2 articles of interest - Are more heads better than one?

Bruno, Michael mbruno at PENNSTATEHEALTH.PSU.EDU
Sun Mar 3 19:55:29 UTC 2019


Yes, that was a fantastic paper!!  I think your data suggest that the potential value of double reading could be as much as 12X for error reduction.  I cited it on p3 of the attached paper from the December, 2018 issue of the journal Radiology.



Mike





________________________________
From: Applegate, Kimberly E <keapple at UKY.EDU>
Sent: Sunday, March 3, 2019 7:15 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] 2 articles of interest - Are more heads better than one?


Thank you--in some countries double radiology interpretations are required (e.g., Sweden) and we might find addition evidence for value of collective intelligence.



As one proxy measure for error,  we looked at the addenda rate in radiology reports and noted fewer addenda when a radiology resident had co-interpreted with us. Many hypothesized just the opposite. This suggests that 2 pair of eyes serves our patients better than one pair. AI may do the same to augment our abilities. Parenthetically, women radiologists were more likely to perform addenda than men. This leads to further social science questions.

Kimberly Applegate, MD, MS


https://www.ajronline.org/doi/pdf/10.2214/AJR.17.18339<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.ajronline.org_doi_pdf_10.2214_AJR.17.18339&d=DwMFAw&c=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxnTj0&r=XZJky8Jx0OuETXcWpBMhx9j_wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3flNDZXves7yjGtviYQoE&s=yu-WCLXEYbV95mPkkhipwS-7GWgPwOQRgaQsNXUoitM&e=>


Trainees May Add Value to Patient FOCUS ON: Care by Decreasing Addendum Utilization in Radiology Reports - ajronline.org<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.ajronline.org_doi_pdf_10.2214_AJR.17.18339&d=DwMFAw&c=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxnTj0&r=XZJky8Jx0OuETXcWpBMhx9j_wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3flNDZXves7yjGtviYQoE&s=yu-WCLXEYbV95mPkkhipwS-7GWgPwOQRgaQsNXUoitM&e=>
www.ajronline.org<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ajronline.org&d=DwQFAw&c=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxnTj0&r=XZJky8Jx0OuETXcWpBMhx9j_wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3flNDZXves7yjGtviYQoE&s=cnHDh3VuicDuDQBbBCK8W_yaCJmJ1ijgZuBJoSiVB6A&e=>
976 AJR:209, November 2017 patient care decisions [6]. To correct or ex-pand on a previously finalized report, radi-ologists must generate an addendum to the




________________________________
From: David L Meyers <dm0015 at COMCAST.NET>
Sent: Saturday, March 2, 2019 1:08 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] 2 articles of interest - Are more heads better than one?

An interesting article and editorial comment, just published, relevant to improving diagnosis:

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2726708?guestAccessKey=1856b32c-88c6-4eda-912e-9717b95a5807&utm_source=silverchair&utm_campaign=jama_network&utm_content=weekly_highlights&cmp=1&utm_medium=email<https://urldefense.proofpoint.com/v2/url?u=https-3A__na01.safelinks.protection.outlook.com_-3Furl-3Dhttps-253A-252F-252Fjamanetwork.com-252Fjournals-252Fjamanetworkopen-252Ffullarticle-252F2726708-253FguestAccessKey-253D1856b32c-2D88c6-2D4eda-2D912e-2D9717b95a5807-2526utm-5Fsource-253Dsilverchair-2526utm-5Fcampaign-253Djama-5Fnetwork-2526utm-5Fcontent-253Dweekly-5Fhighlights-2526cmp-253D1-2526utm-5Fmedium-253Demail-26data-3D02-257C01-257Ckeapple-2540UKY.EDU-257Cbab531af97f5430f1c1208d69f3a26ef-257C2b30530b69b64457b818481cb53d42ae-257C0-257C1-257C636871469444760085-26sdata-3DoAzpxiki519EpecFrku1fTD9Qi2ayKDa-252B-252FO0ERf6lsU-253D-26reserved-3D0&d=DwMFAw&c=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxnTj0&r=XZJky8Jx0OuETXcWpBMhx9j_wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3flNDZXves7yjGtviYQoE&s=erI_D95U1zanI2cyIcizWb9rWaavDu72ezoj3uttdDg&e=>

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2726709?guestAccessKey=464bc45c-77b0-442b-993e-c1e91e784773&utm_source=silverchair&utm_campaign=jama_network&utm_content=weekly_highlights&cmp=1&utm_medium=email<https://urldefense.proofpoint.com/v2/url?u=https-3A__na01.safelinks.protection.outlook.com_-3Furl-3Dhttps-253A-252F-252Fjamanetwork.com-252Fjournals-252Fjamanetworkopen-252Ffullarticle-252F2726709-253FguestAccessKey-253D464bc45c-2D77b0-2D442b-2D993e-2Dc1e91e784773-2526utm-5Fsource-253Dsilverchair-2526utm-5Fcampaign-253Djama-5Fnetwork-2526utm-5Fcontent-253Dweekly-5Fhighlights-2526cmp-253D1-2526utm-5Fmedium-253Demail-26data-3D02-257C01-257Ckeapple-2540UKY.EDU-257Cbab531af97f5430f1c1208d69f3a26ef-257C2b30530b69b64457b818481cb53d42ae-257C0-257C1-257C636871469444770094-26sdata-3D69SDOVELd8-252FeKKnm-252F1YC-252FViGj1Hcf2fMkdXn3xYBBFs-253D-26reserved-3D0&d=DwMFAw&c=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxnTj0&r=XZJky8Jx0OuETXcWpBMhx9j_wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3flNDZXves7yjGtviYQoE&s=lQkKez--1HANf6ODFFrUQ77U4kq3DKZNXc9yIBhSkek&e=>


David
David L Meyers, MD FACEP
Society to Improve Diagnosis in Medicine
Listserv Moderator/Board member
www.improvediagnosis.org<https://urldefense.proofpoint.com/v2/url?u=https-3A__na01.safelinks.protection.outlook.com_-3Furl-3Dhttp-253A-252F-252Fwww.improvediagnosis.org-26data-3D02-257C01-257Ckeapple-2540UKY.EDU-257Cbab531af97f5430f1c1208d69f3a26ef-257C2b30530b69b64457b818481cb53d42ae-257C0-257C1-257C636871469444770094-26sdata-3DVcUSqaqIZ7BmMz64YU-252FwCCDPk9L4MvptQvG-252F-252BZKfa-252Bo-253D-26reserved-3D0&d=DwMFAw&c=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxnTj0&r=XZJky8Jx0OuETXcWpBMhx9j_wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3flNDZXves7yjGtviYQoE&s=yhwoZxN27sFFLuCqsiuOm23Oasc0OJdNIX0T61oziO4&e=>
Save the Dates: Diagnostic Error in Medicine Conference (DEM2019), November 10-13, 2019 at Hyatt Regency Washington, DC (Capitol Hill)
AusDEM2019, April 28-30, 2019; Melbourne, Aus








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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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