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Wysłany: Śro 1:29, 23 Mar 2011 |
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Grass-roots work in the radiology department of misdiagnosis and missed diagnosis
Resolution, the smaller the distortion. projection back to the projection personnel issues; ② doctor will reflect the projection picture problems directly or fed back to the projection chamber staff officers, and doctors diagnosed a play off final quality control, non-diagnostic films never diagnosed. 2 .2.4 imaging diagnosis to create a good film viewer 2.2.4.1 environment: ① Opinion of moderate ambient brightness (the light should be just slightly dark); ② film viewer room to keep quiet, nothing to prevent people from entering. 2. 2.4.2 Imaging Diagnosis of the clinical physicians should master certain knowledge, in order to better the clinical data and imaging features combine to improve diagnostic accuracy. ① new staff to participate in radiological diagnosis, clinical departments should be to rotate at least 2 years. ② clinicians from time to time invited to the radiology department for academic lectures, focusing on about disease etiology, pathology, clinical presentation, physical examination, diagnosis and differential diagnosis. ③ I clinical departments often participate in ward rounds, consultations, discussions and other medical records. ④ strengthen follow-up,[link widoczny dla zalogowanych], review mistakes. ⑤ work should concentrate fully aware of the ideological right or not will directly affect the diagnosis, treatment and prognosis of patients, must have a high sense of responsibility. ⑥ first comprehensive assessment of technical conditions photos to determine photo quality can meet the diagnostic requirements, and in the photo analysis process fully into account the impact of photo quality; in order to avoid missing X-ray findings, should be a certain order, a comprehensive and systematic ridicule film-reading observations. ⑦ with the provision of clinical images data combined, if necessary, personally asked to check in patients. ⑧ avoid metaphysics, arbitrary to conclusions. If necessary, add photos or supplemented perspective, such as the lung texture (especially crude, chaotic texture) could easily lead to a small mass illusion, fluoroscopy rotational position can be identified; rib fracture, the conventional projection may not be able to find lesions,[link widoczny dla zalogowanych], fluoroscopy can often turn the exposed position. ⑨ not clear whether the event of difficult or unusual situation, to clinicians can make appropriate recommendations, such as the other imaging studies, other laboratories, endoscopy, biopsy and other tests were followed up for observation, experimental treatment; In addition,[link widoczny dla zalogowanych], x-ray examination was negative and there can not rule out the possibility of disease because many diseases can be no positive x in the early I called the line's performance, such as avascular necrosis of the early x-ray findings can be negative,[link widoczny dla zalogowanych], may recommend further action MRI or angiography, if necessary, referral; some early fracture, x-ray findings inaccurate, but after a certain time , due to absorption of the exposed stump of bone fracture line may recommend referral (usually 2 weeks after injury), to clarify whether lesions [41. ⑩ photo above is subject to two after the diagnosis of doctors read the piece, the report issued before . If a doctor who is really little and the day of diagnosis of other doctors can not re-read, the film should not loan the same day (day after doctors diagnosed the other names I once again re-read or re-read). These are some of the author's humble opinion summary for peer exchange corrected in order to work better. If we work to minimize errors, the incidence of missed diagnosis, not only marks the level of our business to improve and enhance their own sense of accomplishment, but also reduce a lot of trouble, dispute, won the patients trust and improve the hospital's reputation, strengthen our competitiveness in the market; more important is to improve the physical quality people, make them better into society wealth creation,[link widoczny dla zalogowanych], the reduction of national medical resources, investment, consumption and so on. Thus, misdiagnosis can be prevented, the importance of not making a fuss, let us together with the health messengers rigorous scientific attitude and high work ethic to overcome More articles related to topics:
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