Accuracy of radiographic readings in the emergency department

摘要: Abstract Objectives A review of radiology discrepancies emergency department (ED) radiograph interpretations was undertaken to examine the types error made by physicians (EPs). Methods An ED quality assurance database containing all between EP and from June 1996 May 2005 reviewed. The were categorized as bone, chest (CXR), abdomen (AXR) radiographs examined identify abnormalities missed EPs. Results During study period, ordered approximately 151 693 radiographs. Of total, 4605 studies identified having a total 5308 discordant interpretation. Three hundred fifty-nine these not confirmed radiologist (false positive). remainder represented negatives). false-negative studies, 1954 bone (2.4% x-rays ordered) had findings with 2050 abnormalities; most common fractures dislocations. 220 AXRs (3.7% findings, 240 missed; bowel obstruction. 2431 CXRs (3.8% ordered), 2659 air-space disease pulmonary nodules. rate potentially needing emergent change in management based solely on radiographic discrepancy 85 (0.056%). Conclusions Approximately 3% interpreted EPs are subsequently given discrepant interpretation attending. commonly included fractures, dislocations, disease, Continuing education should focus areas attempt further reduce this rate.