Health Care Information Management
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Questions and Answers

What might partially explain missed diagnoses of scaphoid fractures?

  • The presence of other significant or painful injuries that draw attention away from the fractured extremity
  • The difficulty in acquiring radiographs for poorly localized injuries
  • The fact that scaphoid fractures can take up to 6 weeks to become conclusive on radiographs (correct)
  • The high frequency of calcaneus fractures among middle-aged and younger men

Which type of fractures might initially cause only minimal pain and loss of motion?

  • Nondisplaced forearm fractures (correct)
  • Fractures of the calcaneus
  • Elbow fractures with significant pain
  • Distal radius fractures

What is required for the radiologist to fully visualize the injured site?

  • Ensuring the patient has no other significant or painful injuries
  • Using advanced imaging techniques
  • Acquiring a minimum of 2 perpendicular projections (correct)
  • Increasing the duration of the radiography

Which type of fractures are among those most commonly missed?

<p>Scaphoid fractures (C)</p> Signup and view all the answers

What percentage of all adult fractures do elbow and forearm fractures represent?

<p>Up to 10% (D)</p> Signup and view all the answers

What kind of injuries might imaging in 2 planes fail to reveal?

<p>Nondisplaced fractures of the forearm or elbow (B)</p> Signup and view all the answers

What kind of injuries sometimes occur as work-related injuries among middle-aged and younger men?

<p>Fractures of the calcaneus (A)</p> Signup and view all the answers

What is the minimum time it can take for scaphoid fractures to become conclusive on radiographs?

<p>6 weeks (D)</p> Signup and view all the answers

Which common injury might draw attention away from a fractured extremity?

<p>Painful injuries in other parts of the body (B)</p> Signup and view all the answers

What is the difference between errors of omission and errors of commission in the context of medical errors?

<p>Errors of omission involve something that should have been done but was not, while errors of commission involve actively mismanaging a task. (C)</p> Signup and view all the answers

In what way do authors Pinto and Romano organize potential medical errors?

<p>Into errors of execution, errors of planning, and deviations from the standard of care. (A)</p> Signup and view all the answers

What does the nature of medical imaging require radiologic technologists to adhere to?

<p>Strictly defined protocols and carefully planned procedures. (A)</p> Signup and view all the answers

How is an error defined in the context of medical imaging?

<p>Any deviation from expected norms, regardless of whether it causes harm to the patient or technologist. (C)</p> Signup and view all the answers

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?

<p>Diagnostic radiology (C)</p> Signup and view all the answers

What is one characteristic of diagnostic radiology mentioned in the text?

<p>It relies on visual perception for diagnosis. (D)</p> Signup and view all the answers

What is the primary role of medical imaging in diagnosis and treatment?

<p>To provide visual feedback for diagnosis and treatment planning. (B)</p> Signup and view all the answers

What does the potential for error encompass in both diagnostic and interventional radiology?

<p>Any deviation from expected norms, regardless of whether it results in harm to the patient or technologist. (C)</p> Signup and view all the answers

What was the lesson offered by Gawande from the safety-conscious airline industry?

<p>Similar simplification and distillation are essential to error reduction efforts in health care settings. (D)</p> Signup and view all the answers

What do aviation safety experts do with the results of intensive studies produced by the NTSB?

<p>They create checklists to address and prevent the problems uncovered. (B)</p> Signup and view all the answers

Why are similar simplification and distillation essential in most health care settings?

<p>To reduce errors in the face of the intensity of work and demands on employees’ time. (D)</p> Signup and view all the answers

What does Gawande suggest can provide similar results to the safety checklist used in the airline industry?

<p>Developing and implementing a properly developed checklist. (D)</p> Signup and view all the answers

What has existed for decades and is consistently used in clinical encounters according to Gawande?

<p>A preventive checklist to address potential medical errors. (C)</p> Signup and view all the answers

What do hospital staff members use as a perfect example of a safety checklist according to Gawande?

<p><strong>Patient records</strong> (A)</p> Signup and view all the answers

What is the main risk faced by peer-reviewed articles and error reduction studies in health care settings?

<p><strong>Being lost in the mass of information encountered by health care professionals</strong> (A)</p> Signup and view all the answers

What is the main idea behind using checklists in the aviation safety industry?

<p><strong>To simplify and distill information for pilots</strong> (A)</p> Signup and view all the answers

What profession relies on radiologic technologists to provide quality images for interpretation?

<p>Radiologists (B)</p> Signup and view all the answers

Who pointed out the lack of self-examination in professions outside of aviation?

<p>Atul Gawande (C)</p> Signup and view all the answers

What organization launched a campaign to improve the safety of surgical procedures around the world?

