Several recent publications established a correlation between neuroradiology workload
and errors (
1
,
2
). Ivanovic et al. (
3
) in their paper in Academic Radiology proposed in response “….instituting a ceiling of around 40 studies per day within our neuroradiology Division
once we are able to be fully staffed”. That caveat, “fully staffed”, reminds us of a line in Hamlet's soliloquy- “…ay,
there's the rub”. Radiology departments have been struggling with the definition of
adequate staffing for decades with varying success. Leadership at many academic centers
use metrics from other similar sized hospitals as a benchmark for their own staffing,
but this approach just establishes parity and is not based on any quality measure.
In the conclusion of this paper they advocate “… national guidelines establishing a range of what is a safe number of interpreted cross-sectional
studies per day”.Ivanovic V, Paydar A, Change YM, et al. Impact of shift volume on neuroradiology diagnostic errors at a large tertiary academic center. Academic Radiology https://doi.org/10.1016/j.acra.2022.08.035.
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References
- Diagnostic errors in cerebrovascular pathology: retrospective analysis of a neuroradiology database at a large tertiary academic medical center.AJNR. 2022; 43: 1271-1278
- Risk factors for perceptual-versus-interpretative errors in diagnostic neuroradiology.AJNR. 2019; 40: 1252-1256
Ivanovic V, Paydar A, Change YM, et al. Impact of shift volume on neuroradiology diagnostic errors at a large tertiary academic center. Academic Radiology https://doi.org/10.1016/j.acra.2022.08.035.
- Effect of restricting resident's duty hours on patient safety, resident well-being, and resident education: an updated systematic review in graduate education.J Grad Med Educ. 2015; 7: 349-363
- Inter-rater agreement in the evaluation of discrepant imaging findings with the radpeer system.AJR. 2012; 199: 1320-1327
Article info
Publication history
Published online: April 13, 2023
Accepted:
March 3,
2023
Received:
December 16,
2022
Identification
Copyright
© 2023 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.
