Oncologic Errors in Diagnostic Radiology: A 10-Year Analysis Based on Medical Malpractice Claims
To retrospectively analyze the nature and extent of oncology-related errors accounting for malpractice allegations in diagnostic radiology. The Comparative Benchmarking System of the Controlled Risk Insurance Company, a database containing roughly 30% of medical malpractice claims in the United Stat...
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| Veröffentlicht in: | Journal of the American College of Radiology 2021-09, Vol.18 (9), p.1310-1316 |
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| creator | Rosenkrantz, Andrew B. Siegal, Dana Skillings, Jillian A. Muellner, Ada Nass, Sharyl J. Hricak, Hedvig |
| description | To retrospectively analyze the nature and extent of oncology-related errors accounting for malpractice allegations in diagnostic radiology.
The Comparative Benchmarking System of the Controlled Risk Insurance Company, a database containing roughly 30% of medical malpractice claims in the United States, was searched retrospectively for the period 2008 to 2017. Claims naming radiology as a primary service were identified and were stratified and compared by oncologic versus nononcologic status, allegation type (diagnostic versus nondiagnostic), and imaging modality.
Over the 10-year period, radiology was the primary responsible service for 3.9% of all malpractice claims (2,582 of 66,061) and 12.8% of claims with diagnostic allegations (1,756 of 13,695). Oncology (neoplasms) accounted for 44.0% of radiology cases with diagnostic allegations, a larger share than any other category of medical condition. Among radiology cases with diagnostic allegations, high-severity harm occurred in 79% of oncologic but just 42% of nononcologic cases. Of all oncologic radiology cases, 97.4% had diagnostic allegations, and just 55.0% of nononcologic radiology cases had diagnostic allegations. Imaging misinterpretation was a contributing factor for a large majority (80.7% [623 of 772]) of oncologic radiology cases with diagnostic allegations. The modalities most commonly used in oncologic radiology cases with diagnostic allegations involving misinterpretation were mammography and CT.
Oncology represents the largest source of radiology malpractice cases with diagnostic allegations. Oncologic radiology malpractice cases are more likely than nononcologic radiology cases to be due to diagnostic errors. Furthermore, compared with those that are nononcologic, oncologic radiology cases with diagnostic allegations are more likely to be associated with high-severity harm. Efforts are warranted to reduce misinterpretations of oncologic imaging.
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| doi_str_mv | 10.1016/j.jacr.2021.05.001 |
| format | Article |
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The Comparative Benchmarking System of the Controlled Risk Insurance Company, a database containing roughly 30% of medical malpractice claims in the United States, was searched retrospectively for the period 2008 to 2017. Claims naming radiology as a primary service were identified and were stratified and compared by oncologic versus nononcologic status, allegation type (diagnostic versus nondiagnostic), and imaging modality.
Over the 10-year period, radiology was the primary responsible service for 3.9% of all malpractice claims (2,582 of 66,061) and 12.8% of claims with diagnostic allegations (1,756 of 13,695). Oncology (neoplasms) accounted for 44.0% of radiology cases with diagnostic allegations, a larger share than any other category of medical condition. Among radiology cases with diagnostic allegations, high-severity harm occurred in 79% of oncologic but just 42% of nononcologic cases. Of all oncologic radiology cases, 97.4% had diagnostic allegations, and just 55.0% of nononcologic radiology cases had diagnostic allegations. Imaging misinterpretation was a contributing factor for a large majority (80.7% [623 of 772]) of oncologic radiology cases with diagnostic allegations. The modalities most commonly used in oncologic radiology cases with diagnostic allegations involving misinterpretation were mammography and CT.
Oncology represents the largest source of radiology malpractice cases with diagnostic allegations. Oncologic radiology malpractice cases are more likely than nononcologic radiology cases to be due to diagnostic errors. Furthermore, compared with those that are nononcologic, oncologic radiology cases with diagnostic allegations are more likely to be associated with high-severity harm. Efforts are warranted to reduce misinterpretations of oncologic imaging.
