Rating and Classification of Incident Reporting in Radiology in a Large Academic Medical Center
| Autor: | Mohammad Mansouri, Khalid W. Shaqdan, Shima Aran, Hani H. Abujudeh |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
government.form_of_government MEDLINE 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Emergency radiology Patient harm medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Adverse effect Academic Medical Centers Risk Management business.industry Health Insurance Portability and Accountability Act medicine.disease United States Harm government Radiology Medical emergency business Adverse drug reaction Incident report |
| Zdroj: | Current Problems in Diagnostic Radiology. 45:247-252 |
| ISSN: | 0363-0188 |
| DOI: | 10.1067/j.cpradiol.2016.02.005 |
| Popis: | The purpose of this article is to provide a rate of safety incident report of adverse events in a large academic radiology department and to share the various types that may occur. This is a Health Insurance Portability and Accountability Act compliant, institutional review board-approved study. Consent requirement was waived. All incident reports from April 2006-September 2012 were retrieved. Events were further classified as follows: diagnostic test orders, identity document or documentation or consent, safety or security or conduct, service coordination, surgery or procedure, line or tube, fall, medication or intravenous safety, employee general incident, environment or equipment, adverse drug reaction (ADR), skin or tissue, and diagnosis or treatment. Overall rates and subclassification rates were calculated. There were 10,224 incident reports and 4,324,208 radiology examinations (rate = 0.23%). The highest rates of the incident reports were due to diagnostic test orders (34.3%; 3509/10,224), followed by service coordination (12.2%; 1248/10,224) and ADR (10.3%; 1052/4,324,208). The rate of incident reporting was highest in inpatient (0.30%; 2949/970,622), followed by emergency radiology (0.22%; 1500/672,958) and outpatient (0.18%; 4957/2,680,628). Approximately 48.5% (4947/10,202) of incidents had no patient harm and did not affect the patient, followed by no patient harm, but did affect the patient (35.2%, 3589/10,202), temporary or minor patient harm (15.5%, 1584/10,202), permanent or major patient harm (0.6%, 62/10,202), and patient death (0.2%, 20/10,202). Within an academic radiology department, the rate of incident reports was only 0.23%, usually did not harm the patient, and occurred at higher rates in inpatients. The most common incident type was in the category of diagnostic test orders, followed by service coordination, and ADRs. |
| Databáze: | OpenAIRE |
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