Table 2 Themes identified from submitted cases
Identified educational themes No of cases (percentage of total 632 cases to the nearest %) | Type of error | Number of cases | |
|---|---|---|---|
True discrepancies | |||
1 | Missed cancer 119 (19%) | Missed lung cancers | 58 |
Other missed cancers | 64 | ||
2 | Incorrect staging 104 (16%) | Incorrect T staging | 10 |
Incorrect nodal staging | 18 | ||
Incorrect staging of metastases | 76 | ||
3 | Misreporting of cancer 62 (10%) | Benign called cancer | 40 |
Cancer called benign | 22 | ||
4 | Fractures 36 (6%) | Missed fractures or dislocations | 31 |
Fracture mimics called fractures | 5 | ||
5 | Other clinically significant errors 161 (25%) | Non-cancer non-fracture errors incidental to reason for request (e.g. PE missed on staging CT) | 36 |
Non-cancer non-fracture errors relevant to reason for request (e.g. perforation of gall bladder missed on cholecystitis CT) | 125 | ||
‘Good spots’ | |||
6 | ‘Good spot’ 49 (8%) | No error. Example of good practice. | 49 |
Other cases | |||
7 | System error 37 (6%) | Technical/communication/protocolling/IT/delayed report errors | 37 |
8 | Educational case 53 (8%) | No error. Normal/interesting cases presented for education only | 53 |
9 | Procedural complications 8 (1%) | Complications arising from radiological procedures | 8 |