Claims insights: radiologists

Overview

More than two-thirds of medico-legal matters were compensation claims or regulatory complaints.

Almost two-thirds of closed claims and complaints were about diagnosis. Of these, almost 7 in 10 alleged incorrect interpretation of images.

Neoplasms were the most common condition in diagnosis-related claims and complaints, with injuries the second most common.

Radiologists were assessed as having met the standard of care in half of claims and complaints against them.

Practice points

• Have processes in place to decrease risk of diagnostic error. Consider how you follow standards and guidelines and use available tools such as checklists.
• Seek clarification from the referrer or patient if more detail about the patient’s clinical history would assist you.
• In reports, be clear about the limitations of imaging when relevant, and document any discussions with referrers.
• Complete reports in a timely manner and discuss significant results with referrers.

Incidence and breakdown by type of matter are based on all matters indemnified by Avant for radiologists from 1 July 2017 to 30 June 2022. Underlying themes and assessment of care are based on Avant claims and complaints closed from 1 July 2017 to 30 June 2022.

Avant radiologist members per year were subject to a claim, complaint, employment dispute or another type of matter relating to their provision of health care.

* Five-year average

Types of medico-legal matters

Types of compensation claims and regulatory complaints

Assessment of the care provided

Diagnosis

Diagnosis-related claims and complaints referred to failed or delayed diagnosis or misdiagnosis. Most involved allegations of incorrect interpretation of images (68%) e.g. abnormality not detected, followed by a delay or failure to report on imaging (15%).

Most common conditions involved in missed or delayed diagnosis

Stage of care where procedural issues occurred

Support for radiologists

Avant provides you with access to the My Well-Being Index app to help you manage the stress and challenges associated with your practice. The app uses the Well-Being Index developed by the Mayo Clinic to help you identify burnout and increase awareness of your wellbeing.

Glossary

Matters include claims, complaints, coronial cases and other matters such as employment disputes and Medicare.

Claims refers to claims for money, compensation and civil claims.

Complaints relates to formal complaints to regulators.

Employment disputes are matters where Avant defends members against complaints or supports members to resolve employment issues.

Medicare matters include Medicare investigations and audits.

More Resources

For articles, factsheets, case studies and other resources on a range of topics, visit the Insights & Resources page.

For any queries on this analysis, please contact research@avant.org.au