Keywords:
Workforce, Quality assurance, Education and training, Education, Ultrasound, MR, CT, Trauma, Paediatric, Emergency
Authors:
A. Fagan1, S. ffrench-Constant1, A. S. Mehdi1, C. McNamara2, B. P. Jones1, M. Dumba1; 1London/UK, 2Dublin/IE
DOI:
10.26044/ecr2019/C-3364
Conclusion
We found that our rate of major discrepancies was well below the national target (1.2% vs national target of 2%).
However,
we found our rate of minor discrepancies was above the national target (10.4% vs national target of 5%),
and that the rate correlates with workload.
We have suggested a number of methods to decrease these discrepancies:
- Consultant led teaching on common pitfalls (e.g.
intracranial CTAs).
The (anonymised) discrepancies will also be included in our teaching folder.
- Reduction of workload- we have had discussions with the directors of training and are considering re-arranging the on-call setup.
There has also been the introduction of neuroradiology fellows (i.e.
senior registrars) to assist with the workload.
- Further audits are taking place on the topic of interruptions (e.g.
phone calls) and how to minimise these.
For example,
there has been streamlining of CT head requests.
Recently a decision was made within the department to introduce consultant checking over the weekend,
in order to minimise the clinical impact of any errors made.
We plan to reaudit following all of the above interventions.