Background/introduction
In the past 20 years,
important technological and scientific developments have led to a notable increase in the use and complexity of ionising radiation imaging examinations.
Working in a dynamic,
complex and high workload environment can lead to radiation incidents; unintended events the consequences or potential consequences of which are not negligible from the point of view of protection or safety of patients,
staff or any third-parties.
Unintended does not mean unable to prevent.
Establishing an incident management system can facilitate better identification of safety...
Description of activity and work performed
There is never a single cause for an incident to happen.
The Affidea Incident Management System (AIMS) is a process developed to log and learn from any adverse events that concern patients,
staff or any third-parties visiting our premises or under our care.
AIMS is designed to log and track incidents in order to help us learn about our practice and to improve patient and staff safety on the job.
Since Affidea is a learning organization,
AIMS was not designed to be an administrative tool...
Conclusion and recommendations
To Err is Human.
We cannot change the human condition,
but we can change the condition under which humans’ work.
An international environment with bigger ‘pool of events’ facilitates better identification of safety critical steps in the diagnostic imaging pathway.
Incident management is a valuable tool to promote a safety culture and awareness through the involvement of and feedback to staff and managers.
Personal/organisational information
Prof.
Dr Rowland Illing DM MRCS FRCR
Chief Medical Officer
Affidea
References
Laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation,
European Council Directive 2013/59/Euratom,
2013,
Official Journal of the European Union.
Conceptual Framework for the International Classification for Patient Safety,
version 1.1,
Final Technical Report,
2009,
World Health Organization.
To Err is Human – changing the mindset,
1999,
American Institute of Medicine.