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Common Radiology Malpractice Mistakes and How to Avoid Them

Jun 27, 2023

We’ve all been there. You’ve been hit with a shock from an unexpected diagnosis or been unsure of the recommended medical treatment based on what you thought was the case. Radiology malpractice cases have been on the rise in recent years, and it’s worth educating ourselves on the potential liabilities of radiologic mistakes. Today’s blog post will discuss common mistakes made in the field of radiology and how to stay ahead of them. We’ll examine potential liability risks related to reading errors, patient information mistakes, and diagnostic imaging errors. We’ll then discuss ways to reduce the chances that medical malpractice will occur and suggest strategies to minimize errors and maximize resources. Get ready to look closely into the state of radiology malpractice and how to protect yourself from potentially costly mistakes.


Common Forms of Radiology Malpractice

Radiology malpractice is an unfortunate phenomenon that can have devastating consequences for patients, ranging from worsened health conditions to physical and psychological damage. Some of the most common forms of radiology malpractice include misdiagnosis, delayed diagnosis or treatment, failure to order necessary tests or treatments, failure to adhere to accepted standards of care, and misuse of technology or equipment.

When misdiagnosing a patient’s condition or symptoms, a radiologist may have missed signs that indicate the presence of a certain disease or abnormality. Delayed diagnosis (or late discovery) often results when doctors fail to follow through on a patient’s diagnostic imaging test results or misinterpret them. In addition, the failure to order necessary tests can lead to a misdiagnosis in many cases. Finally, if the radiologist fails to adhere to accepted standards of care by ignoring obvious signs and symptoms on an x-ray image or
MRI scan, it could be counted as radiologic negligence.

Misuse of technology may also occur if the radiologist does not use proper techniques to interpret images correctly and accurately. For example, failing to properly adjust contrast levels, analyze all relevant findings contained within an image, or utilize computer-aided detection software can all result in a misread image. In some extreme cases, radiologists have even been accused of deliberately fabricating image results in order to obtain insurance money through fraudulent claims.

No matter the form that radiology malpractice takes, it is important for both physicians and patients alike to remain alert for possible mistakes in imaging practices. Taking proactive steps and improving communication between doctors and patients can help reduce the occurrence of such incidents. As we will discuss in the next section, specific steps can be taken to ensure that proper imaging procedures are followed and that patients receive only the highest quality of care from their healthcare providers.


Improper Imaging Procedures

One of the most common forms of radiology malpractice is improper imaging procedures. Poor imaging can result in a misdiagnosis or a false diagnosis, resulting in delayed or improperly managed treatment and an increased risk of harm to the patient. Mistakes associated with these types of procedures range from technical errors to failing to provide the best possible image characteristics that capture all relevant information.

A fundamental part of an imaging procedure involves proper positioning of the patient and equipment. Even properly positioned assessment tools and incorrect technique can lead to flawed images. Technical factors such as two-dimensional versus three-dimensional acquisition, proper collimation, and aberrations should be considered as well. Another common mistake is incorrectly selecting the wrong processes or views during an imaging investigation. Incorrect selection includes using inadequate magnification and not taking into account special circumstances such as the age group, size, or sensitivity of the patient, implant presence, or joint movements.

It is also important to recognize that even if technically correct techniques are used, suboptimal images may still be produced due to an incomplete radiologic evaluation or poor quality source materials. A misread report could also result in the misinterpretation or incorrect interpretation of results due to inadequate communication between clinicians and radiologists.

Given these risks, healthcare institutions must strive for ongoing training and improvement in an imaging quality assurance program that establishes appropriateness criteria for ordering imaging studies, tracks error rates, provides feedback to personnel involved in imaging studies, evaluates outcomes, and establishes a standard set of protocols for operating procedures. With careful attention to detail, proper technique, and appropriate resources and tools, it is possible to reduce errors associated with inaccurate imaging procedures significantly.

As care providers strive for accuracy regarding medical images, they must also consider their limited resources and tools when seeking to maximize patient safety and clinical care quality. Providing adequate outside support systems as well as reliable imaging modalities are essential components of appropriate medical practice in radiology departments today.

Inadequate Resources and Tools

Ineffective use of resources and tools often leads to costly and time-consuming mistakes when performing radiological services. However, simply having access to the right resources and technologies is not enough. If a facility or provider is not well-versed in how these tools should be utilized, it could lead to an increase in medical errors. This prohibits radiologists from providing the best possible diagnostic imaging care for their patients.

