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Nov 19
2009
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in their care, and consider disclosures an important part
of a trusting relationship with their physicians (1)
How will you disclose unanticipated unfavorable outcomes? To whom will you disclose? How much will you tell?
Mammogram Errors
In “Disclosing Harmful Mammography Errors to Patients” Thomas H. Gallagher et al(2) tried to assess the attitudes about disclosing errors to patients by using a survey with a vignette involving an error interpreting a patient’s mammogram leading to a delayed diagnosis. This study was based on a survey which included items on demographics, practice characteristics, and experience in radiology and breast imaging. A copy of the survey is available online (http://breastscreening.cancer.gov)
To assess radiologists’ attitudes about disclosing errors to patients, the survey contained a vignette involving an error interpreting a patient’s mammogram, leading to a delayed cancer diagnosis:
“A diagnostic mammogram for a new palpable lump shows an obvious malignant lesion. You realize a mistake was made in your prior interpretation of this woman’s last screening mammogram. Prior films had apparently been put up in reverse order, and you mistakenly concluded that the calcifications were decreasing in number when they were actually increasing. Your prior incorrect interpretation has resulted in a delayed diagnosis”(2)














Feedback from clinician is very importantn"Disease dont follow textboooks nowsda...
