Implementing Radiology Patient Safety Checklist

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Implementing Radiology Patient Safety Checklist

• Dr TC See
• Consultant Radiologist
• Addenbrookes Hospital

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Addenbrookes Hospital

• WHO surgical checklist introduced ? August 2010
• ? Endoscopy checklist
• ? Radiology checklist

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Discussion

• Why?
• We never have any major issues
• Time consuming
• Are you serious? I only do fine needle
  aspiration!
• Who is going to check?
• I never check bloods!

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Radiology Patient Safety Checklist

• Relevant
• Easy to follow
• Documenting and ensuring our normal practice
  guided by appropriate new recommendations
• Should not be time consuming
• Completed checklist documented
• Audit

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Which area logistics?

• All radiological procedure including e.g.
  aspiration, arm venography, nephrostogram?
• Only those more invasive procedure?
• When and where to check?

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Who is responsible?

• Radiologists? Consultants? SpRs?
• Radiographers?
• Nurses?

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Which checklist?

• WHO surgical checklist?
• RCR radiology checklist?

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Documentation of completed checklist

• Filed in medical records? But outpatient / day
  case procedures may not have medical notes at the
  time of the procedure
• Scanned in CRIS? Resource?

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Discussion

• Radiology Consultants meeting
• Radiology Lead Nurse and Radiographer
  superintendents

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Which area/procedure?
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Which area/procedure

• Those requiring written consent except
  radioisotope therapy and breast unit
  interventions
• Drainages
• Biopsies
• Major interventional procedures

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Who is responsible?

• All staff involved in the procedure
• - The operator
• - Scrubbed nurse
• - Radiographer (except US)

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Addenbrookes WHO surgical checklist
perioperative care
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RCR example of checklist 2009
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Oct 2010
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What to include specific issues?

• Also,
• IRMER, request form, LMP
• Infection status
• Vital signs monitoring
• Clinical coding
• Medication prescribed

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Draft ChecklistMay 2010
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Stamps

• Radiology Safety Checklist

Procedure completed
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Records

• Stamped consent form filed in medical notes
• If medical notes unavailable, stamped consent
  form scanned on CRIS

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If GA is involved

• Use
• 1. WHO surgical checklist in conjunction with the
  anaesthetic/surgical team
• 2. AND radiology checklist

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Discussion Approval

• Radiology Consultants meeting
• Radiology Executive Board meeting
• Radiology Patient Safety Governance meeting
• Trusts Risk Patient Safety Department

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Nov 2010Final version front page
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Final version back page
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Check list on the wall
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Progress

• Radiology checklist implemented on November 2010
• US, CT, Body and neuro interventional radiology
  rooms
• 6 months Audit currently in process

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Questions?