Publication

Patient safety incidents in radiology: frequency and distribution of incident types

Kasalak, Ö., Yakar, D., Dierckx, R. A. & Kwee, T. C., 29-Jun-2020, In : ACTA RADIOLOGICA. 14 p., 0284185120937386.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Kasalak, Ö., Yakar, D., Dierckx, R. A., & Kwee, T. C. (2020). Patient safety incidents in radiology: frequency and distribution of incident types. ACTA RADIOLOGICA, [0284185120937386]. https://doi.org/10.1177/0284185120937386

Author

Kasalak, Ömer ; Yakar, Derya ; Dierckx, Rudi Ajo ; Kwee, Thomas C. / Patient safety incidents in radiology : frequency and distribution of incident types. In: ACTA RADIOLOGICA. 2020.

Harvard

Kasalak, Ö, Yakar, D, Dierckx, RA & Kwee, TC 2020, 'Patient safety incidents in radiology: frequency and distribution of incident types', ACTA RADIOLOGICA. https://doi.org/10.1177/0284185120937386

Standard

Patient safety incidents in radiology : frequency and distribution of incident types. / Kasalak, Ömer; Yakar, Derya; Dierckx, Rudi Ajo; Kwee, Thomas C.

In: ACTA RADIOLOGICA, 29.06.2020.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Kasalak Ö, Yakar D, Dierckx RA, Kwee TC. Patient safety incidents in radiology: frequency and distribution of incident types. ACTA RADIOLOGICA. 2020 Jun 29. 0284185120937386. https://doi.org/10.1177/0284185120937386


BibTeX

@article{a19f1a8a11df442b802982c777149de9,
title = "Patient safety incidents in radiology: frequency and distribution of incident types",
abstract = "Background Patient safety incidents may be a valuable source of information to learn from and to prevent future errors. Purpose To determine the distribution of patient safety incident types in radiology according to the International Classification for Patient Safety (ICPS), and to comprehensively review those incidents that were either harmful or serious in terms of risk of patient harm and reoccurrence. Material and Methods The most recent five-year database (2014-2019) of a radiology incident reporting system was evaluated. Results A total of 480 patient safety incidents were included. Top three ICPS incident types were clinical administration (119/480, 24.8{\%}), resources/organizational management (112/480, 23.3{\%}), and clinical process/procedure (91/480, 19.0{\%}). Harm severities were none in 457 (95.2{\%}) cases, mild in 14 (2.9{\%}), moderate in 4 (0.8{\%}), severe in 3 (0.6{\%}), and unknown in one case. Subsequent Prevention Recovery Information System for Monitoring and Analysis (PRISMA) reviews were performed in 4 (0.8{\%}) cases. The three patient safety incidents that caused severe harm (of which one underwent PRISMA review) involved resources/organizational management (n = 1), clinical process/procedure (n = 1), and medication/IV fluids (n = 1). Three other cases (with no harm in two cases and moderate harm in one case) that underwent PRISMA review involved resources/organizational management (n = 2) and medical device/equipment/property (n = 1). Conclusion Radiology-related patient safety incidents predominantly occur in three ICPS domains (clinical administration, resources/organizational management, and clinical process/procedure). Harmful/serious incidents are relatively rare. The standardly and transparently reported findings from this study may be used for healthcare quality improvement, benchmarking purposes, and as a primer for future studies.",
keywords = "Medical errors, patient safety, quality of healthcare, radiology, INTERNATIONAL CLASSIFICATION, KEY CONCEPTS, WORKLOAD, TRENDS, MRI",
author = "{\"O}mer Kasalak and Derya Yakar and Dierckx, {Rudi Ajo} and Kwee, {Thomas C}",
year = "2020",
month = "6",
day = "29",
doi = "10.1177/0284185120937386",
language = "English",
journal = "ACTA RADIOLOGICA",
issn = "0284-1851",
publisher = "SAGE Publications Inc.",

