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Lee YH, Quek ST, Khong PL, Lee CS, Wu JS, Zhang L, Ng KH, Yang SO, Kudo K, Do KH, Kim SH, Chen DC, Cheng A, Leung JH, Chang YC, Hsu HH, Chan WP. Consensus survey on pre-procedural safety practices in radiological examinations: a multicenter study in seven Asian regions. Br J Radiol 2020; 93:20200082. [PMID: 32584595 DOI: 10.1259/bjr.20200082] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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.
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Affiliation(s)
- Yuan-Hao Lee
- Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Swee Tian Quek
- Department of Diagnostic Imaging, National University Health System, Singapore, Singapore
| | - Pek-Lan Khong
- Department of Diagnostic Radiology, The University of Hong Kong, Pokfulam, Hong Kong, China
| | - Cindy S Lee
- Department of Radiology, NYU Langone Medical Center, Garden City, New York, USA
| | - Jim S Wu
- Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA
| | - Lei Zhang
- Department of Radiology, Shanghai General Hospital (South Branch), Shanghai Jiaotong University, Shanghai, China
| | - Kwan-Hoong Ng
- Department of Biomedical Imaging, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia.,University of Malaya Research Imaging Centre, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia
| | - Seoung-Oh Yang
- Department of Radiology / Nuclear Medicine, Dongnam Institute of Radiological and Medical Sciences, Gijang-gun, Busan, Korea
| | - Kohsuke Kudo
- Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, SapporoHokkaido, Japan
| | - Kyung-Hyun Do
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
| | - Seung Hyup Kim
- Department of Radiology, Seoul National University College of Medicine, Seoul, Korea
| | - Dillon C Chen
- Department of Radiology, University of California, Davis, Sacramento, California, USA
| | - Amy Cheng
- Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Joseph Hang Leung
- Department of Radiology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Yeun-Chung Chang
- Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
| | - Hsian-He Hsu
- Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
| | - Wing P Chan
- Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.,Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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