Congress:
EuroSafe Imaging 2018
Keywords:
Diagnostic procedure, PET-CT, CT, Conventional radiography, Radioprotection / Radiation dose, Management, Action 5 - Performance indicators for radiation protection management, Action 9 - Development of criteria for safe imaging procedures, Occupational / Environmental hazards
Authors:
R. Illing, M. Barati, C. Paraskevopoulou, A. Papachristodoulou, K. Katsari
DOI:
10.1594/esi2018/ESI-0013
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 to find and penalise individuals,
but to support collective learning within the Affidea network to prevent failures and avoid harm to our patients and others.
Therefore,
AIMS not only allows staff to log incidents (that is,
an event that occurred),
but also record ‘good catches’; success stories whereby incidents were prevented due to timely and competent staff action.
Good catches are equally if not more important than incidents because they demonstrate our ability to stop failures in their tracks.
AIMS is a digital platform accessible to all the personnel to log incidents and good catches.
It is intentionally designed to be a four click process to promote easy and fast logging of events.
In order to facilitate completion,
the design of the form mirrors the patient journey,
so that the process stage at which incidents occur can be evaluated.
(Images 1,
2).
Once an event is logged,
approval of the information provided is required before investigation and analysis of the root causes that lead to the event are initiated.
In-depth investigation of these events identifies breakdowns in the often-complex health systems in place,
and allows our health services to identify risk and develop ways to reduce or eliminate the risk of reoccurrence.