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Assessment of Risk in Radiology Using Malpractice RVUs

  • Massimo Cristofaro
  • Elisa Busi Rizzi
  • Vincenzo Schininà

Abstract

Policymakers and public opinion are concerned about the role of medical malpractice liability in driving up the total cost of medical care. As a result, risk management, a fundamental component of clinical administration, is now the centre of attention of healthcare experts, administrative officers, and operators, as well as representatives of various international groups that have an interest in public health [1]. The available methods for assessing the nature and scale of harm caused by health systems have widely differing purposes, strengths, and limitations and should thus be considered as complementary, by providing different levels of qualitative and quantitative information [1].

Keywords

Current Procedural Terminology Administrative Officer Current Procedural Terminology Code Root Cause Analysis Radiological Risk 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Lakdawalla DN, Seabury SA (2009) The welfare effects of medical malpractice liability. National Bureau of Economic Research MA, USACrossRefGoogle Scholar
  2. 2.
    WHO working group on patient safety (2003) Patient safety: rapid assessment methods for assessing hazards: report of the WHO working group meeting, Geneva, Switzerland, 17–19 December 2002 Geneva, World Health Organization.Google Scholar
  3. 3.
    Reason J (1995) Understanding adverse events: human factors. Quality in Health Care 4:80–89PubMedCrossRefGoogle Scholar
  4. 4.
    Kohn LT, Corrigan JM, Donaldson MS (1999) To err is human: building a safer health system. National Academy Press, Washington, DCGoogle Scholar
  5. 5.
    Carroll R (2003) Risk management handbook for health care organizations. Hoboken, NJGoogle Scholar
  6. 6.
    Borgstede JP, Zinninger MD (2004) Radiology and patient safety. Acad Radiol 11:322–332PubMedCrossRefGoogle Scholar
  7. 7.
    Grabert M, Gordon R, Franklin N (2002) Reducing diagnostic errors in medicine: what’s the goal? Acad Med 77:981–992CrossRefGoogle Scholar
  8. 8.
    Thrall JH (2004) Quality and Safety Revolution in Health Care. Radiology 233:3–6PubMedCrossRefGoogle Scholar
  9. 9.
    Hillman BJ, Amis ES, Neiman HL (2004) The future quality and safety of medical imaging: proceedings of the third annual ACR forum. J Am Coll Radiol 1:33–39PubMedCrossRefGoogle Scholar
  10. 10.
    FitzGerald R (2001) Error in radiology. Clin Radiol 56:938–946PubMedCrossRefGoogle Scholar
  11. 11.
    Richard B, Gunderman KE (2005) Managing risk: threat or opportunity? AJR 185:43–45Google Scholar
  12. 12.
    Joint Commission on Accreditation of Healthcare Organizations (2001) Preventing adverse events in behavioral health care: a system approach to sentinel events. Oakbrook Terrace, ILGoogle Scholar
  13. 13.
    Leape LL, Bates DW, Cullen DJ et al (1995) Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 274:35–43PubMedCrossRefGoogle Scholar
  14. 14.
    Farley DO, Haviland A, Champagne S et al (2008) Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care 17:416–423PubMedCrossRefGoogle Scholar
  15. 15.
    Melvin C, Bodley R, Booth A et al P (2004) Managing errors in radiology: a working model. Clin Radiol 59:841–845PubMedCrossRefGoogle Scholar
  16. 16.
    Thornton E, Brook OR, Mendiratta-Lala M et al (2011) Application of failure mode and effect analysis in a radiology department. Radiographics 31:281–293PubMedCrossRefGoogle Scholar
  17. 17.
    Abujudeh HH, Kaewlai R (2009) Radiology failure mode and effect analysis: what is it? Radiology 252:544–550PubMedCrossRefGoogle Scholar
  18. 18.
    Dalle Carbonare S, Folli F, Patrini E, Bellazzi R (2009) A methodology for the extraction of quantitative risk indexes from medical injuries compensation claims. Stud Health Technol Inform 150:595–599Google Scholar
  19. 19.
    Cristofaro M, Bellandi G, Squarcione S et al (2007) Assessment of risk in radiology using malpractice RVU. Eur J Radiol 61:367–371PubMedCrossRefGoogle Scholar
  20. 20.
    Mooriflied JM, MacEwan DW, Sunshine JH (1993) The radiology relative value scale: its delovpment and implication. Radiology 187:316–326Google Scholar
  21. 21.
    Centers for Medicare & Medicaid Services (CMS), HHS. (2010) Final Report on GPCI Malpractice RVUs for the CY 2010 Medicare Physician Fee Schedule Rule. Fed Regist 40040–40709, Washington, DCGoogle Scholar
  22. 22.
    Conoley PM (2000) Productivity of radiologists in 1997. Estimates based on analysis of resources based relative value units. AJR 175:591–595PubMedGoogle Scholar
  23. 23.
    Bhargavan M, Sunshine JH (2005) Workload of radiologists in the united states in 2002–2003 and trends since 1991–1992. Radiology 236:920–931PubMedCrossRefGoogle Scholar
  24. 24.
    Cristofaro M, Bibbolino C, Lauria FN et al (2004) Comparison between indicators for the measurement of radiology activity volumes (Italy-USA). Radiol Med 108:426–438PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Massimo Cristofaro
    • 1
  • Elisa Busi Rizzi
    • 1
  • Vincenzo Schininà
  1. 1.Radiology DepartmentNational Institute for Infectious Diseases IRCSS “L. Spallanzani”RomeItaly

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