Impact of Shift Volume on Neuroradiology Diagnostic Errors at a Large Tertiary Academic Center

Ivanović, Vladimir; Paydar, Alireza; Chang, Yu‐Ming; Broadhead, Kenneth; Smullen, David; Klein, Andrew S.; Hacein‐Bey, Lotfi

doi:10.1016/j.acra.2022.08.035

Cited by 10 publications

(2 citation statements)

References 39 publications

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“…However, all radiologists in that study were aware that a second review would take place after their initial evaluation [14]. In yet another study, diagnostic errors were found to be associated with longer interpretation times, higher shift volumes, and weekend interpretation, but that study only applied to neuroradiologists [15]. A recent review evaluated the evidence regarding the effects of workload or duty hours on the accuracy of radiologists [7].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Work overload and diagnostic errors in radiology

Kasalak,

Alnahwi,

Toxopeus

et al. 2023

European Journal of Radiology

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Section: Discussionmentioning

confidence: 99%

“…Although workload appears to be associated with diagnostic errors based on several previous studies [9][10][11][12][13][14][15], more research using realworld reading room data is necessary to support this hypothesis and to give practical guidance to radiologists and policy makers.…”

Section: Introductionmentioning

confidence: 97%

Work overload and diagnostic errors in radiology

Kasalak,

Alnahwi,

Toxopeus

et al. 2023

European Journal of Radiology

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Is work overload associated with diagnostic errors on 18F-FDG-PET/CT?

Toxopeus,

Kasalak,

Yakar

et al. 2023

Eur J Nucl Med Mol Imaging

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What is the added value of specialist radiology review of multidisciplinary team meeting cases in a tertiary care center?

Kasalak,

Vister,

Zorgdrager

et al. 2024

Eur Radiol

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Purpose Multidisciplinary team meetings (MDTMs) are an important component of the workload of radiologists. This study investigated how often subspecialized radiologists change patient management in MDTMs at a tertiary care institution. Materials and methods Over 2 years, six subspecialty radiologists documented their contributions to MDTMs at a tertiary care center. Both in-house and external imaging examinations were discussed at the MDTMs. All imaging examinations (whether primary or second opinion) were interpreted and reported by subspecialty radiologist prior to the MDTMs. The management change ratio (MCratio) of the radiologist was defined as the number of cases in which the radiologist’s input in the MDTM changed patient management beyond the information that was already provided by the in-house (primary or second opinion) radiology report, as a proportion of the total number of cases whose imaging examinations were prepared for demonstration in the MDTM. Results Sixty-eight MDTMs were included. The time required for preparing and attending all MDTMs (excluding imaging examinations that had not been reported yet) was 11,000 min, with a median of 172 min (IQR 113–200 min) per MDTM, and a median of 9 min (IQR 8–13 min) per patient. The radiologists’ input changed patient management in 113 out of 1138 cases, corresponding to an MCratio of 8.4%. The median MCratio per MDTM was 6% (IQR 0–17%). Conclusion Radiologists’ time investment in MDTMs is considerable relative to the small proportion of cases in which they influence patient management in the MDTM. The use of radiologists for MDTMs should therefore be improved. Clinical relevance statement The use of radiologists for MDTMs (multidisciplinary team meetings) should be improved, because their time investment in MDTMs is considerable relative to the small proportion of cases in which they influence patient management in the MDTM. Key Points • Multidisciplinary team meetings (MDTMs) are an important component of the workload of radiologists. • In a tertiary care center in which all imaging examinations have already been interpreted and reported by subspecialized radiologists before the MDTM takes place, the median time investment of a radiologist for preparing and demonstrating one MDTM patient is 9 min. • In this setting, the radiologist changes patient management in only a minority of cases in the MDTM.

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Impact of Shift Volume on Neuroradiology Diagnostic Errors at a Large Tertiary Academic Center

Cited by 10 publications

References 39 publications

Work overload and diagnostic errors in radiology

Work overload and diagnostic errors in radiology

Is work overload associated with diagnostic errors on 18F-FDG-PET/CT?

What is the added value of specialist radiology review of multidisciplinary team meeting cases in a tertiary care center?

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