caa a22 4500 606171231 CHVBK 20210128100721.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10140-015-1336-3 doi (NATIONALLICENCE)springer-10.1007/s10140-015-1336-3 Safety incident reporting in emergency radiology: analysis of 1717 safety incident reports [Elektronische Daten] [Mohammad Mansouri, Khalid Shaqdan, Shima Aran, Ali Raja, Michael Lev, Hani Abujudeh] The aim of this article is to describe the incidence and types of safety reports logged in the radiology safety incident reporting system in our emergency radiology section over an 8-year period. Electronic incident reporting system of our institute was searched for the variables in emergency radiology. All reports from April 2006 to June 2014 were included and deindentified. The following event classifications were investigated in radiography, CT, and MRI modalities: diagnostic test orders, ID/documentation/consent, safety/security/conduct, service coordination, surgery/procedure, line/tube, fall, medication/IV safety, employee general incident, environment/equipment, adverse drug reaction, skin/tissue, and diagnosis/treatment. A total of 881,194 emergency radiology examinations were performed during the study period, 1717 (1717/881,194 = 0.19%) of which resulted in safety reports. Reports were classified into 14 different categories, the most frequent of which were "diagnostic test orders” (481/1717 = 28% total incident reports), "medication/IV safety” (302/1717 = 18% total incident reports), and "service coordination” (204/1717 = 12% total incident reports). X-ray had the highest report rate (873/1717 = 50% total incident reports), followed by CT (604/1717 = 35% total incident reports) and MRI (240/1717 = 14% total incident reports). Forty-six percent of safety incidents (789/1717) caused no harm and did not reach the patient, 36% (617/1717) caused no harm but reached the patient, 18% (308/1717) caused temporary or minor harm/ damage, and less than 1% caused permanent or major harm/ damage or death. Our study shows an overall safety incident report rate of 0.19% in emergency radiology including radiography, CT, and MRI modalities. The most common safety incidents were diagnostic test orders, medication/IV safety, and service coordination. American Society of Emergency Radiology, 2015 Incident report nationallicence Emergency radiology nationallicence Quality and safety nationallicence Incident reporting system nationallicence Quality improvement nationallicence Safety incident reporting system nationallicence Mansouri Mohammad Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut Shaqdan Khalid Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut Aran Shima Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut Raja Ali Department of Emergency Medicine, Massachusetts General Hospital, Medical School, 55 Fruit Street, Founders Building, Suite 110, 02114, Boston, MA, USA aut Lev Michael Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut Abujudeh Hani Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut Emergency Radiology Springer Berlin Heidelberg 22/6(2015-12-01), 623-630 1070-3004 22:6<623 2015 22 10140 https://doi.org/10.1007/s10140-015-1336-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-015-1336-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mansouri Mohammad Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Shaqdan Khalid Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Aran Shima Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Raja Ali Department of Emergency Medicine, Massachusetts General Hospital, Medical School, 55 Fruit Street, Founders Building, Suite 110, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Lev Michael Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Abujudeh Hani Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Founders Building, Room 210, 02114, Boston, MA, USA aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/6(2015-12-01), 623-630 1070-3004 22:6<623 2015 22 10140