Let´s get real: implementating Spanish Radiology "not-to-do" Safe Imaging Recommendations at the local ER setting

Congress:

EuroSafe Imaging 2019

Poster Number:

ESI-0048

Type:

EuroSafe Imaging

Keywords:

Action 1 - Guidelines, implementation policies, and Clinical Decision Support (ESR iGuide), Action 6 - Clinical audit tool for imaging, Action 8 - Radiation protection training and learning material, Radioprotection / Radiation dose, Trauma, Emergency, Plain radiographic studies, Health policy and practice, Audit and standards, Cost-effectiveness, Quality assurance, Workforce

Authors:

M. Martínez Schmickrath, M. Perez-Peña del Llano

DOI:

10.26044/esi2019/ESI-0048

DOI-Link:

https://dx.doi.org/10.26044/esi2019/ESI-0048

Fig. 1: Image from a campaigne promoted by Castilla y León Health Department on the...

Fig. 2: Fig.2 Booklet from SERAM (Spanish Society of Medial Radiology) with 38...

Background/introduction

in 2013: Spanish Health Ministry organized a National "Not-to-do" campaing , wit all the National Scientific Comitees involved, asking them to select at least 5 Recommendations in order to implent tem in our Health System. Our SERAM (Spanish Society of Medical Radiology) not onlyundettok this project, but due to the intrinsic nature of our Specialty with the ionizing radiations that our medical activity is mostly based on, took the lead in the developement of a Guide with 38 Recommendations of "Not-to-do", aligned with other International...

Description of activity and work performed

-ARPA (Asturian Radiology Association) chose 3 Recommendations, in the context in the EMERGENCY ROOM (ER): NOT-to-do head X-ray study in trauma cases (no non-accidental trauma)* NOT-to-do pelvic X-ray study in polytrauma protocol patient NOT-to-do "routine" decubitus-erect abdomen X-ray study in acute abdomen not suspected of obstruction/perforation -WHERE DO WE PART??: Data was analyzed from January-June 2018 in each of the 8 regional hospitals for each X-ray study - Working on RESULTS: 80-85%of the performed abdomen Xray studies were not necessary Head and pelvic x-ray studies...

Conclusion and recommendations

Getting Real: improvements, culture of safety,...need to go from up to down! And once down... Theory plus real data baseline plus how-to-do-it/tools plus logical reasons "why" plus emporwerment /culture of safety plus posterior feedback: positive results.

Personal/organisational information

M. Martínez Schmickrath1, M. Perez-Peña2; 1Hospital Universitario San Agustín Avilés/ES, 2Hospital Alvarez Buylla Mieres/ES On behalf of ARPA (Asturian Radiology Association), secretary and President, respectively. Programme launched by Asturias Regional Health Care ,Evaluating of Health Technologies (OETSPA).

References

https://seram.es/index.php/secciones/.../documento-seram-recomendaciones-no-hacer