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Consensus survey on pre-procedural safety practices in radiological examinations: a multicenter study in seven Asian regions

Lee YH 1 , Quek ST 2 , Khong PL 3 , Lee CS 4 , Wu JS 5 , Zhang L 6 Show all authors , Ng KH 7 , Yang SO 8 , Kudo K 9 , Do KH 10 , Kim SH 11 , Chen DC 12 , Cheng A 1 , Leung JH 13 , Chang YC 14 , Hsu HH 15 , Chan WP 1

Affiliations 

  • 1 Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
  • 2 Department of Diagnostic Imaging, National University Health System, Singapore, Singapore
  • 3 Department of Diagnostic Radiology, The University of Hong Kong, Pokfulam, Hong Kong, China
  • 4 Department of Radiology, NYU Langone Medical Center, Garden City, New York, USA
  • 5 Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA
  • 6 Department of Radiology, Shanghai General Hospital (South Branch), Shanghai Jiaotong University, Shanghai, China
  • 7 Department of Biomedical Imaging, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia
  • 8 Department of Radiology / Nuclear Medicine, Dongnam Institute of Radiological and Medical Sciences, Gijang-gun, Busan, Korea
  • 9 Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, SapporoHokkaido, Japan
  • 10 Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
  • 11 Department of Radiology, Seoul National University College of Medicine, Seoul, Korea
  • 12 Department of Radiology, University of California, Davis, Sacramento, California, USA
  • 13 Department of Radiology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
  • 14 Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  • 15 Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Br J Radiol, 2020 Sep;93(1113):20200082.
PMID: 32584595 DOI: 10.1259/bjr.20200082

Abstract

OBJECTIVE: To understand the status of pre-procedural safety practices in radiological examinations at radiology residency training institutions in various Asian regions.

METHODS: A questionnaire based on the Joint Commission International Accreditation Standards was electronically sent to 3 institutions each in 10 geographical regions across 9 Asian countries. Questions addressing 45 practices were divided into 3 categories. A five-tier scale with numerical scores was used to evaluate safety practices in each institution. Responses obtained from three institutions in the United States were used to validate the execution rate of each surveyed safety practice.

RESULTS: The institutional response rate was 70.0% (7 Asian regions, 21 institutions). 44 practices (all those surveyed except for the application of wrist tags for identifying patients with fall risks) were validated using the US participants. Overall, the Asian participants reached a consensus on 89% of the safety practices. Comparatively, most Asian participants did not routinely perform three pre-procedural practices in the examination appropriateness topic.

CONCLUSION: Based on the responses from 21 participating Asian institutions, most routinely perform standard practices during radiological examinations except when it comes to examination appropriateness. This study can provide direction for safety policymakers scrutinizing and improving regional standards of care.

ADVANCES IN KNOWLEDGE: This is the first multicenter survey study to elucidate pre-procedural safety practices in radiological examinations in seven Asian regions.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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