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Human factors in diagnostic radiology: practical challenges and cognitive biases
Jake E Cowen1, Ganesh Vigneswaran2, Jasper Bekker1
1Department of Radiology, Queen Alexandra Hospital, Portsmouth, UK.
Abstract:
Diagnostic radiology is an essential and increasingly in-demand medical specialty, providing timely reports that inform clinical decision-making. However, human factors, including environmental distractions and cognitive biases, can significantly influence the accuracy of imaging interpretation. This review explores these challenges in two parts: (1) practical human factor issues such as distractions, interruptions, and fatigue, and (2) cognitive biases that impact diagnostic accuracy. Evidence-based mitigation strategies, including environmental optimisation, structured reporting, and cognitive debiasing techniques, are also discussed. Addressing these issues is crucial for minimising diagnostic error and improving patient outcomes.
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