[Display omitted]</description><identifier>ISSN: 1546-1440</identifier><identifier>EISSN: 1558-349X</identifier><identifier>DOI: 10.1016/j.jacr.2021.05.001</identifier><identifier>PMID: 34058137</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Diagnostic Errors ; diagnostic radiology ; Humans ; Malpractice ; malpractice claims ; Medical Errors ; neoplasms ; Radiography ; Radiology ; Retrospective Studies ; United States</subject><ispartof>Journal of the American College of Radiology, 2021-09, Vol.18 (9), p.1310-1316</ispartof><rights>2021 American College of Radiology</rights><rights>Copyright © 2021 American College of Radiology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-54930071367d5d8e8e485b7976d612faf18efa4ccd34f331b8ebe77a1a82fdd53</citedby><cites>FETCH-LOGICAL-c412t-54930071367d5d8e8e485b7976d612faf18efa4ccd34f331b8ebe77a1a82fdd53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jacr.2021.05.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34058137$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosenkrantz, Andrew B.</creatorcontrib><creatorcontrib>Siegal, Dana</creatorcontrib><creatorcontrib>Skillings, Jillian A.</creatorcontrib><creatorcontrib>Muellner, Ada</creatorcontrib><creatorcontrib>Nass, Sharyl J.</creatorcontrib><creatorcontrib>Hricak, Hedvig</creatorcontrib><title>Oncologic Errors in Diagnostic Radiology: A 10-Year Analysis Based on Medical Malpractice Claims</title><title>Journal of the American College of Radiology</title><addtitle>J Am Coll Radiol</addtitle><description>To retrospectively analyze the nature and extent of oncology-related errors accounting for malpractice allegations in diagnostic radiology.
The Comparative Benchmarking System of the Controlled Risk Insurance Company, a database containing roughly 30% of medical malpractice claims in the United States, was searched retrospectively for the period 2008 to 2017. Claims naming radiology as a primary service were identified and were stratified and compared by oncologic versus nononcologic status, allegation type (diagnostic versus nondiagnostic), and imaging modality.
Over the 10-year period, radiology was the primary responsible service for 3.9% of all malpractice claims (2,582 of 66,061) and 12.8% of claims with diagnostic allegations (1,756 of 13,695). Oncology (neoplasms) accounted for 44.0% of radiology cases with diagnostic allegations, a larger share than any other category of medical condition. Among radiology cases with diagnostic allegations, high-severity harm occurred in 79% of oncologic but just 42% of nononcologic cases. Of all oncologic radiology cases, 97.4% had diagnostic allegations, and just 55.0% of nononcologic radiology cases had diagnostic allegations. Imaging misinterpretation was a contributing factor for a large majority (80.7% [623 of 772]) of oncologic radiology cases with diagnostic allegations. The modalities most commonly used in oncologic radiology cases with diagnostic allegations involving misinterpretation were mammography and CT.
Oncology represents the largest source of radiology malpractice cases with diagnostic allegations. Oncologic radiology malpractice cases are more likely than nononcologic radiology cases to be due to diagnostic errors. Furthermore, compared with those that are nononcologic, oncologic radiology cases with diagnostic allegations are more likely to be associated with high-severity harm. Efforts are warranted to reduce misinterpretations of oncologic imaging.
