Learning objectives
This is to illustrate the effective transition of inpatients from the ward to the MRI unit, how to categorise and give appropriate service on a personalised approach depending on the individuals physical, mental and clinical condition to reduce barriers and to identify potential problem that may arise if not total eradication of any untoward cancellation or delay that may occur.
Background
Magnetic Resonance Imaging (MRI) uses radiofrequency pulses and alternating magnetic fields to produce highly detailed images of the human body (1). It can be a daunting journey for patients given the unfamiliar environment. Usually, the patient lies on the examination table and fits inside a long, cylindrical tube or in a wide, unobstructed side called open MRI, under some circumstances. Presently, a typical referral in some hospitals can be made in an internal online application which forms the typical request (2) however, the usual information...
Findings and procedure details
Since August 2016 a systematic approach of cross-examination through telephone followup has become the norm to create a tailored, patient-centred approach from ward transition which accounts for the clinical requirements of inpatients. A preparation call covers; details on method and considerations around transport equipment need for close or open MRI, further categorisation of claustrophobia or their body habitus status, and a decision when the scan will happen taking clinical urgency into account. This confirms that the online request for MRI is good to be scanned....
Conclusion
The effort of MRI personnel in defining the process from the patient’s standpoint as well as what patients feel can identify the gaps that are present for care to transpire. MRI pre-scan questionnaire slips bridge these gaps and has demonstrated improvement in the quality of handover. Refining this for patients with specific needs and circumstances, by adding structured verbal communication, may assist with the innovation and development which can reduce confusing documentation that contributes to error.
Attention to vulnerable points in the communication chain such...
Personal information and conflict of interest
A. Exconde; London/UK - nothing to disclose
References
https://www.nhs.uk/conditions/mri-scan/
https://www.croydonhealthservices.nhs.uk/a-to-z-of-services/service/mri-unit-84/
https://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=1 Joint Commission. Hot Topics Transitions of Care. 2012 http://www.jointcommission.org/assets/1/18/ Retrieved February 7, 2013.
National Transitions of Care Coalition Measures Work Group, (Transitions of Care Measures) Washington DC: National Transitions of Care Coalition; 2008.
Coleman EA, Mahoney E, Parry C. Assessing the quality of preparation for posthospital care from the patient’s perspective: the care transitions measure. Medical care. 2005 Mar 1;43(3):246–55. [PubMed]