33 Questions
What might partially explain missed diagnoses of scaphoid fractures?
The fact that scaphoid fractures can take up to 6 weeks to become conclusive on radiographs
Which type of fractures might initially cause only minimal pain and loss of motion?
Nondisplaced forearm fractures
What is required for the radiologist to fully visualize the injured site?
Acquiring a minimum of 2 perpendicular projections
Which type of fractures are among those most commonly missed?
Scaphoid fractures
What percentage of all adult fractures do elbow and forearm fractures represent?
Up to 10%
What kind of injuries might imaging in 2 planes fail to reveal?
Nondisplaced fractures of the forearm or elbow
What kind of injuries sometimes occur as work-related injuries among middle-aged and younger men?
Fractures of the calcaneus
What is the minimum time it can take for scaphoid fractures to become conclusive on radiographs?
6 weeks
Which common injury might draw attention away from a fractured extremity?
Painful injuries in other parts of the body
What is the difference between errors of omission and errors of commission in the context of medical errors?
Errors of omission involve something that should have been done but was not, while errors of commission involve actively mismanaging a task.
In what way do authors Pinto and Romano organize potential medical errors?
Into errors of execution, errors of planning, and deviations from the standard of care.
What does the nature of medical imaging require radiologic technologists to adhere to?
Strictly defined protocols and carefully planned procedures.
How is an error defined in the context of medical imaging?
Any deviation from expected norms, regardless of whether it causes harm to the patient or technologist.
In which type of radiology does the diagnosis rely on visual perception and identification of specific physical characteristics found during visual evaluation of an imaging study?
Diagnostic radiology
What is one characteristic of diagnostic radiology mentioned in the text?
It relies on visual perception for diagnosis.
What is the primary role of medical imaging in diagnosis and treatment?
To provide visual feedback for diagnosis and treatment planning.
What does the potential for error encompass in both diagnostic and interventional radiology?
Any deviation from expected norms, regardless of whether it results in harm to the patient or technologist.
What was the lesson offered by Gawande from the safety-conscious airline industry?
Similar simplification and distillation are essential to error reduction efforts in health care settings.
What do aviation safety experts do with the results of intensive studies produced by the NTSB?
They create checklists to address and prevent the problems uncovered.
Why are similar simplification and distillation essential in most health care settings?
To reduce errors in the face of the intensity of work and demands on employees’ time.
What does Gawande suggest can provide similar results to the safety checklist used in the airline industry?
Developing and implementing a properly developed checklist.
What has existed for decades and is consistently used in clinical encounters according to Gawande?
A preventive checklist to address potential medical errors.
What do hospital staff members use as a perfect example of a safety checklist according to Gawande?
Patient records
What is the main risk faced by peer-reviewed articles and error reduction studies in health care settings?
Being lost in the mass of information encountered by health care professionals
What is the main idea behind using checklists in the aviation safety industry?
To simplify and distill information for pilots
What profession relies on radiologic technologists to provide quality images for interpretation?
Radiologists
Who pointed out the lack of self-examination in professions outside of aviation?
Atul Gawande
What organization launched a campaign to improve the safety of surgical procedures around the world?
World Health Organization
What is the purpose of the Surgical Safety Checklist mentioned in the text?
To improve staff teamwork in the operating suite
What was the estimated relative reduction in complications with the use of the Surgical Safety Checklist?
10%
What does the National Transportation Safety Board examine after serious transportation-related accidents?
Accident aftermath to determine cause and recommend ways to prevent similar accidents
Who recommends a similar approach to self-examination of sentinel events for accredited organizations?
The Joint Commission
How long does it take to implement the Surgical Safety Checklist included in the WHO campaign?
2 minutes
Explore the challenges faced by health care professionals in managing and retrieving important publications, bulletins, and peer-reviewed articles amidst the overwhelming volume of information. Learn about the lessons that can be applied from the safety-conscious airline industry to improve information management in health care.
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