audit of radiology alert system for critical, urgent and unexpected significant findings k a duncan...
TRANSCRIPT
Audit of Radiology Alert system for critical, urgent and unexpected significant findings
K A DuncanK Drinkwater
On behalf of CRACMay 2015
Timeline
• 2007 NPSA Safer practice notice 16. Early identification of failure to act on radiological imaging reports
• 2008 RCR Standards for the communication of critical, urgent and unexpected significant radiological findings
• 2012 RCR Standards for the communication of critical, urgent and unexpected significant radiological findings Second edition
Stated Standards
• It is the responsibility of the radiologist to produce reports as quickly and efficiently as possible.
• It is the responsibility of the requesting doctor and/or their clinical team to read, and act upon, the report findings as quickly and efficiently as possible.
• It is the responsibility of the trust, or other equivalent healthcare organisation, to provide systems, whereby as soon as a verified imaging report has been produced, it is easily available to be read and acted upon by the referrer, their team, and other relevant clinicians.
Method
• Survey Monkey link sent to all Clinical Radiology Audit leads
Followed up by reminder emails
• 19 questions regarding current departmental policy, automated electronic alert system, practicality of notification of clinicians and monitoring, types of pathology included.
Do you have a defined policy on the communication of critical, urgent and
unexpected significant findings?
136
17
Integrated electronic alert system to all referrers
CRIS
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10 SectraCentricityGEPhillipsCarestreamInsigniaAgfa
Integrated electronic alert system to hospital clinicians
CRIS Radcentre Sunquest Phillips Cerner Bespoke0
1
2
3
4
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6
SectraCentricityGEPhillipsCarestreamInsigniaAgfa
How do you notify hospital clinicians (tick all that apply)
Only 3 hospitals rely on their electronic system –
all others using additional feedback mechanism also.
How do you notify GPs? (tick all that apply)
Only 2 hospitals rely on their electronic system –
all others using additional feedback mechanism also.
Action Plan
• Distribute results to all Audits Leads and Clinical Directors
• Increase awareness of what we need PACS/RIS suppliers to provide
• Consider follow up audit?