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In the emergency department (ED), clinicians typically interpret radiographs in real time, and the official read by a radiologist follows later. Pediatric musculoskeletal radiographs may present unique challenges given the presence of ossification centers. To evaluate discordance between ED physicians' and radiologists' interpretations of such radiographs, researchers prospectively enrolled 2302 children who presented to a pediatric ED with an extremity injury and received a radiograph. The radiographs were interpreted by pediatric emergency physicians (65%), pediatricians (29%), or general emergency physicians (6%).
Compared with radiologists' readings, physicians in the ED provided discordant interpretations resulting in adverse events in …