Illustrating the Root-Cause-Analysis Process: Creation of a Safety Net with a Semiautomated Process for the Notification of Critical Findings in Diagnostic Imaging
| Autor: | Ruth C. Carlos, Vaishali R. Choksi, Marcia M. Piotrowski, C S Marn, Yvonne Bell |
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| Rok vydání: | 2005 |
| Předmět: |
Diagnostic Imaging
Healthcare Common Procedure Coding System Male Safety Management medicine.medical_specialty Pathology Lung Neoplasms Process (engineering) Critical Illness Safety net Notification system Risk Assessment Patient safety medicine Medical imaging Humans Radiology Nuclear Medicine and imaging Medical physics Disease Notification Quality of Health Care Incidental Findings Radiology Department Hospital business.industry Middle Aged United States Variety (cybernetics) Radiography Critical illness Root cause analysis business |
| Zdroj: | Journal of the American College of Radiology. 2:768-776 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2005.01.013 |
| Popis: | The ACR has set a standard for the communication of critical findings on imaging examinations. Despite this standard, for a variety of reasons, it remains possible that appropriate follow-up is not initiated. The authors review the theory and application of root-cause analysis to such a failure of communication within their institution, including the development and implementation of a semiautomated notification system for critical unexpected findings on imaging examinations. |
| Databáze: | OpenAIRE |
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