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Implementing Radiology Patient Safety Checklist

Implementing Radiology Patient Safety Checklist. Dr TC See Consultant Radiologist Addenbrooke’s Hospital. Addenbrooke’s Hospital. WHO surgical checklist introduced ? August 2010 ? Endoscopy checklist ? Radiology checklist. Discussion. Why? ‘We never have any major issues’

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Implementing Radiology Patient Safety Checklist

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  1. Implementing Radiology Patient Safety Checklist Dr TC See Consultant Radiologist Addenbrooke’s Hospital

  2. Addenbrooke’s Hospital • WHO surgical checklist introduced ? August 2010 • ? Endoscopy checklist • ? Radiology checklist

  3. 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!’

  4. 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

  5. Which area & logistics? • All radiological procedure including e.g. aspiration, arm venography, nephrostogram? • Only those ‘more invasive’ procedure? • When and where to check?

  6. Who is responsible? • Radiologists? Consultants? SpRs? • Radiographers? • Nurses?

  7. Which checklist? • WHO surgical checklist? • RCR radiology checklist?

  8. 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?

  9. Discussion • Radiology Consultants’ meeting • Radiology Lead Nurse and Radiographer superintendents

  10. Which area/procedure?

  11. Which area/procedure • Those requiring written consent except radioisotope therapy and breast unit interventions • Drainages • Biopsies • Major interventional procedures

  12. Who is responsible? • All staff involved in the procedure: - The operator - Scrubbed nurse - Radiographer (except US)

  13. Addenbrooke’s WHO surgical checklist & perioperative care

  14. RCR example of checklist 2009

  15. Oct 2010

  16. What to include & specific issues? • Also, • IRMER, request form, LMP • Infection status • Vital signs monitoring • Clinical coding • Medication prescribed

  17. Draft ChecklistMay 2010 → → → → → → → → →

  18. Stamps Procedure completed • Radiology Safety Checklist

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

  20. If GA is involved Use : 1. WHO surgical checklist in conjunction with the anaesthetic/surgical team 2. AND radiology checklist

  21. Discussion & Approval • Radiology Consultants’ meeting • Radiology Executive Board meeting • Radiology Patient Safety & Governance meeting • Trust’s Risk & Patient Safety Department

  22. Nov 2010Final version – front page

  23. Final version – back page

  24. Check list on the wall

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

  26. Questions?

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