[Display omitted]</description><subject>Diagnostic Errors</subject><subject>diagnostic radiology</subject><subject>Humans</subject><subject>Malpractice</subject><subject>malpractice claims</subject><subject>Medical Errors</subject><subject>neoplasms</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>United States</subject><issn>1546-1440</issn><issn>1558-349X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9vEzEQxS0EoiXwBTggH7ns4lnbawchoRDKH6lVJQQSnMzEng2ONuvU3lTKt2ejlAounDzyvPdmND_GnoOoQUD7alNv0Oe6EQ3UQtdCwAN2DlrbSqr594fHWrUVKCXO2JNSNkI0xlj7mJ1JJbQFac7Zz-vBpz6to-cXOadceBz4-4jrIZVx-vyCIR77h9d8wUFUPwgzXwzYH0os_B0WCjwN_IpC9NjzK-x3Gf3kJL7sMW7LU_aow77Qs7t3xr59uPi6_FRdXn_8vFxcVl5BM1ZazaUQBmRrgg6WLCmrV2Zu2tBC02EHljpU3gepOilhZWlFxiCgbboQtJyxt6fc3X61peBpGDP2bpfjFvPBJYzu384Qf7l1unUAYDRMk2fs5V1CTjd7KqPbxuKp73GgtC-u0VJb2epmPkmbk9TnVEqm7n4OCHdk4zbuyMYd2Tih3cRmMr34e8N7yx8Yk-DNSUDTnW4jZVd8pMFPt83kRxdS_F_-b-cZoJ4</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Rosenkrantz, Andrew B.</creator><creator>Siegal, Dana</creator><creator>Skillings, Jillian A.</creator><creator>Muellner, Ada</creator><creator>Nass, Sharyl J.</creator><creator>Hricak, Hedvig</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210901</creationdate><title>Oncologic Errors in Diagnostic Radiology: A 10-Year Analysis Based on Medical Malpractice Claims</title><author>Rosenkrantz, Andrew B. ; Siegal, Dana ; Skillings, Jillian A. ; Muellner, Ada ; Nass, Sharyl J. ; Hricak, Hedvig</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-54930071367d5d8e8e485b7976d612faf18efa4ccd34f331b8ebe77a1a82fdd53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Diagnostic Errors</topic><topic>diagnostic radiology</topic><topic>Humans</topic><topic>Malpractice</topic><topic>malpractice claims</topic><topic>Medical Errors</topic><topic>neoplasms</topic><topic>Radiography</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosenkrantz, Andrew B.</creatorcontrib><creatorcontrib>Siegal, Dana</creatorcontrib><creatorcontrib>Skillings, Jillian A.</creatorcontrib><creatorcontrib>Muellner, Ada</creatorcontrib><creatorcontrib>Nass, Sharyl J.</creatorcontrib><creatorcontrib>Hricak, Hedvig</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American College of Radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosenkrantz, Andrew B.</au><au>Siegal, Dana</au><au>Skillings, Jillian A.</au><au>Muellner, Ada</au><au>Nass, Sharyl J.</au><au>Hricak, Hedvig</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oncologic Errors in Diagnostic Radiology: A 10-Year Analysis Based on Medical Malpractice Claims</atitle><jtitle>Journal of the American College of Radiology</jtitle><addtitle>J Am Coll Radiol</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>18</volume><issue>9</issue><spage>1310</spage><epage>1316</epage><pages>1310-1316</pages><issn>1546-1440</issn><eissn>1558-349X</eissn><abstract>To retrospectively analyze the nature and extent of oncology-related errors accounting for malpractice allegations in diagnostic radiology.
The Comparative Benchmarking System of the Controlled Risk Insurance Company, a database containing roughly 30% of medical malpractice claims in the United States, was searched retrospectively for the period 2008 to 2017. Claims naming radiology as a primary service were identified and were stratified and compared by oncologic versus nononcologic status, allegation type (diagnostic versus nondiagnostic), and imaging modality.
Over the 10-year period, radiology was the primary responsible service for 3.9% of all malpractice claims (2,582 of 66,061) and 12.8% of claims with diagnostic allegations (1,756 of 13,695). Oncology (neoplasms) accounted for 44.0% of radiology cases with diagnostic allegations, a larger share than any other category of medical condition. Among radiology cases with diagnostic allegations, high-severity harm occurred in 79% of oncologic but just 42% of nononcologic cases. Of all oncologic radiology cases, 97.4% had diagnostic allegations, and just 55.0% of nononcologic radiology cases had diagnostic allegations. Imaging misinterpretation was a contributing factor for a large majority (80.7% [623 of 772]) of oncologic radiology cases with diagnostic allegations. The modalities most commonly used in oncologic radiology cases with diagnostic allegations involving misinterpretation were mammography and CT.
Oncology represents the largest source of radiology malpractice cases with diagnostic allegations. Oncologic radiology malpractice cases are more likely than nononcologic radiology cases to be due to diagnostic errors. Furthermore, compared with those that are nononcologic, oncologic radiology cases with diagnostic allegations are more likely to be associated with high-severity harm. Efforts are warranted to reduce misinterpretations of oncologic imaging.
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Diagnostic Errors diagnostic radiology Humans Malpractice malpractice claims Medical Errors neoplasms Radiography Radiology Retrospective Studies United States |
| title | Oncologic Errors in Diagnostic Radiology: A 10-Year Analysis Based on Medical Malpractice Claims |
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