Health Information from Management to Technology: Development of a Radiology Patient Safety Monitoring System

Abstract

Background: Medical imaging is an intervention through which patient safety (PS) is of great importance. In monitoring PS, the major challenges include lack of relevant data, proper control, and appropriate feedback in taking the necessary measures. To meet these deficiencies, the related data should be investigated precisely and advanced technology should be applied to monitor the quality of imaging.Objective: The purpose of this study was to design and develop a PS monitoring system at the radiology department to mitigate adverse events.Methods: This developmental research was conducted in multiple phases including content determination using Delphi technique, conceptual modeling using Rational Rose software, database designing using SQL Server, user interface (UI) building using Agile software, and system evaluating in three aspects of UI requirements, the accuracy of calculating, and usability. Results: In this study, 110 PS-related important data elements were identified in 14 main groups and 26 PS performance metrics, as the system contents. The ERD and UML diagrams were drawn and the UI was created in three tabs: pre-procedure, intra-procedure, and post-procedure. Finally, the evaluation results proved the technical feasibility and application prospect of the radiology patient safety monitoring system (RPSMS). Finally, the usability of the system was highly rated (76.3 from 100).Conclusion: The RPSMS, offers the possibility to complement the datasheets for gaining a more accurate picture of the PS status and bringing up its aspects, which might otherwise go unnoticed or be underestimated by clinicians.

Patient safety improvement in the gastroenterology department: An action research

“…In their study, Mohanty et al, used MEDMARX to collect medication error event data [47]. Karami & Hafizi emphasized that developing strategies for designing an electronic monitoring system was effective in promoting error reporting; however, users may consider software programs as an extra workload [4]. Therefore, the practicality and simplicity of the programs should be considered in the design.…”

“…Patient safety is a global concern [1,2], which is even recognized in the Hippocratic Oath under the title "Do no harm" [3]. The concept of patient safety in health care systems means prevention of errors and the resulting injuries in care recipients [4]. Medical error is defined as "the failure of a planned action or the use of a wrong plan to achieve a goal" [5].…”