On the one hand, there are cases where innovative technology can provide powerful results for imaging diagnosis and treatments. Sophisticated software, for example, offers tremendous accuracy and detail, allowing radiologists to detect abnormalities that would otherwise go unnoticed with traditional resources. On the other hand, not having access to the necessary technology can impair a radiologist’s ability to make an informed diagnosis. Without proper utilization of the available resources and tools, an overreliance on manual methods may result in a delay in accurate diagnosis and potentially endanger the health of patients.

It is important for medical facilities to invest in proven technology that adheres to safety standards in order to provide quality radiologic services for their patients. Radiologists need to be properly trained in using all the available resources before conducting any kind of imaging test. It is important for them to be knowledgeable about recognizing potential risks related to inadequate resources and understanding how best to utilize them in order to receive optimized results.

Thus, it is essential for healthcare providers to be aware of the importance of adequate resourcing with reliable imaging equipment and educated practitioners, as this will help ensure patient safety and prevent adverse events related to improper radiological procedures. By taking these precautions into account, hospitals can help reduce the likelihood of malpractice lawsuits due to negligence resulting from inadequate resourcing or practice. To build continuity, this then leads us into focusing on another common source of legal claims regarding medical malpractice—the potential health and safety risks associated with radiological techniques.


Potential Health and Safety Risks

While inadequate resources and tools can be a threat to the healthcare system, so can potential health and safety risks. These risks are a major cause of radiologic malpractice and require attention in order to protect patients. Radiologic technologists have a moral responsibility to ensure they take all necessary steps when performing a scan or test to avert any harm that may arise.

There are many potential health risks associated with radiology, such as radiation exposure, which can occur when handling radioactive materials and when taking improper care of scans, tests, images, etc. This is why it’s important for radiologic technologists to follow protocols and use the right tools, such as appropriate protective lead shields, dosimeters, and other radiation-protection devices, for each procedure. Furthermore, it is equally important for medical professionals to evaluate the benefits versus the risks associated with performing a specific technique in order to make an informed decision that prioritizes patient safety.

In order to minimize potential health and safety risks, radiologic technologists should regularly review patient information prior to any procedure and ensure detailed records are kept of the patient’s medical history. By following these precautions, medical practitioners can minimize the risk of not only radiologic malpractice but also improve patient safety.

The next step in ensuring safe practice is understanding the importance of avoiding unnecessary tests and scans. While taking all necessary steps to provide an accurate diagnosis plays an essential role in safeguarding both patient trust and safety, being aware of when a procedure is overused or even unnecessary can also prove beneficial and lead to better overall healthcare practice.


Unnecessary Tests and Scans

Unnecessary tests and scans are ones that have been performed when they can be deemed unnecessary or avoidable, causing extra health risks such as radiation exposure. Such costs of these tests and scans could have been avoided, but considering the potential liabilities at stake, some doctors often order them out of “caution”. As physicians, it is our responsibility to ensure that all radiology tests and scans remain evidence-based while avoiding the risks of subjecting patients to unnecessary radiation.

Those in favor of avoiding unnecessary imaging say that there are dangers associated with any test or scan—even those deemed as “low dose—due to the amount of cumulative radiation exposure patients can receive over years worth of medical imaging. Patients need to be properly informed about risk vs. benefit, especially when it comes to a recurrent scan like a CT scan. Supporters also voice concern over the economic costs of repeated tests and scans that may not produce anything useful, which could potentially lead to higher healthcare penalties for all parties involved.

Opponents of this argument point out that errors can occur during interpretations or analyses if images are not correctly read or interpreted. Some medical professionals might feel pressure from other doctors to order additional imaging studies for proper patient diagnostics in serious cases. As a result, even if an additional test or scan is deemed unnecessary, it may still be necessary in certain scenarios.

Although there is some truth behind both sides of the argument in regards to ordering excessive imaging tests and scans, speaking out on being prudent in these decisions should become an ethical standard for all physicians, regardless of the situation. As medical professionals, we must be aware of how to evaluate such situations objectively and effectively for what is best for the patient without compromising care quality or safety by limiting our decision-making based on hospital policies and protocols. Every X-ray taken requires a cost-benefit analysis concerning its outcome and potential consequences before proceeding with the test or scan. This means providing evidence-based explanations to our patients on why acquiring certain images should be done instead of merely relying on total avoidance practices when conservative treatments like physical therapy have not yet been attempted. In some cases, further investigation via imaging may still be needed despite conservative therapy being used as a formality protocol first due to the known implications associated with only using conservative options alone at times.

