{"title":"Medical legal evaluations on the radiological error: has the use of PACS introduced changes in cognitive errors?","authors":"M Salducci, V Martines, M S Simonelli","doi":"10.7417/CT.2025.5239","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>The introduction of PACS (Picture Archiving and Communication System) digital image archiving systems has changed the way radiologists work. We refer to a new typology of cognitive error that we can define as confirmation compulsion. It is a behavior that includes components of emotional influence, contour influence and the tendency to alliteration. The frequent possibility of comparing previous exams on the same reporting console leads radiologists to automatically compare with the latest exam being viewed. This operational methodology is not suitable for the identification of slowly evolving pathologies whose changes can only be appreciated through comparative evaluation considering time intervals longer than 6-12 months and equal, for example, to 24 months. This type of error is avoided by comparing with exams from two or three previous years.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"176 3","pages":"391-393"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinica Terapeutica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7417/CT.2025.5239","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: The introduction of PACS (Picture Archiving and Communication System) digital image archiving systems has changed the way radiologists work. We refer to a new typology of cognitive error that we can define as confirmation compulsion. It is a behavior that includes components of emotional influence, contour influence and the tendency to alliteration. The frequent possibility of comparing previous exams on the same reporting console leads radiologists to automatically compare with the latest exam being viewed. This operational methodology is not suitable for the identification of slowly evolving pathologies whose changes can only be appreciated through comparative evaluation considering time intervals longer than 6-12 months and equal, for example, to 24 months. This type of error is avoided by comparing with exams from two or three previous years.
摘要：PACS （Picture Archiving and Communication System）数字图像归档系统的引入改变了放射科医生的工作方式。我们指的是一种新的认知错误类型，我们可以将其定义为确认强迫。它是一种包括情绪影响、轮廓影响和头韵倾向的行为。由于可以频繁地在同一个报告控制台比较以前的检查结果，因此放射科医生可以自动地与查看的最新检查结果进行比较。这种操作方法不适用于鉴定缓慢发展的病理，这些病理的变化只能通过比较性评价来判断，考虑到时间间隔长于6-12个月，例如等于24个月。与前两三年的考试相比，这种错误可以避免。
期刊介绍：
La Clinica Terapeutica è una rivista di Clinica e Terapia in Medicina e Chirurgia, fondata nel 1951 dal Prof. Mariano Messini (1901-1980), Direttore dell''Istituto di Idrologia Medica dell''Università di Roma “La Sapienza”. La rivista è pubblicata come “periodico bimestrale” dalla Società Editrice Universo, casa editrice fondata nel 1945 dal Comm. Luigi Pellino. La Clinica Terapeutica è indicizzata su MEDLINE, INDEX MEDICUS, EMBASE/Excerpta Medica.
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