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Discrepancy Classifications

An error in perception is a cognitive error, which occurs when the interpreting radiologist fails to identify or describe an abnormality on a diagnostic image.

An error in interpretation is also a cognitive error that occurs when the interpreting radiologist correctly identifies and describes an imaging abnormality but fails to identify the significance or clinical impact of the abnormality. Interpretive errors are rarely due to a lack of knowledge. Rather, interpretive errors are more likely due to incorrect judgment or misclassification by the radiologist.

An error in communication is a failure to communicate the results of an imaging study to the appropriate provider caring for the patient. This can be due to an unclear or misleading report or a report that does not effectively communicate the radiologist’s recommendations. It can also be due to failure to properly communicate urgent or unexpected findings effectively or within an appropriate time frame. It can be due to simple failure to transmit the report to the referring physician.

Modified RADPEER Scoring System based on ACR Guidelines

Score Feedback  
 5 Agree with interpretation  
 4 Minor Discrepancy in interpretation - Unlikely to be clinically significant  
 3 Minor Discrepancy in interpretation - Likely to be clinically significant  
 2 Major Discrepancy in interpretation - Unlikely to be clinically significant  
 1 Major Discrepancy in interpretation - Likely to be clinically significant  
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