}

RIS

TY - JOUR

T1 - Patient safety incidents in radiology

T2 - frequency and distribution of incident types

AU - Kasalak, Ömer

AU - Yakar, Derya

AU - Dierckx, Rudi Ajo

AU - Kwee, Thomas C

PY - 2020/6/29

Y1 - 2020/6/29

N2 - Background Patient safety incidents may be a valuable source of information to learn from and to prevent future errors. Purpose To determine the distribution of patient safety incident types in radiology according to the International Classification for Patient Safety (ICPS), and to comprehensively review those incidents that were either harmful or serious in terms of risk of patient harm and reoccurrence. Material and Methods The most recent five-year database (2014-2019) of a radiology incident reporting system was evaluated. Results A total of 480 patient safety incidents were included. Top three ICPS incident types were clinical administration (119/480, 24.8%), resources/organizational management (112/480, 23.3%), and clinical process/procedure (91/480, 19.0%). Harm severities were none in 457 (95.2%) cases, mild in 14 (2.9%), moderate in 4 (0.8%), severe in 3 (0.6%), and unknown in one case. Subsequent Prevention Recovery Information System for Monitoring and Analysis (PRISMA) reviews were performed in 4 (0.8%) cases. The three patient safety incidents that caused severe harm (of which one underwent PRISMA review) involved resources/organizational management (n = 1), clinical process/procedure (n = 1), and medication/IV fluids (n = 1). Three other cases (with no harm in two cases and moderate harm in one case) that underwent PRISMA review involved resources/organizational management (n = 2) and medical device/equipment/property (n = 1). Conclusion Radiology-related patient safety incidents predominantly occur in three ICPS domains (clinical administration, resources/organizational management, and clinical process/procedure). Harmful/serious incidents are relatively rare. The standardly and transparently reported findings from this study may be used for healthcare quality improvement, benchmarking purposes, and as a primer for future studies.

AB - Background Patient safety incidents may be a valuable source of information to learn from and to prevent future errors. Purpose To determine the distribution of patient safety incident types in radiology according to the International Classification for Patient Safety (ICPS), and to comprehensively review those incidents that were either harmful or serious in terms of risk of patient harm and reoccurrence. Material and Methods The most recent five-year database (2014-2019) of a radiology incident reporting system was evaluated. Results A total of 480 patient safety incidents were included. Top three ICPS incident types were clinical administration (119/480, 24.8%), resources/organizational management (112/480, 23.3%), and clinical process/procedure (91/480, 19.0%). Harm severities were none in 457 (95.2%) cases, mild in 14 (2.9%), moderate in 4 (0.8%), severe in 3 (0.6%), and unknown in one case. Subsequent Prevention Recovery Information System for Monitoring and Analysis (PRISMA) reviews were performed in 4 (0.8%) cases. The three patient safety incidents that caused severe harm (of which one underwent PRISMA review) involved resources/organizational management (n = 1), clinical process/procedure (n = 1), and medication/IV fluids (n = 1). Three other cases (with no harm in two cases and moderate harm in one case) that underwent PRISMA review involved resources/organizational management (n = 2) and medical device/equipment/property (n = 1). Conclusion Radiology-related patient safety incidents predominantly occur in three ICPS domains (clinical administration, resources/organizational management, and clinical process/procedure). Harmful/serious incidents are relatively rare. The standardly and transparently reported findings from this study may be used for healthcare quality improvement, benchmarking purposes, and as a primer for future studies.

KW - Medical errors

KW - patient safety

KW - quality of healthcare

KW - radiology

KW - INTERNATIONAL CLASSIFICATION

KW - KEY CONCEPTS

KW - WORKLOAD

KW - TRENDS

KW - MRI

U2 - 10.1177/0284185120937386

DO - 10.1177/0284185120937386

M3 - Article

C2 - 32600067

JO - ACTA RADIOLOGICA

JF - ACTA RADIOLOGICA

SN - 0284-1851

M1 - 0284185120937386

ER -

ID: 128944005