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Clinical Risk Management in radiology. Part II: applied examples and concluding remarks

Gestione del rischio clinico in radiologia. Parte II: esempi applicativi e riflessioni conclusive

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Abstract

With the aim of providing a clearer understanding of the tools used for evaluating risk in the radiological setting and how they are applied, this second part presents two practical examples. The first is a proactive analysis applied to CT, whereas the second is a reactive analysis performed following a sentinel event triggered by a CT study allocated to the wrong patient in the RIS-PACS system.

Riassunto

Al fine di una più chiara comprensione dell’applicazione delle modalità e degli strumenti di valutazione del rischio in ambito radiologico, in questa seconda parte vengono descritti due esempi pratici: il primo è costituito da un’analisi proattiva applicata alla procedura della TC, il secondo da un’analisi reattiva effettuata dopo un evento sentinella, scatenato da un’indagine TC erroneamente attribuita nel sistema RIS-PACS.

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References/Bibliografia

  1. Reason J (2002) Combating omission errors through task analysis and good reminders. Qual Saf Health Care 11:40–44

    Article  CAS  PubMed  Google Scholar 

  2. Reason JT, Carthey J, de Leval MR (2001) Diagnosing “vulnerable system syndrome”: an essential prerequisite to effective risk management. Qual Health Care 10:21–25

    Google Scholar 

  3. Cattaneo M, Furlanetto L, Mastriforti C (1991) Manutenzione produttiva. L’esperienza del TPM in Italia. Isedi, Torino

    Google Scholar 

  4. Sicurezza dei pazienti e gestione del rischio clinico (2007) Ministero della Salute, FNOMCEO e IPASVI. Eds. Biblioteca la Professione www.salute.gov.it/imgs/c_17_pubblica zioni_640_allegato.pdf

  5. Golfieri R, Fileni A, Centonze M et al (2008) Un vero evento sentinella in radiologia: il caso di Bologna. Riflessioni sulla professione di Radiologo. Il Radiologo 2:148–155

    Google Scholar 

  6. Sherman JL, Hartman DS, Friedman AC et al (1981) Angiomyolipoma: computed tomography-pathologic correlation of 17 cases. AJR Am J Roentgenol 137:1221–1226

    CAS  PubMed  Google Scholar 

  7. Uhlenbrock D, Fischer C, Beyer HK (1988) Angiomyolipoma of the kidney. Acta Radiol 29:523–524

    CAS  PubMed  Google Scholar 

  8. Wagner BJ, Wong-You-Cheong JJ, Davis CJ (1997) Adult renal hamartomas. RadioGraphics 17:155–169

    CAS  PubMed  Google Scholar 

  9. Kim JK, Park SY, Shon JH et al (2004) Angiomyolipoma with minimal fat: differentiation from renal cell carcinoma at biphasic helical CT. Radiology 230:677–684

    Article  PubMed  Google Scholar 

  10. Pereira JM, Sirlin CB, Pinto PS et al (2005) CT and MR imaging of extrahepatic fatty masses of abdomen and pelvis: techniques, diagnosis, differential diagnosis, and pitfalls. RadioGraphics 25:69–85

    Article  PubMed  Google Scholar 

  11. Pedrosa I, Sun MR, Spencer M et al (2008) MR imaging of renal masses: correlation with findings at surgery and pathologic analysis. RadioGraphics 28:985–1003

    Article  PubMed  Google Scholar 

  12. http://www.gimbe.org/hot/appropriatezza/index.asp. Last access 01.07.2010

  13. Van Breuseghem I, Geusens E (2006) Assessment of the appropriateness of requested radiological examinations for outpatients and the potential financial consequences of guideline application. JBR-BTR 89:8–11

    PubMed  Google Scholar 

  14. The Project Perfect (2009) White paper collection: why it projects fail. www.projectperfect.com.au. Last access 01.07.2010

  15. Archibald RD (1996) Project Management. La gestione di progetti e programmi complessi. Franco Angeli Ed., Roma

    Google Scholar 

  16. Coyle N, Sculco L (2003) Communication and the patient/physician relationship: a phenomenological inquiry. J Support Oncol 1:206–215

    PubMed  Google Scholar 

  17. Evans WG, Tulsky JA, Back AL et al (2006) Communication at times of transitions: how to help patients cope with loss and re-define hope. Cancer J 12:417–424

    Article  PubMed  Google Scholar 

  18. Scally G, Donaldson LJ (1998) The NHS’s 50 anniversary. Clinical governance and the drive for quality improvement in the new NHS in England. BMJ 4:61–65

    Google Scholar 

  19. Berlin L (2000) Liability of interpreting too many radiographs. AJR Am J Roentgenol 175:17–22

    CAS  PubMed  Google Scholar 

  20. Gruppo di lavoro misto SIRM/SNR/SAGO/IMS (2006) Metodologia di determinazione dei volumi di attività e della produttività dei Medici Radiologi. Omicron, Genova

    Google Scholar 

  21. Halsted MJ, Froehle CM (2008) Design, implementation, and assessment of a radiology workflow management system. AJR Am J Roentgenol 191:321–327

    Article  PubMed  Google Scholar 

  22. Glaser C, Trumm C, Nissen-Meyer S et al (2005) Speech recognition: impact on workflow and report availability. Radiologe 45:735–742

    Article  CAS  PubMed  Google Scholar 

  23. Brant-Zawadski M (2008) Patientcentered radiology: use it or lose it. RSNA News 10-11

  24. Berlin L (2007) Communicating results of all radiologic examinations directly to patients: has the time come? AJR Am J Roentgenol 189:1275–1282

    Article  PubMed  Google Scholar 

  25. Garvey CJ, Connolly S (2006) Radiology reporting-where does the radiologist’s duty end? Lancet 367:443–445

    Article  PubMed  Google Scholar 

  26. www.jointcommision.org

  27. Mohr JJ, Batalden PB (2002) Improving safety on the front lines: the role of clinical microsystems. Qual Saf Health Care 11:45–50

    Article  CAS  PubMed  Google Scholar 

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Centonze, M., Visconti, D., Doratiotto, S. et al. Clinical Risk Management in radiology. Part II: applied examples and concluding remarks. Radiol med 115, 1147–1164 (2010). https://doi.org/10.1007/s11547-010-0579-z

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  • DOI: https://doi.org/10.1007/s11547-010-0579-z

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