Diagnostic Errors in Neuroradiology: A Message to Emergency Radiologists and Trainees

Can Assoc Radiol J. 2022 May;73(2):384-395. doi: 10.1177/08465371211025738. Epub 2021 Jul 6.

Abstract

Diagnostic errors in neuroradiology are inevitable, yet potentially avoidable. Through extensive literature search, we present an up-to-date review of the psychology of human decision making and how such complex process can lead to radiologic errors. Our focus is on neuroradiology, so we augmented our review with multiple explanatory figures to show how different errors can reflect on real-life clinical practice. We propose a new thematic categorization of perceptual and cognitive biases in this article to simplify message delivery to our target audience: emergency/general radiologists and trainees. Additionally, we highlight individual and organizational remedy strategies to decrease error rate and potential harm.

Keywords: cognitive bias; diagnostic errors; emergency radiology; medical education; neuroradiology reporting.

MeSH terms

  • Diagnostic Errors / prevention & control
  • Humans
  • Radiologists*
  • Radiology*