<p>World Health Organization (B)</p> Signup and view all the answers

What is the purpose of the Surgical Safety Checklist mentioned in the text?

<p>To improve staff teamwork in the operating suite (B)</p> Signup and view all the answers

What was the estimated relative reduction in complications with the use of the Surgical Safety Checklist?

<p>10% (C)</p> Signup and view all the answers

What does the National Transportation Safety Board examine after serious transportation-related accidents?

<p>Accident aftermath to determine cause and recommend ways to prevent similar accidents (A)</p> Signup and view all the answers

Who recommends a similar approach to self-examination of sentinel events for accredited organizations?

<p>The Joint Commission (D)</p> Signup and view all the answers

How long does it take to implement the Surgical Safety Checklist included in the WHO campaign?

<p>2 minutes (D)</p> Signup and view all the answers

Flashcards

Scaphoid Fracture Missed Diagnosis

Scaphoid fractures can take up to 6 weeks to show up clearly in X-rays, potentially leading to delayed diagnosis.

Minimal Pain/Motion in Fracture

Some fractures, like nondisplaced forearm fractures, might initially cause only little pain and limited movement.

2 Perpendicular X-rays

Radiologists need at least two X-ray views at right angles to fully see the injured area.

Commonly Missed Fractures

Scaphoid fractures are among the fractures frequently missed by doctors.

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Elbow/Forearm Fractures Percentage

Elbow and forearm fractures represent up to 10% of all adult fractures.

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Hidden Fractures by Imaging

Nondisplaced fractures of the forearm or elbow might not be shown by imaging in two planes.

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Work-Related Calcaneus Fracture

Calcaneus fractures can sometimes be work-related injuries among middle-aged and younger men.

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Scaphoid Fracture X-ray Time

It often takes at least 6 weeks for a scaphoid fracture to show up clearly on X-rays.

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Distraction by Other Pain

A painful injury elsewhere in the body might make a fractured extremity seem less important.

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Omission vs. Commission Errors

Omission errors are when something should've been done but wasn't; commission errors are when a task is mismanaged.

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Pinto and Romano Error Types

Pinto and Romano categorized medical errors into execution, planning, and standard of care deviations.

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Medical Imaging Protocols

Radiologic technologists must follow specific rules and plans for imaging.

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Medical Imaging Error Definition

An error in medical imaging is any difference from anticipated standards, no matter if it harms the patient or technician.

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Diagnostic Radiology's Method

Diagnostic radiology relies on looking at images to find specific characteristics to make a diagnosis.

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Diagnostic Radiology's Characteristic

It uses visual perception to diagnose problems.

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Medical Imaging's Role

Medical imaging provides visual information to help with diagnoses and treatment plans.

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Error Potential in Radiology

Errors in radiology can be due to any deviation from expected standards, regardless of resulting harm.

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Gawande's Aviation Lesson

Gawande learned from aviation safety to simplify health care work processes and reduce mistakes.

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NTSB Accident Analysis

The NTSB investigates transportation accidents to identify causes and prevent future incidents.

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Safety Checklist Benefit

Checklists make health care processes simpler and reduce errors, much like aviation safety.

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Gawande's Checklist Suggestion

Gawande suggests that a well-designed checklist can greatly improve healthcare safety.

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Existing Checklist Example

Patient records have provided, for decades, an effective means of prevention in health care encounters according to Gawande.

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Peer-Reviewed Article Risk

Peer-reviewed articles and error reduction studies can get overlooked due to the volume of information healthcare professionals see.

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Aviation Safety Checklist Purpose

Aviation checklists simplify and condense complex procedures, helping pilots remember everything.

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Radiologic Technologist's Role

Radiologic technologists provide high-quality imaging for radiologists to analyze in medical diagnostics.

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External Professions' Self-Examination Lack

Gawande highlighted that professionals in fields aside from aviation often lack methods for a critical self-evaluation of work procedures.

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WHO Surgical Campaign

The World Health Organization launched a safety improvement campaign to lower surgical risks.

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Surgical Safety Checklist Effects

The Surgical Safety Checklist improved teamwork in the operating room, potentially reducing complications by 10%.

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NTSB Accident Investigation

The National Transportation Safety Board investigates accidents in transportation to discover the causes and prevent repeats.

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Joint Commission Sentinel Event Recommendation

The Joint Commission recommends a self-review process for accredited organizations to identify and address medical errors, much like aviation safety.

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Surgical Safety Checklist Implementation Time

The Surgical Safety Checklist (WHO campaign) can be implemented in 2 minutes.

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