Lecture 8: Incorporating second opinions to reduce errors
Goal: Discuss how to incorporate second opinions into routine practice to reduce diagnostic errors
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Lecture 8 Pretest

In the study on radiologist-initiated double reading of abdominal CT by Lauritzen et al., what was the most common category of pathology where double-reading identified clinically important changes?

  1. Trauma
  2. Cancer
  3. Infection
  4. Obstruction

During which of the following activities is double-reading incorporated into routine practice?

  1. Performance of invasive procedures
  2. Curbside consults
  3. Case conferences
  4. Tumor boards

Which of the following is a major advantage of prospective double reading over traditional retrospective peer review?

  1. Diagnostic errors are identified before they impact patient care
  2. Less time to perform
  3. Double reads can be submitted for reimbursement
  4. Eliminates diagnostic errors

Which of the following is an example of metacognition?

  1. Using heuristics to make decisions when there is uncertainty
  2. Employing pattern recognition to make a diagnosis
  3. Tendency to be influenced by how a problem is presented
  4. Recognizing instances when data are not fitting together

Which of the following strategies can be used by radiologists when they are interpreting a study and the data are not fitting together?

  1. Recommend another imaging study
  2. Consult a colleague
  3. Leave exam for someone else to interpret
  4. Follow-up case to determine if an error was made
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