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Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff

The objectives of the study were to characterize events related to patient safety reported by medical imaging personnel in Finland in 2007–2017, the number and quality of reported injuries, the risk assessment, and the planned improvement of operations. The information was collected from a healthcar...

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Autores principales: Tarkiainen, Tarja, Sneck, Sami, Haapea, Marianne, Turpeinen, Miia, Niinimäki, Jaakko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971601/
https://www.ncbi.nlm.nih.gov/pubmed/35372241
http://dx.doi.org/10.3389/fpubh.2022.846604
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author Tarkiainen, Tarja
Sneck, Sami
Haapea, Marianne
Turpeinen, Miia
Niinimäki, Jaakko
author_facet Tarkiainen, Tarja
Sneck, Sami
Haapea, Marianne
Turpeinen, Miia
Niinimäki, Jaakko
author_sort Tarkiainen, Tarja
collection PubMed
description The objectives of the study were to characterize events related to patient safety reported by medical imaging personnel in Finland in 2007–2017, the number and quality of reported injuries, the risk assessment, and the planned improvement of operations. The information was collected from a healthcare patient safety incident register system. The data contained information on the nature of the patient safety errors, harms and near-misses in medical imaging, the factors that lead to the events, the consequences for the patient, the level of risks, and future measures. The number of patient safety incident reports included in the study was 7,287. Of the incident reports, 75% concerned injuries to patients and 25% were near-misses. The most common consequence of adverse events and near-misses were minor harm (37.2%) related to contrast agent, or no harm (27.9%) related to equipment malfunction. Supervisors estimated the risks as low (47.7%) e.g., data management, insignificant (35%) e.g., verbal communication or moderate (15.7%) e.g., the use of contrast agent. The most common suggestion for learning from the incident was discussing it with the staff (58.1%), improving operations (5.7%) and submitting it to a higher authority (5.4%). Improving patient safety requires timely, accurate and clear reporting of various patient safety incidents. Based on incident reports, supervisors can provide feedback to staff, develop plans to prevent accidents, and monitor the impact of measures taken. Information on the development of occupational safety should be disseminated to all healthcare professionals so that the same mistakes are not repeated.
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spelling pubmed-89716012022-04-02 Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff Tarkiainen, Tarja Sneck, Sami Haapea, Marianne Turpeinen, Miia Niinimäki, Jaakko Front Public Health Public Health The objectives of the study were to characterize events related to patient safety reported by medical imaging personnel in Finland in 2007–2017, the number and quality of reported injuries, the risk assessment, and the planned improvement of operations. The information was collected from a healthcare patient safety incident register system. The data contained information on the nature of the patient safety errors, harms and near-misses in medical imaging, the factors that lead to the events, the consequences for the patient, the level of risks, and future measures. The number of patient safety incident reports included in the study was 7,287. Of the incident reports, 75% concerned injuries to patients and 25% were near-misses. The most common consequence of adverse events and near-misses were minor harm (37.2%) related to contrast agent, or no harm (27.9%) related to equipment malfunction. Supervisors estimated the risks as low (47.7%) e.g., data management, insignificant (35%) e.g., verbal communication or moderate (15.7%) e.g., the use of contrast agent. The most common suggestion for learning from the incident was discussing it with the staff (58.1%), improving operations (5.7%) and submitting it to a higher authority (5.4%). Improving patient safety requires timely, accurate and clear reporting of various patient safety incidents. Based on incident reports, supervisors can provide feedback to staff, develop plans to prevent accidents, and monitor the impact of measures taken. Information on the development of occupational safety should be disseminated to all healthcare professionals so that the same mistakes are not repeated. Frontiers Media S.A. 2022-03-18 /pmc/articles/PMC8971601/ /pubmed/35372241 http://dx.doi.org/10.3389/fpubh.2022.846604 Text en Copyright © 2022 Tarkiainen, Sneck, Haapea, Turpeinen and Niinimäki. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Tarkiainen, Tarja
Sneck, Sami
Haapea, Marianne
Turpeinen, Miia
Niinimäki, Jaakko
Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff
title Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff
title_full Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff
title_fullStr Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff
title_full_unstemmed Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff
title_short Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff
title_sort detecting patient safety errors by characterizing incidents reported by medical imaging staff
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971601/
https://www.ncbi.nlm.nih.gov/pubmed/35372241
http://dx.doi.org/10.3389/fpubh.2022.846604
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