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digital.ahrq.gov/sites/default/files/docs/artificial-intelligence-tools-improve-slides-03182025.pdf
March 18, 2025 - Elevated Suspicion Diagnostic
breast exam(s)
Screening
mammography
Real-time AI
interpretation
Radiologist … Metric Radiologist AI (≥ 43) AI (≥ 75)
Accuracy 0.893 0.718 0.898
Precision (PPV) 0.121 0.053 0.117 … 0.113
Takeaways, Part I
• The AI algorithm achieved a high negative predictive value, similar to radiologist … • Depending on whether intermediate suspicion exams are also included for
immediate review, radiologists … • The AI algorithm identified several interval cancers that were previously missed by
the radiologist
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - were considered only after clinical
decompensation became obvious.
11
Background (1)
• The radiologist … • While inpatient physicians are not radiologists, many abnormal
radiology findings are apparent … even to non-radiologists. … The failure
of the radiologist to communicate these findings to the treatment
team in a timely manner … technology may improve communication by identifying
and locating ordering providers as well as prompting radiologists
-
psnet.ahrq.gov/node/44476/psn-pdf
September 26, 2016 - in the clinical environment, and they have been linked to an increased risk of
diagnostic errors by radiologists
-
psnet.ahrq.gov/node/46178/psn-pdf
December 22, 2017 - indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
https://psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
-
psnet.ahrq.gov/node/49805/psn-pdf
September 01, 2017 - intern
should have interpreted the image correctly while simultaneously confirming the finding with a radiologist … Instead, a more robust solution would involve both timely interpretation by an
experienced radiologist … Having a
dedicated radiologist read all images the following workday ultimately led to this patient's … It is likely that hospital leadership's decision to require only certain studies be reviewed by a radiologist
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psnet.ahrq.gov/node/50381/psn-pdf
September 25, 2019 - hindered acceptance of the practice and highlight how communication-and-resolution programs can
support radiologist
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psnet.ahrq.gov/node/837798/psn-pdf
August 10, 2022 - This commentary presents a closed-loop communication model for
the ordering clinician and radiologist
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - On hospital day 26, the
radiologist described an evolving mediastinal process with gas suggestive of … “challenging case” multidisciplinary conference might have
prompted the patient’s intensivist(s), radiologist … hospitals have strategies to ensure that critical radiographic findings are promptly communicated by
radiologists
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - Aggravating the delay in diagnosis, the radiologist did not convey critical findings from the chest CT … In the remaining 68 reports with critical findings, the reporting radiologist did not call the clinician … for 24 (35%). 39 While inpatient physicians are not radiologists, many abnormal radiology findings … are apparent even to non-radiologists. … The failure of the radiologist to communicate these findings to the treatment team in a timely manner
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
January 01, 2024 - Highest
89% of respondents agreed
that "Providers in this office talk directly
with specialists/radiologists … (Item DXC4,
NA/DK/MI = 45%)
61
Providers in this office talk directly with
specialists/radiologists … (Item DXC4) 62% 64% 62% 54%
Providers in this office talk directly with specialists/radiologists/pathologists … (Item DXC4) 51% 71% 48% 68% 73% 61%
Providers in this office talk directly with specialists/radiologists … (Item DXC4) 59% 63% 60%
Providers in this office talk directly with specialists/radiologists/pathologists
-
psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - Aggravating the delay in diagnosis, the radiologist did not convey critical findings from the chest CT … In the remaining 68 reports with critical findings, the reporting radiologist
https://psnet.ahrq.gov … psnet.ahrq.gov//#37
did not call the clinician for 24 (35%).39 While inpatient physicians are not radiologists … , many abnormal
radiology findings are apparent even to non-radiologists. … The failure of the radiologist to
communicate these findings to the treatment team in a timely manner
-
psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - internists presented with a thrombosis of the SFV advised anticoagulation.( 4 ) Ask any vascular surgeon, radiologist … Despite this standard among anatomists, most vascular clinicians (surgeons, radiologists, vascular laboratory … With increased awareness of this common and dangerous error, many vascular laboratories and radiologists
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psnet.ahrq.gov/issue/case-studies-medication-reconciliation
February 15, 2023 - June 2, 2021
Radiologists make more errors interpreting off-hours body CT studies during
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psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
September 18, 2024 - frequently implemented practices were ensuring access to medical interpreters, continuous access to radiologists
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psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
March 12, 2025 - This Veterans Affairs study found that 0.17% of radiologic studies were not evaluated by radiologists
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psnet.ahrq.gov/node/866105/psn-pdf
June 12, 2024 - psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist
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psnet.ahrq.gov/node/48159/psn-pdf
July 31, 2019 - This review analyzes the research on this topic and calls for an enhanced examination of how
radiologist
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psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
November 19, 2014 - This podcast series examines diagnosis and the role of radiologists and pathologists in the process
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psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis
February 26, 2025 - Stand-alone artificial intelligence for breast cancer detection in mammography: comparison with 101 radiologists
-
psnet.ahrq.gov/node/47814/psn-pdf
March 24, 2019 - psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist