University of Oulu

Tarkiainen T, Sneck S, Haapea M, Turpeinen M and Niinimäki J (2022) Detecting Patient Safety Errors by Characterizing Incidents Reported by Medical Imaging Staff. Front. Public Health 10:846604. doi: 10.3389/fpubh.2022.846604

Detecting patient safety errors by characterizing incidents reported by medical imaging staff

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Author: Tarkiainen, Tarja1; Sami Sneck, Sami Sneck2; Haapea, Marianne3;
Organizations: 1Research Unit of Medical Imaging, Physics and Technology, Oulu University Hospital, University of Oulu, Oulu, Finland
2Administrative Centre, Oulu University Hospital, Oulu, Finland
3Medical Research Centre, Oulu University Hospital, University of Oulu, Oulu, Finland
4Administrative Centre, Research Unit of Biomedicine, Oulu University Hospital, University of Oulu, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.1 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2022091559170
Language: English
Published: Frontiers Media, 2022
Publish Date: 2022-09-15
Description:

Abstract

The objectives of the study were to characterize events related to patient safety reported by medical imaging personnel in Finland in 2007–2017, the number and quality of reported injuries, the risk assessment, and the planned improvement of operations. The information was collected from a healthcare patient safety incident register system. The data contained information on the nature of the patient safety errors, harms and near-misses in medical imaging, the factors that lead to the events, the consequences for the patient, the level of risks, and future measures. The number of patient safety incident reports included in the study was 7,287. Of the incident reports, 75% concerned injuries to patients and 25% were near-misses. The most common consequence of adverse events and near-misses were minor harm (37.2%) related to contrast agent, or no harm (27.9%) related to equipment malfunction. Supervisors estimated the risks as low (47.7%) e.g., data management, insignificant (35%) e.g., verbal communication or moderate (15.7%) e.g., the use of contrast agent. The most common suggestion for learning from the incident was discussing it with the staff (58.1%), improving operations (5.7%) and submitting it to a higher authority (5.4%). Improving patient safety requires timely, accurate and clear reporting of various patient safety incidents. Based on incident reports, supervisors can provide feedback to staff, develop plans to prevent accidents, and monitor the impact of measures taken. Information on the development of occupational safety should be disseminated to all healthcare professionals so that the same mistakes are not repeated.

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Series: Frontiers in public health
ISSN: 2296-2565
ISSN-E: 2296-2565
ISSN-L: 2296-2565
Volume: 10
Article number: 846604
DOI: 10.3389/fpubh.2022.846604
OADOI: https://oadoi.org/10.3389/fpubh.2022.846604
Type of Publication: A1 Journal article – refereed
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
Subjects:
Copyright information: © 2022 Tarkiainen, Sneck, Haapea, Turpeinen and Niinimäki. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
  https://creativecommons.org/licenses/by/4.0/