors in the accident department: a simple method using radiographers</title><source>JSTOR Archival Journals and Primary Sources Collection</source><source>BMJ Publishing</source><source>PubMed Central</source><creator>Berman, L ; de Lacey, G ; Twomey, E ; Twomey, B ; Welch, T ; Eban, R</creator><creatorcontrib>Berman, L ; de Lacey, G ; Twomey, E ; Twomey, B ; Welch, T ; Eban, R</creatorcontrib><description>The assessments by radiographers of 1628 consecutive patients referred for radiography in the casualty department were analysed. The radiographers missed abnormalities in the radiographs in 68 of the cases. Casualty officers missed abnormalities in 63 cases, but only 35 patients were common to both groups. Twenty eight of the radiographs interpreted wrongly by casualty officers were interpreted correctly by radiographers; 16 of these 28 were thought by the accident and emergency consultant to be clinically important. It is suggested that a system whereby radiographers signal abnormalities should be standard practice.</description><identifier>ISSN: 0267-0623</identifier><identifier>ISSN: 0959-8138</identifier><identifier>EISSN: 1468-5833</identifier><identifier>DOI: 10.1136/bmj.290.6466.421</identifier><identifier>PMID: 3918612</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Accidents ; Diagnostic Errors ; Emergency departments ; Emergency Service, Hospital - standards ; England ; False negative errors ; Hospital emergency rooms ; Humans ; Medical specialists ; Methods ; Radiography ; Radiography - standards ; Radiology</subject><ispartof>BMJ, 1985-02, Vol.290 (6466), p.421-422</ispartof><rights>Copyright 1985 British Medical Journal</rights><rights>Copyright BMJ Publishing Group LTD Feb 9, 1985</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b515t-bb5d65315a497330793343b7ec6dd886b0d6ce2f6413fbbdd111c927828655383</citedby><cites>FETCH-LOGICAL-b515t-bb5d65315a497330793343b7ec6dd886b0d6ce2f6413fbbdd111c927828655383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/29518187$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/29518187$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,3181,27901,27902,53766,53768,58213,58446</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3918612$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berman, L</creatorcontrib><creatorcontrib>de Lacey, G</creatorcontrib><creatorcontrib>Twomey, E</creatorcontrib><creatorcontrib>Twomey, B</creatorcontrib><creatorcontrib>Welch, T</creatorcontrib><creatorcontrib>Eban, R</creatorcontrib><title>Reducing errors in the accident department: a simple method using radiographers</title><title>BMJ</title><addtitle>Br Med J (Clin Res Ed)</addtitle><description>The assessments by radiographers of 1628 consecutive patients referred for radiography in the casualty department were analysed. The radiographers missed abnormalities in the radiographs in 68 of the cases. Casualty officers missed abnormalities in 63 cases, but only 35 patients were common to both groups. Twenty eight of the radiographs interpreted wrongly by casualty officers were interpreted correctly by radiographers; 16 of these 28 were thought by the accident and emergency consultant to be clinically important. It is suggested that a system whereby radiographers signal abnormalities should be standard practice.</description><subject>Accidents</subject><subject>Diagnostic Errors</subject><subject>Emergency departments</subject><subject>Emergency Service, Hospital - standards</subject><subject>England</subject><subject>False negative errors</subject><subject>Hospital emergency rooms</subject><subject>Humans</subject><subject>Medical specialists</subject><subject>Methods</subject><subject>Radiography</subject><subject>Radiography - standards</subject><subject>Radiology</subject><issn>0267-0623</issn><issn>0959-8138</issn><issn>1468-5833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><recordid>eNqFkd2L1DAUxYMo67C7774IBcEX6Zib7_ogyPiJy67oKr6FtMnMZGybmrSy_vebMsOs-uJTLpzfPTmXg9AjwEsAKp7X3W5JKrwUTIglI3APLYAJVXJF6X20wETIEgtCH6LzlHYYY0KlqgQ7QSe0AiWALNDVZ2enxvebwsUYYip8X4xbV5im8db1Y2HdYOLY5fFFYYrku6F1RefGbbDFlObFaKwPm2iGrYvpDD1Ymza588N7ir6-fXO9el9eXL37sHp1UdYc-FjWNbeCU-CGVZJSLCtKGa2la4S1SokaW9E4shYM6LqurQWApiJSESU4p4qeopd732GqO2ebnC-aVg_Rdyb-1sF4_bfS-63ehF8aGEhJeTZ4ejCI4efk0qg7nxrXtqZ3YUpa8qoCwnAGn_wD7sIU-3yczk6CMcFBZgrvqSaGlKJbH6MA1nNbOrelc1t6bkvntvLK4z9POC4curnTd2kM8SiTioMCNX9Z7nWfRndz1E38oYWkkuvLbyt9ffnxy_fXIPWnzD_b83OS_6a7BZMXtpU</recordid><startdate>19850209</startdate><enddate>19850209</enddate><creator>Berman, L</creator><creator>de