Descriptive analysis of errors in internal ultrasound of level DEGUM III for the period 03/2006 - 03/2013
Helena Lesker, Prof. Dr. med. C. Görg
Purpose: To analyse and describe errors in internal ultrasound and to investigate these with regard to basic factors of influence.
Material & methods: Diagnostic errors (n=154) met the inclusion criteria and were analysed retrospectively. Errors were distinguished in the categories major and minor errors (with / without consequences for the patients) as well as preventable and non-preventable errors. Factors of influence like 1. device-related factors, 2. patient-related factors, 3. external factors and 4. observer related factors were differentiated.
Results: Major errors occurred at n=43 patients (27,9%); minor errors occurred at n=111 patients (72,1%). In n=40 cases (26%) the errors were considered as preventable and in n=114 cases (74%) as non-preventable. The following factors were influential for the error rate: CEUS, Age of patient, ultrasound conditions, organ regions, daytime, incorrect ultrasound-requirements.
Conclusion: The retrospective analysis of errors provides useful approaches for the prevention of errors. The standardised application of a prospective detection, documentation and analysis of errors in every ultrasound laboratory is demanded.
Lesker, Helena: Deskriptive Fehleranalyse im internistischen Ultraschall der Stufe DEGUM III im Zeitraum 03/2006-03/2013. : Philipps-Universität Marburg 2016-05-25. DOI: https://doi.org/10.17192/z2016.0338.