Sources of Error in Interventional Radiology: How, Why, and When

被引：14
作者：
Mafeld, Sebastian [1 ]
Oreopoulos, George [1 ]
Musing, E. L. S. [2 ,3 ]
Chan, Tze [1 ]
Jaberi, Arash [1 ]
Rajan, Dheeraj [1 ]
机构：
[1] Toronto Gen Hosp, Univ Hlth Network, Dept Med Imaging, 585 Univ Ave,Unit 1-PMB-298, Toronto, ON M5G 2C4, Canada
[2] Univ Hlth Network, Toronto, ON, Canada
[3] Univ Hlth Network, VP Qual & Safety, Toronto, ON, Canada
来源：
CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES | 2020年 / 71卷 / 04期
关键词：
interventional radiology; error; human factors; DIAGNOSTIC ERRORS; MEDICAL MALPRACTICE; INTERPRETIVE ERROR; ADVERSE EVENTS; MORTALITY; MORBIDITY; SOCIETY; CLAIMS; FAILURE; SAFETY;
D O I：
10.1177/0846537119899226
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
This article aims to provide an overview of the sources for error in interventional radiology (IR). Being both a procedure and an imaging-based specialty, IR has unique considerations as to how error can occur. However, compared to the surgical and medical literature, data on error in IR are lacking. The available IR literature is reviewed but supplemented with lessons from other specialties and the World Health Organization. Individual risks such as cognitive bias as well as system-level factors are also considered in order to generate a taxonomy for error in IR that includes the operator, patient, team, and environment.
引用
收藏
页码：518 / 527
页数：10
相关论文
共 81 条
  • [51] Reason J, 2005, QUAL SAF HEALTH CARE, V14, P56
  • [52] Human error: models and management
    Reason, J
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2000, 320 (7237): : 768 - 770
  • [53] Patterns of technical error among surgical malpractice claims - An analysis of strategies to prevent injury to surgical patients
    Regenbogen, Scott E.
    Greenberg, Caprice C.
    Studdert, David M.
    Lipsitz, Stuart R.
    Zinner, Michael J.
    Gawande, Atul A.
    [J]. ANNALS OF SURGERY, 2007, 246 (05) : 705 - 711
  • [54] Analysis of surgical errors in closed malpractice claims at 4 liability insurers
    Rogers, Selwyn O., Jr.
    Gawande, Atul A.
    Kwaan, Mary
    Puopolo, Ann Louise
    Yoon, Catherine
    Brennan, Troyen A.
    Studdert, David M.
    [J]. SURGERY, 2006, 140 (01) : 25 - 33
  • [55] Physician gender effects in medical communication - A meta-analytic review
    Roter, DL
    Hall, JA
    Aoki, Y
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (06): : 756 - 764
  • [56] Cognitive biases associated with medical decisions: a systematic review
    Saposnik, Gustavo
    Redelmeier, Donald
    Ruff, Christian C.
    Tobler, Philippe N.
    [J]. BMC MEDICAL INFORMATICS AND DECISION MAKING, 2016, 16 : 1 - 14
  • [57] Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage
    Schulz, Christian M.
    Burden, Amanda
    Posner, Karen L.
    Mincer, Shawn L.
    Steadman, Randolph
    Wagner, Klaus J.
    Domino, Karen B.
    [J]. ANESTHESIOLOGY, 2017, 127 (02) : 326 - 337
  • [58] The optimism bias
    Sharot, Tali
    [J]. CURRENT BIOLOGY, 2011, 21 (23) : R941 - R945
  • [59] Estimating deaths due to medical error: the ongoing controversy and why it matters
    Shojania, Kaveh G.
    Dixon-Woods, Mary
    [J]. BMJ QUALITY & SAFETY, 2017, 26 (05) : 423 - 428
  • [60] Negligence, genuine error, and litigation
    Sohn, David H.
    [J]. INTERNATIONAL JOURNAL OF GENERAL MEDICINE, 2013, 6 : 49 - 56
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