title: [Primary assessment of X-ray images in a casualty department].
abstract: During a period of three months, the primary diagnoses made by the duty officer in the casualty department on x-rays taken on patients with orthopaedic conditions were compared with the definitive diagnoses made after a conference with the radiological department. The consequences of possible erroneous diagnoses were also recorded. A total of 634 regions were examined in 555 patients. Incorrect diagnoses were made in 55 regions (8.5%). In 21 of these, alterations in the primary treatment were required. All of the treatments could be corrected by telephone (7) or an additional visit by the patient (14). X-rays of the cranium and the spine are known to be difficult to evaluate by inexperienced doctors. This was also found to be the case in the present investigation.
authors.affiliation: Kirurgisk afdeling og røntgenafdelingen, Holbaek Centralsygehus.
authors.forename: A
authors.initials: A
authors.lastname: Philipsen
authors.forename: B
authors.initials: B
authors.lastname: Hansen
authors.forename: G R
authors.initials: GR
authors.lastname: Andersen
authors.forename: I
authors.initials: I
authors.lastname: Haupter
authors.forename: J
authors.initials: J
authors.lastname: Blach
mesh_terms: D002983:Clinical Competence; D003951:Diagnostic Errors; D004630:Emergencies; D006801:Humans; D011859:Radiography; D014947:Wounds and Injuries / Q000000981:diagnostic imaging*
vernacular_title: Primaer bedømmelse af røntgenbilleder på en skadestue.