Abstract
Background and Aims: Encouragement of reporting incidents can identify strategies to reduce the
risk of their re-occurrence. This audit report aims to determine the type and nature of incidents during
radiologic examinations in one medical center in Taiwan.
Methods: Between 2009 and 2015, there were 109 incidents related to Radiology Events Register.
Detailed classification and analysis of incidents were undertaken to identify the most prevalent types of
error and to make corrections about patient safety initiatives in radiology department.
Results: The incidents occurred most frequently as follow: inadequate handover and communication
with patients (14.3%, n=13), complaints about exam process problems (39.6%, n=36) and unsafe or
unprofessional care services by staff members (9.9%, n=9), exam reporting errors (2.2%, n=2),
equipment or environmental inadequate (6.6%, n=6), and unprofessional attitudes (27.5%, n=25).
Conclusion: Clinical handover and communication errors/problems and exam process problems remain
the most frequent incidents in radiologic examinations. Corrective strategies to address safety concerns
related to these key issues are relevant to healthcare settings.
risk of their re-occurrence. This audit report aims to determine the type and nature of incidents during
radiologic examinations in one medical center in Taiwan.
Methods: Between 2009 and 2015, there were 109 incidents related to Radiology Events Register.
Detailed classification and analysis of incidents were undertaken to identify the most prevalent types of
error and to make corrections about patient safety initiatives in radiology department.
Results: The incidents occurred most frequently as follow: inadequate handover and communication
with patients (14.3%, n=13), complaints about exam process problems (39.6%, n=36) and unsafe or
unprofessional care services by staff members (9.9%, n=9), exam reporting errors (2.2%, n=2),
equipment or environmental inadequate (6.6%, n=6), and unprofessional attitudes (27.5%, n=25).
Conclusion: Clinical handover and communication errors/problems and exam process problems remain
the most frequent incidents in radiologic examinations. Corrective strategies to address safety concerns
related to these key issues are relevant to healthcare settings.
| Original language | English |
|---|---|
| Publication status | Published - Nov 2015 |
| Event | Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 - Taipei, Taiwan Duration: Nov 14 2014 → Nov 15 2014 http://www.nrst.tw/news/news_info.asp?id=553 |
Conference
| Conference | Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 |
|---|---|
| Abbreviated title | APQS 2015 |
| Country/Territory | Taiwan |
| City | Taipei |
| Period | 11/14/14 → 11/15/14 |
| Internet address |