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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 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’ • ‘Time consuming’ • ‘Are you serious? I only do fine needle aspiration! • ‘Who is going to check?’ • ‘I never check bloods!’
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
Which area & logistics? • All radiological procedure including e.g. aspiration, arm venography, nephrostogram? • Only those ‘more invasive’ procedure? • When and where to check?
Who is responsible? • Radiologists? Consultants? SpRs? • Radiographers? • Nurses?
Which checklist? • WHO surgical checklist? • RCR radiology checklist?
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?
Discussion • Radiology Consultants’ meeting • Radiology Lead Nurse and Radiographer superintendents
Which area/procedure • Those requiring written consent except radioisotope therapy and breast unit interventions • Drainages • Biopsies • Major interventional procedures
Who is responsible? • All staff involved in the procedure: - The operator - Scrubbed nurse - Radiographer (except US)
What to include & specific issues? • Also, • IRMER, request form, LMP • Infection status • Vital signs monitoring • Clinical coding • Medication prescribed
Draft ChecklistMay 2010 → → → → → → → → →
Stamps Procedure completed • Radiology Safety Checklist
Records • Stamped consent form filed in medical notes • If medical notes unavailable, stamped consent form scanned on CRIS
If GA is involved Use : 1. WHO surgical checklist in conjunction with the anaesthetic/surgical team 2. AND radiology checklist
Discussion & Approval • Radiology Consultants’ meeting • Radiology Executive Board meeting • Radiology Patient Safety & Governance meeting • Trust’s Risk & Patient Safety Department
Progress • Radiology checklist implemented on November 2010 • US, CT, Body and neuro interventional radiology rooms • 6 months Audit currently in process