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07/22/26

Radiologic error as an emergent property of complex adaptive systems: implications for diagnostic safety and governance.

Karamoskos, Peter. Am J Roentgenol.

Collection Topics
Culture, Work System, and Implementation Tests, Screening, and Laboratory Processes
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Summary

Diagnostic errors in radiology often reflect interactions among people, technology, workflows, and organizational factors rather than isolated individual mistakes. Applying complex adaptive systems theory, this review argues for shifting from person-centered blame toward systems-based governance, resilience, and continuous learning. The concepts extend beyond radiology and offer a safety science approach for improving diagnosis.

Read the paper
Karamoskos P. Radiologic error as an emergent property of complex adaptive systems: implications for diagnostic safety and governance. AJR Am J Roentgenol. 2026;227(1):e2634634.