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Keywords:
Quality assurance, Safety, Percutaneous, Professional issues
Authors:
T. A. Ariyanayagam, K. Drinkwater, D. Howlett, P. Malcolm; Norwich/UK
DOI:
10.1594/ecr2017/C-1112
Aims and objectives
Human error remains an inescapable cause of harm to patients.
Safety checklists are a simple and effective method of reducing these risks by formalising a peri-procedural routine to reduce the likelihood of simple mistakes.
Surgical checklists in the operating room have been established practice in the UK for several years.
In 2008,
the WHO published guidance,
which formed the basis for a safety checklist produced in 2009,
with evidence of statistically significant improvements in patient morbidity and mortality.
Inpatient complication rates fell from 11% to 7% (p < 0.001),
and mortality fell from 1.5% to 0.8% (p = 0.003) after the introduction of the safety checklist 1.
In 2009,
the National Patient Safety Agency (NPSA) adapted the WHO checklist for use in the UK,
and since then it has been a requirement for every patient undergoing a surgical procedure2 .
In 2010,
the NPSA and Royal College of Radiologists (RCR) produced an amended checklist for use in Interventional Radiology suites( Fig 2)3.
Following a review of concerns regarding this guidance,
it was suggested that the NPSA/RCR checklist could be used as a template for local guidance (Fig 3).
An “intervention” has been defined by the NPSA/RCR as any procedure which is “dependent on the penetration of skin,
other than the placement of intravenous access”.
In 2015,
in response to never-events,
The NHS in England developed National Safety Standards for Invasive Procedures (NatSSIPs)4.
The purpose was to enable introduction of Local Safety Standards for Invasive Procedures (LocSSIPs).
These apply to any intervention procedures including those in surgery,
cardiology,
endoscopy,
radiological interventions and other procedures frequently undertaken in general radiology departments such as insertion of drains,
biopsies.
Annual audit is recommended to assess compliance.
This audit has been undertaken by the RCR to determine compliance across the UK and to examine any difficulties in implementation.