Patient safety checklist (interventional radiology)
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Patient Safety Checklist (Interventional Radiologysafety checklist (interventional radiology)
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Background
Patient Safety issafety has been defined as the absence of preventable harm to a patient during the process of healthcare. Though they are minimally invasive, various risks and complications can occur with Interventional Radiology procedures and these carry a human and economic burden. Adverse events are caused by multiple factors, rather than single factors in isolation. SpecificPatient safety checklists have been developed by IR boardsinterventional radiologists to govern patient safety and they are useful for the practitioner to keep in mind to ensure every patient receives safe care every time, keeping in mind that some. Some checklist items may not be applicable to every case.
Interventional radiology procedures are usually minimally invasive, however various risks and complications can still occur. These carry a human and economic burden. Adverse events are usually caused by multiple factors, rather than single factors in isolation.
Procedure Planningplanning
-
Discusseddiscussed with referring physician/MDT/ multidisciplinary team (MDT) -
Imagingimaging studies reviewed -
Relevant Medical Historyrelevant medical history -
Informed Consentinformed consent -
Prophylaxisprophylaxis -
Specificspecific tools present/orderedand requested -
Fastingfasting order was given -
Relevant Labrelevant lab testsordered (Fullrequested (e.g. full blood count,Coagulationcoagulation profile,Renalrenal function etc) -
Anaesthesiologistanaesthetist necessary -
Anticoagulantanticoagulant medication stopped -
Postpost-procedural(ICU)bed required -
Contrastcontrast allergy prophylaxis necessary
Sign Inin
-
All Teamall team members introduced -
All Recordsall records withPatientpatient -
Correctcorrect patient/Side/Site/side/site -
Patientpatient fasting - IV
Accessaccess as necessary -
Monitoringmonitoring equipment attached -
Coagulationcoagulation screen/Laband other relevant lab tests checked -
Allergiesallergies and/or prophylaxis checked -
Antibiotics/otherantibiotics and other drugs administered -
Consent/Complicationsconsent, including complications, discussed
Sign Outout
-
Postpost-op note was written -
Vitalvital signs normal during procedure -
Medicationsmedications andContrastcontrast media recorded -
Lablab testsorderedrequested -
Allall samples labeled and sent to lab -
Procedureprocedure results discussed with patient -
Postpost-discharge instructions given -
Followfollow-up outpatient appointment made -
Procedureprocedure results communicated to referring physician
-<h4>Background</h4><p>Patient Safety is the absence of preventable harm to a patient during the process of healthcare. Though they are minimally invasive, various risks and complications can occur with Interventional Radiology procedures and these carry a human and economic burden. Adverse events are caused by multiple factors, rather than single factors in isolation. Specific checklists have been developed by IR boards to govern patient safety and they are useful for the practitioner to keep in mind to ensure every patient receives safe care every time, keeping in mind that some items may not be applicable to every case.</p><h4>Procedure Planning</h4><ul>-<li>Discussed with referring physician/MDT</li>-<li>Imaging studies reviewed</li>-<li>Relevant Medical History</li>-<li>Informed Consent</li>-<li>Prophylaxis</li>-<li>Specific tools present/ordered</li>-<li>Fasting order was given</li>-<li>Relevant Lab tests ordered (Full blood count, Coagulation profile, Renal function)</li>-<li>Anaesthesiologist necessary</li>-<li>Anticoagulant medication stopped</li>-<li>Post-procedural (ICU) bed required</li>-<li>Contrast allergy prophylaxis necessary</li>-</ul><h4>Sign In</h4><ul>-<li>All Team members introduced</li>-<li>All Records with Patient</li>-<li>Correct patient/Side/Site</li>-<li>Patient fasting</li>-<li>IV Access</li>-<li>Monitoring equipment attached</li>-<li>Coagulation screen/Lab tests checked</li>-<li>Allergies and/or prophylaxis checked</li>-<li>Antibiotics/other drugs administered</li>-<li>Consent/Complications discussed</li>-</ul><h4>Sign Out</h4><ul>-<li>Post-op note was written</li>-<li>Vital signs normal during procedure</li>-<li>Medications and Contrast media recorded</li>-<li>Lab tests ordered</li>-<li>All samples labeled and sent to lab</li>-<li>Procedure results discussed with patient</li>-<li>Post-discharge instructions given</li>-<li>Follow-up outpatient appointment made</li>-<li>Procedure results communicated to referring physician</li>- +<p>Patient safety has been defined as the absence of preventable harm to a patient during the process of healthcare. <strong>Patient safety checklists</strong> have been developed by interventional radiologists to govern patient safety and they are useful for the practitioner to keep in mind to ensure every patient receives safe care every time. Some checklist items may not be applicable to every case.</p><p>Interventional radiology procedures are usually minimally invasive, however various risks and complications can still occur. These carry a human and economic burden. Adverse events are usually caused by multiple factors, rather than single factors in isolation. </p><h4>Procedure planning</h4><ul>
- +<li>discussed with referring physician / multidisciplinary team (MDT) </li>
- +<li>imaging studies reviewed</li>
- +<li>relevant medical history</li>
- +<li>informed consent</li>
- +<li>prophylaxis</li>
- +<li>specific tools present and requested</li>
- +<li>fasting order was given</li>
- +<li>relevant lab tests requested (e.g. full blood count, coagulation profile, renal function etc)</li>
- +<li>anaesthetist necessary</li>
- +<li>anticoagulant medication stopped</li>
- +<li>post-procedural bed required</li>
- +<li>contrast allergy prophylaxis necessary</li>
- +</ul><h4>Sign in</h4><ul>
- +<li>all team members introduced</li>
- +<li>all records with patient</li>
- +<li>correct patient/side/site</li>
- +<li>patient fasting</li>
- +<li>IV access as necessary</li>
- +<li>monitoring equipment attached</li>
- +<li>coagulation screen and other relevant lab tests checked</li>
- +<li>allergies and/or prophylaxis checked</li>
- +<li>antibiotics and other drugs administered</li>
- +<li>consent, including complications, discussed</li>
- +</ul><h4>Sign out</h4><ul>
- +<li>post-op note was written</li>
- +<li>vital signs normal during procedure</li>
- +<li>medications and contrast media recorded</li>
- +<li>lab tests requested</li>
- +<li>all samples labeled and sent to lab</li>
- +<li>procedure results discussed with patient</li>
- +<li>post-discharge instructions given</li>
- +<li>follow-up outpatient appointment made</li>
- +<li>procedure results communicated to referring physician</li>
References changed:
- 1. Lee MJ, Fanelli F, Haage P, Hausegger K, Van Lienden KP. Patient safety in interventional radiology: a CIRSE IR checklist. Cardiovascular and interventional radiology. 35 (2): 244-6. <a href="https://doi.org/10.1007/s00270-011-0289-5">doi:10.1007/s00270-011-0289-5</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/22011783">Pubmed</a> <span class="ref_v4"></span>
- Patient Safety in Interventional Radiology: A CIRSE IR Checklist. M.J. Lee et. al. Cardiovasc Intervent Radiol. 2012 Apr; 35(2): 244–246. PubMed ID: PMC3298647
Tags changed:
- interventional radiology
- checklist
- safety
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