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Analysis of perceptual errors in skull-base pathology
PURPOSE: Medical errors result in significant mortality and morbidity. The purpose of this study is to analyze skull-base errors at a single tertiary institution, identify common anatomic sites of errors, and offer strategies to reduce errors in this region. METHODS: A Neuroradiology Quality Assuran...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569193/ https://www.ncbi.nlm.nih.gov/pubmed/35722674 http://dx.doi.org/10.1177/19714009221108679 |
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author | Vong, Stephen Chang, Jennifer Assadsangabi, Reza Ivanovic, Vladimir |
author_facet | Vong, Stephen Chang, Jennifer Assadsangabi, Reza Ivanovic, Vladimir |
author_sort | Vong, Stephen |
collection | PubMed |
description | PURPOSE: Medical errors result in significant mortality and morbidity. The purpose of this study is to analyze skull-base errors at a single tertiary institution, identify common anatomic sites of errors, and offer strategies to reduce errors in this region. METHODS: A Neuroradiology Quality Assurance Database of radiologic errors was searched for attending physician computer tomography and magnetic resonance imaging errors in skull-base pathology from 2014 to 2020. Data were limited to CT and MRI reports. Errors were separated into four subcategories (tumor, trauma, vascular, and congenital) and further divided by relevant anatomic site. RESULTS: A total of 90 skull-based errors were identified. Most errors were perceptual (87%), with common study types including MRI Brain (39%) and CT Head (24%). Most common errors were tumors (55%), followed by trauma (24%), vascular (10%), and congenital (7%). Six anatomic sites were identified and encompassed over half of errors (58%): sella, occipital bone, cerebellopontine angle/internal auditory canal (CPA/IAC), foramen magnum and clivus, cavernous sinus, and dural venous sinus. SUMMARY: Most of the skull-base errors were perceptual. Placing a strong emphasis on both the pathology and closely examining its critical anatomic site (sella, occipital bone, CPA/IAC, foramen magnum and clivus, cavernous sinus, and dural venous sinus) could potentially reduce up to 60% of errors in these regions. |
format | Online Article Text |
id | pubmed-10569193 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-105691932023-10-13 Analysis of perceptual errors in skull-base pathology Vong, Stephen Chang, Jennifer Assadsangabi, Reza Ivanovic, Vladimir Neuroradiol J Original Articles PURPOSE: Medical errors result in significant mortality and morbidity. The purpose of this study is to analyze skull-base errors at a single tertiary institution, identify common anatomic sites of errors, and offer strategies to reduce errors in this region. METHODS: A Neuroradiology Quality Assurance Database of radiologic errors was searched for attending physician computer tomography and magnetic resonance imaging errors in skull-base pathology from 2014 to 2020. Data were limited to CT and MRI reports. Errors were separated into four subcategories (tumor, trauma, vascular, and congenital) and further divided by relevant anatomic site. RESULTS: A total of 90 skull-based errors were identified. Most errors were perceptual (87%), with common study types including MRI Brain (39%) and CT Head (24%). Most common errors were tumors (55%), followed by trauma (24%), vascular (10%), and congenital (7%). Six anatomic sites were identified and encompassed over half of errors (58%): sella, occipital bone, cerebellopontine angle/internal auditory canal (CPA/IAC), foramen magnum and clivus, cavernous sinus, and dural venous sinus. SUMMARY: Most of the skull-base errors were perceptual. Placing a strong emphasis on both the pathology and closely examining its critical anatomic site (sella, occipital bone, CPA/IAC, foramen magnum and clivus, cavernous sinus, and dural venous sinus) could potentially reduce up to 60% of errors in these regions. SAGE Publications 2022-06-18 2023-10 /pmc/articles/PMC10569193/ /pubmed/35722674 http://dx.doi.org/10.1177/19714009221108679 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Vong, Stephen Chang, Jennifer Assadsangabi, Reza Ivanovic, Vladimir Analysis of perceptual errors in skull-base pathology |
title | Analysis of perceptual errors in skull-base pathology |
title_full | Analysis of perceptual errors in skull-base pathology |
title_fullStr | Analysis of perceptual errors in skull-base pathology |
title_full_unstemmed | Analysis of perceptual errors in skull-base pathology |
title_short | Analysis of perceptual errors in skull-base pathology |
title_sort | analysis of perceptual errors in skull-base pathology |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569193/ https://www.ncbi.nlm.nih.gov/pubmed/35722674 http://dx.doi.org/10.1177/19714009221108679 |
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