Lacey, G</creator><creator>Twomey, E</creator><creator>Twomey, B</creator><creator>Welch, T</creator><creator>Eban, R</creator><general>British Medical Journal Publishing Group</general><general>British Medical AssociatioN</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19850209</creationdate><title>Reducing errors in the accident department: a simple method using radiographers</title><author>Berman, L ; de Lacey, G ; Twomey, E ; Twomey, B ; Welch, T ; Eban, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b515t-bb5d65315a497330793343b7ec6dd886b0d6ce2f6413fbbdd111c927828655383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Accidents</topic><topic>Diagnostic Errors</topic><topic>Emergency departments</topic><topic>Emergency Service, Hospital - standards</topic><topic>England</topic><topic>False negative errors</topic><topic>Hospital emergency rooms</topic><topic>Humans</topic><topic>Medical specialists</topic><topic>Methods</topic><topic>Radiography</topic><topic>Radiography - standards</topic><topic>Radiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berman, L</creatorcontrib><creatorcontrib>de Lacey, G</creatorcontrib><creatorcontrib>Twomey, E</creatorcontrib><creatorcontrib>Twomey, B</creatorcontrib><creatorcontrib>Welch, T</creatorcontrib><creatorcontrib>Eban, R</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest research library</collection><collection>Science Database (ProQuest)</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berman, L</au><au>de Lacey, G</au><au>Twomey, E</au><au>Twomey, B</au><au>Welch, T</au><au>Eban, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reducing errors in the accident department: a simple method using radiographers</atitle><jtitle>BMJ</jtitle><addtitle>Br Med J (Clin Res Ed)</addtitle><date>1985-02-09</date><risdate>1985</risdate><volume>290</volume><issue>6466</issue><spage>421</spage><epage>422</epage><pages>421-422</pages><issn>0267-0623</issn><issn>0959-8138</issn><eissn>1468-5833</eissn><abstract>The assessments by radiographers of 1628 consecutive patients referred for radiography in the casualty department were analysed. The radiographers missed abnormalities in the radiographs in 68 of the cases. Casualty officers missed abnormalities in 63 cases, but only 35 patients were common to both groups. Twenty eight of the radiographs interpreted wrongly by casualty officers were interpreted correctly by radiographers; 16 of these 28 were thought by the accident and emergency consultant to be clinically important. It is suggested that a system whereby radiographers signal abnormalities should be standard practice.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>3918612</pmid><doi>10.1136/bmj.290.6466.421</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0267-0623
ispartof BMJ, 1985-02, Vol.290 (6466), p.421-422
issn 0267-0623
0959-8138
1468-5833
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1417735
source JSTOR Archival Journals and Primary Sources Collection; BMJ Publishing; PubMed Central
subjects Accidents
Diagnostic Errors
Emergency departments
Emergency Service, Hospital - standards
England
False negative errors
Hospital emergency rooms
Humans
Medical specialists
Methods
Radiography
Radiography - standards
Radiology
title Reducing errors in the accident department: a simple method using radiographers
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T02%3A38%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Reducing%20errors%20in%20the%20accident%20department:%20a%20simple%20method%20using%20radiographers&rft.jtitle=BMJ&rft.au=Berman,%20L&rft.date=1985-02-09&rft.volume=290&rft.issue=6466&rft.spage=421&rft.epage=422&rft.pages=421-422&rft.issn=0267-0623&rft.eissn=1468-5833&rft_id=info:doi/10.1136/bmj.290.6466.421&rft_dat=%3Cjstor_pubme%3E29518187%3C/jstor_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-b515t-bb5d65315a497330793343b7ec6dd886b0d6ce2f6413fbbdd111c927828655383%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1776446517&rft_id=info:pmid/3918612&rft_jstor_id=29518187&rfr_iscdi=true