臺灣醫學中心放射線科檢查流程之病人安全調查

The aim of this study was to survey the current status of a patient safety index and preventive policy for the process of radiological examination in medical centers in Taiwan. We translated the quality map reported by Swensen and Johnson in the Journal of American College of Radiology into eight steps, and from this reference, we designed questionnaires which were mailed to 17 medical centers in Taiwan. The response rate was 88% (15/17). Items that were elected to be important to patient safety were, in order: to confirm the patient's identity; to inform the patients, orally, about health education or attention matters before the examination; to record and prevent contrast-medium extravasations (annual extravasations per medical center: large amount, 2.38±2.22 (mean SD); small amount, 11.30±8.41) and allergic reactions (annual reactions per medical center: severe, 1.39±1.84; mild, 63.85±51.43); to establish a reminder system for patients at high risk (13/15 hospitals; monthly reporting rate, 0.86±0.96%). This study offers a survey of the current status of patient safety control during the process of diagnostic radiology examination. We recommend that our radiological society establish a guideline to promote patient safety in the radiological examination process at all hospitals in Taiwan.