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

Mark Gusack gusackm at COMCAST.NET
Sun Mar 3 22:29:46 UTC 2019


Good Afternoon Everyone:

 

I agree that double reading is very valuable.  We do it all the time in
Surgical and Cytopathology.  However, the devil is in the details.  The
double read has to occur under circumstances that assures both do an
independent read to avoid bias.  In addition, it has to be structured so the
'ball' isn't dropped because each figures the other will get it if they
don't.  Finally, there has to be a way of resolving differences of 'opinion'
that avoids confrontation and provides as means of a 'third party' expert
being available to confirm one, or the other, or neither diagnosis.

 

Mark Gusack, M.D.

President

MANX Enterprises, Ltd.

304 521-1980

www.manxenterprises.com <http://www.manxenterprises.com> 

 

From: Bruno, Michael <mbruno at PENNSTATEHEALTH.PSU.EDU> 
Sent: Sunday, March 3, 2019 2:55 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] 2 articles of interest - Are more heads better than
one?

 

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 <mailto:keapple at UKY.EDU> >
Sent: Sunday, March 3, 2019 7:15 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
<mailto: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=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxn
Tj0&r=XZJky8Jx0OuETXcWpBMhx9j_wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3f
lNDZXves7yjGtviYQoE&s=yu-WCLXEYbV95mPkkhipwS-7GWgPwOQRgaQsNXUoitM&e=> 

 


 
<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.ajronline.org_doi_
pdf_10.2214_AJR.17.18339&d=DwMFAw&c=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxn
Tj0&r=XZJky8Jx0OuETXcWpBMhx9j_wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3f
lNDZXves7yjGtviYQoE&s=yu-WCLXEYbV95mPkkhipwS-7GWgPwOQRgaQsNXUoitM&e=>
Trainees May Add Value to Patient FOCUS ON: Care by Decreasing Addendum
Utilization in Radiology Reports - ajronline.org

www.ajronline.org
<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ajronline.org&d=DwQ
FAw&c=_FmMnDvUH5queZcSmOuBzHZMbp7E7EwtGwv5cxxnTj0&r=XZJky8Jx0OuETXcWpBMhx9j_
wSYpSZPDVXdInJ5O9gQ&m=EAMFtePHzo6ZQgbZ2v0FJz3flNDZXves7yjGtviYQoE&s=cnHDh3Vu
icDuDQBbBCK8W_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 <mailto:dm0015 at COMCAST.NET> >
Sent: Saturday, March 2, 2019 1:08 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
<mailto: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?guestAc
cessKey=1856b32c-88c6-4eda-912e-9717b95a5807&utm_source=silverchair&utm_camp
aign=jama_network&utm_content=weekly_highlights&cmp=1&utm_medium=email

 

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2726709?guestAc
cessKey=464bc45c-77b0-442b-993e-c1e91e784773&utm_source=silverchair&utm_camp
aign=jama_network&utm_content=weekly_highlights&cmp=1&utm_medium=email

 

 

David

David L Meyers, MD FACEP

Society to Improve Diagnosis in Medicine

Listserv Moderator/Board member

www.improvediagnosis.org

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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