Therefore, it is important to contextualize each scenario while being mindful that every patient’s condition varies accordingly depending on their individual needs and existing circumstances, and to have a firm understanding of the principles behind avoidance practices applied within the current system of radiologic medicine care today. Although these debates may never resolve completely, their valuable implications hold significance for improving radiologists’ management practices overall and ensuring good patient outcomes moving forward into the next section about unsatisfactory results or outcomes.


Unsatisfactory Results or Outcomes

Unsatisfactory results or outcomes are a common type of radiology malpractice. This occurs when the results of a scan or test do not meet the standard of care expected for that particular type of examination, leading to an inadequate diagnosis or treatment plan for the patient. Radiologists must be willing to take responsibility for their role in any poor outcome, and, as with unnecessary tests and scans, errors should be actively identified and rectified.

Generally speaking, different medical professionals and facilities consider various levels of acceptable outcomes from radiology procedures. Different approaches—e.g., radiologist-related, non-radiologist-related, institutionally influenced—may contribute to unsatisfactory outcomes; this means addressing radiology malpractice can be complex, requiring multiple stakeholders involved in the process to take proactive action.

Despite this complexity, there are steps radiologists can take to ensure they are meeting standards of care when it comes to satisfactory results or outcomes. Their responsibility is to ensure they have tested or scanned correctly; patients should also be informed beforehand if there is reason to believe results may not yield reliable data (e.g., due to tissue structure). When mistakes occur, communication needs to be honest and swift so that corrective measures can be taken if necessary.

The risk associated with unsatisfactory results or outcomes cannot be overstated; therefore, it is essential for all parties involved in radiology-related diagnoses and treatments to follow best practices at all times. By jointly recognizing the numerous factors that can lead to insufficient outcomes from radiological procedures, medical professionals and institutions will always strive to uphold the highest standards of care possible and minimize risks as much as possible. With this commitment in place, we can move forward with addressing injuries and damages caused by radiology malpractice more effectively and efficiently.


Injuries and Damages Caused by Radiology Malpractice

When a patient is injured or experiences damage due to radiologic malpractice, the effects can be serious. It often means that the patient experiences an additional burden of treatment and expenses that could have been avoided if not for the mistake. Injuries caused by radiology malpractice can range from minor to life-altering, with numerous implications for patients, including physical pain, emotional distress, and financial losses.

The most common injuries caused by radiologic malpractice involve misdiagnosis or delayed diagnostics. Diagnostic errors may be related to misinterpreting imaging tests such as X-rays, CT scans, and MRIs or inaccurately interpreting laboratory results. Delayed diagnosis can lead to a missed opportunity to provide a patient with prompt and effective treatment, which can worsen the patient’s condition, leading to further injury and increased care costs. For example, in some cases of cancer where prompt diagnosis and treatment are especially important, delays can mean the difference between successful recovery and death. Furthermore, even when the misdiagnosis does not lead to physical injury, it can still result in significant disruption of life due to medical interventions that occur after the wrong diagnosis has been made.

Under what circumstances a healthcare provider may be liable for radiology malpractice is argued on both sides; while it’s true that negligence must be proven in order to hold any professional accountable, there are certain situations in which obvious errors were made or standards deviated from their established protocols. Studies have shown that technology mistakes remain a primary contributing factor to radiology malpractice claims. Inaccurate data inputs that result in incorrect results that practicing radiologists misinterpret are examples of technology errors, as are failed software updates and events related to system usability problems. In such cases, radiologists can be found liable for using out-of-date equipment, inexperienced interpretation with new technologies, or a lack of appropriate communication among all involved practitioners. Another situation that may cause liability is inadequate staffing levels, which can cause fatigue and impair proper screening resulting from work overloads, which are often caused by under-resourcing in practice environments.

In conclusion, all healthcare providers should take preventative measures against radiological malpractice in the form of maintaining knowledge and skills, providing adequate resources (staffing) to reduce workloads, and maintaining accurate records through frequent software updates, amongst other factors. When errors occur, patients may suffer severe physical and financial injuries requiring compensation; however, proving negligence remains necessary in order to hold any professional liable for radiological malpractice-related damages.


Contact Our Radiology Malpractice Attorneys for Expert Legal Assistance

If you or a loved one has suffered from radiology malpractice, you know how devastating it can be. 


At Frischman and Rizza, our experienced attorneys understand the complexities of these cases and are here to help. We’ve put together this guide to help you understand the common radiology malpractice mistakes and how to avoid them. 


However, if you believe that you’ve been the victim of radiology malpractice, it’s important to seek legal help right away. Our skilled radiology malpractice attorneys are here to provide the legal assistance you need to pursue justice and compensation for your injuries. 


Contact us at (412) 291-9377 to schedule a consultation and learn more about how we can help you with your case.



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