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SVMIC Diagnostic Radiology: Interpreting the Risks


                     •  Consistently focus on clear effective communication,

                        especially clear written communication, so that the
                        radiologist’s message is not lost or misunderstood


                     •  Use harm mitigation and fail-safe strategies to place

                        redundant layers of protection between the radiologist and
                        the patient, including trigger tools to identify errors so that
                        they can be corrected before harm occurs


                     •  Reduce, to the extent possible, interruptions and

                        distractions

                     •  Give attention to individual physician factors, such as

                        illness or advancing age, and it may be appropriate in
                        some isolated cases to assure that these factors do not

                        significantly affect diagnostic performance

                     •  Employ systems-level thinking – understanding the

                        individual radiologist’s role within the context of the
                        larger healthcare team and process and empathetically

                        understanding the roles and needs of others within that
                        system


                     •  Foster a blame-free and just culture              6






                 Key Challenge #4: The “Invisible”

                 Radiologist



                 An issue that can be considered the reverse side of the

                 communication coin is the challenge of the “invisible role” of the
                 radiologist in the modern medical practice. This lack of direct
                 patient interaction, while not the basis for a claim, can certainly



                 6  Understanding and Confronting Our Mistakes: the Epidemiology of Error in Radiology and Strategies
                 for Error Reduction, RadioGraphics 2015; 35:1668-1676.

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