Designing a Safer Radiology Department

Johnson, Charles D.; Miranda, Rafael; Osborn, Howard H.; Miller, Jodi M.; Prescott, Sherrie L.; Aakre, Kenneth T.; Krecke, Karl N.; Broderick, Daniel F.

doi:10.2214/ajr.11.7234

Cited by 14 publications

(8 citation statements)

References 13 publications

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“…Depending on its situation, each department needs to measure the indicators related to its own area of performance, not all the indicators [41,48], but indicators which are critical and special to the quality of their performance [49]. Each indicator is selected according to the business purpose and the ability to be gathered easily through standard business functions [50]. There are potentially hundreds of indicators that could be monitored in a radiology department.…”

Section: Discussionmentioning

confidence: 99%

From Information Management to Information Visualization

Karami¹,

Safdari²

2016

Appl Clin Inform

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SummaryObjective: The development and implementation of a dashboard of medical imaging department (MID) performance indicators. Method: Several articles discussing performance measures of imaging departments were searched for this study. All the related measures were extracted. Then, a panel of imaging experts were asked to rate these measures with an open ended question to seek further potential indicators. A second round was performed to confirm the performance rating. The indicators and their ratings were then reviewed by an executive panel. Based on the final panel's rating, a list of indicators to be used was developed. A team of information technology consultants were asked to determine a set of user interface requirements for the building of the dashboard. In the first round, based on the panel's rating, a list of main features or requirements to be used was determined. Next, Qlikview was utilized to implement the dashboard to visualize a set of selected KPI metrics. Finally, an evaluation of the dashboard was performed. Results: 92 MID indicators were identified. On top of this, 53 main user interface requirements to build of the prototype of dashboard were determined. Then, the project team successfully implemented a prototype of radiology management dashboards into study site. The visual display that was designed was rated highly by users. Conclusion: To develop a dashboard, management of information is essential. It is recommended that a quality map be designed for the MID. It can be used to specify the sequence of activities, their related indicators and required data for calculating these indicators. To achieve both an effective dashboard and a comprehensive view of operations, it is necessary to design a data warehouse for gathering data from a variety of systems. Utilizing interoperability standards for exchanging data among different systems can be also effective in this regard.

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Section: Discussionmentioning

confidence: 99%

From Information Management to Information Visualization

Karami¹,

Safdari²

2016

Appl Clin Inform

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“…Clinical risk management primarily focuses on identifying patient safety incidents, i.e., events and circumstances that put patients at risk of harm, and acting to prevent or control these risks (Runciman et al., ; WHO, ). A radiology department has a large flow of patients, both outpatients and inpatients, and measures to improve patient safety are of great importance and could have a large effect (Johnson et al., ).…”

Section: Introductionmentioning

confidence: 99%

“…Risks for incidents exist in every phase of a radiological examination, and it is important that all staff have knowledge about how to prevent risks for protection against healthcare‐associated harm (Craciun et al., ; Johnson et al., ). One identified area of risk within radiology is the effects of ionising radiation (Lin, ; Parakh, Kortesniemi, & Schindera, ).…”

Section: Introductionmentioning

confidence: 99%

“…Due to the nature of its activities, a radiology department needs to have its own range of measures to prevent risks for patient safety incidents that are relevant and applicable to the radiological activity (Johnson et al., ). However, it is a known problem that there are unreported cases of adverse events and we cannot rely entirely on existing incident reporting systems in hospitals (Christiaans‐Dingelhoff et al., ).…”

Section: Introductionmentioning

confidence: 99%

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Radiographers’ experience of risks for patient safety incidents in the radiology department

Wallin

Gustafsson

Anderzén‐Carlsson

et al. 2018

Journal of Clinical Nursing

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Aims and objectives:To describe potential risks for patient safety incidents in the radiology department from a radiographer's perspective.Background: A radiology department is a high-tech environment with high communication activity between different healthcare systems in combination with a large patient flow.Risks for patient safety incidents exist in every phase of a radiological examination.Due to the nature of the activity, a radiology department needs to have its own range of measures to prevent risks linked to radiology. Design: A qualitative descriptive design.Methods: Semi-structured interviews were carried out with 17 radiographers during the period September 2015 to February 2016. The data were analysed using conventional content analysis. This study followed the COREQ checklist criteria for the reporting of qualitative research. Results:The analysis yielded 20 different patient safety incidents that could result in the following six types of healthcare-associated harm: Patients could be exposed to unnecessary radiation; patients could receive an inaccurate diagnosis; patients could incur drug-induced damage; patients could suffer direct physical injury; or, their examination and treatment could be delayed or not carried out; or, their general health condition could deteriorate. Conclusion: Lack of communication and knowledge, both internally and externally,can increase risks for patient safety incidents. The study describes a complex chain of activities that represent risks in the radiology department. It needs to be pointed out that it is not always the activities in the radiology department that cause the harm.Relevance to clinical practice: To carry out preventive patient safety work, a comprehensive analysis of the entire care chain is required. Patient safety work should also focus on improvement in communication both internally, within the radiology department, and externally. Standardised methodological guidelines, consistent prescriptions of method from the radiologist and a good working environment are internal success factors for patient safety at the radiology department. How to cite this article: Wallin A, Gustafsson M, AnderzenCarlsson A, Lundén M. Radiographers' experience of risks for patient safety incidents in the radiology department. J Clin

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“…7 Despite national interest on how to develop a safer radiology department, a culture of safety for radiology that highlights the importance of communication between ED and radiology physicians, and the malpractice costs of communication errors, there is little actual data on systems errors regarding radiology. [12][13][14][15] Such errors can include incorrect patient identification, incorrect study, problems with communication among treating physicians, and timeliness of reporting findings.…”

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confidence: 99%

Radiologic Safety Events Within a Pediatric Emergency Medicine Network

Blumberg¹,

Mahajan

O’Connell

et al. 2017

Pediatr Emer Care

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We described the epidemiology of radiology-related IRs from a large multicenter pediatric emergency research network. The study identified specific themes regarding types of radiologic errors, including the systems issues and the contributing factors associated with those errors. Results from this analysis may help identify effective intervention strategies to ameliorate the frequency of radiology-related safety events in the emergency department setting.

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Designing a Safer Radiology Department

Abstract: This article reviews key safety metrics that we think are relevant to radiology and discusses how to define the measures and how we are attempting to translate the metrics into a culture of safety.

Cited by 14 publications

References 13 publications

From Information Management to Information Visualization

From Information Management to Information Visualization

Radiographers’ experience of risks for patient safety incidents in the radiology department

Radiologic Safety Events Within a Pediatric Emergency Medicine Network

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