domingo, 26 de octubre de 2014

AHRQ Patient Safety Network ► Do telephone call interruptions have an impact on radiology resident diagnostic accuracy?

AHRQ Patient Safety Network

Radiologists who were interrupted while performing interpretations made more diagnostic errors.Acad Radiol. 2014 Sep 30; [Epub ahead of print].

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Do telephone call interruptions have an impact on radiology resident diagnostic accuracy?

Balint BJ, Steenburg SD, Lin H, Shen C, Steele JL, Gunderman RB. Acad Radiol. 2014 Sep 30; [Epub ahead of print].

Interruptions are inevitable for busy clinicians, and recently studies have shown that interruptions canincrease workload for physicians and raise the risk of medication administration errors by nurses. However, these safety risks must be balanced against the fact that interruptions are often necessary for patient care. This study analyzed data from telephone logs and a formal quality assurance program to examine the effect of telephone interruptions on accuracy of on-call radiology residents' study interpretations. The authors found that a higher frequency of interruptions was associated with more diagnostic errors. This study is one of the first to document clinical consequences of physician interruptions and adds to our understanding ofsystems contributors to diagnostic errors. An incident involving an incorrect overnight radiology interpretation is discussed in a past AHRQ WebM&M commentary.

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