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Showing results for tags 'Imaging'.
Found 24 results
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Content ArticleSafety observation It may be beneficial for NHS care providers to explore options for the translation of written appointment communications, including pre-attendance guidance, for patients whose preferred written language is not English.
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Content ArticleRecommendations Hip fracture teams should use quarterly governance meetings to review the quality and outcome of the care they provide. Where performance is significantly below average, units should formally discuss possible reasons for this within their regular MDT meeting, and plan a QI project to address it. Quarterly governance meetings should be taken as an opportunity for team members and trainees from all disciplines to make use of the NHFD website as a driver for QI; the new Quarterly Governance Tool is designed to help them do this. The NHFD recommends that go
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BMJ - Scan first, ask questions later? (18 August 2022)
Patient-Safety-Learning posted an article in Diagnosis
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NHS England hospitals having to rely on ‘obsolete’ imaging equipment
Patient Safety Learning posted a news article in News
About a third of NHS trusts in England are using “technically obsolete” imaging equipment that could be putting patients’ health at risk, while existing shortages of doctors who are qualified to diagnose and treat disease and injuries using medical imaging techniques could triple by 2030. According to data obtained through freedom of information requests by Channel 4’s Dispatches programme, 27.1% of trusts in NHS England have at least one computerised tomography (CT) scanner that is 10 years old or more, while 34.5% have at least one magnetic resonance imaging (MRI) scanner in the same ca -
Content ArticleInvestigation scope This national investigation: examined clinical decision making in the diagnosis and treatment of pulmonary embolism (PE) and the role of expertise (significant knowledge and skill that supports effective and practical decision making) using an Applied Cognitive Task Analysis (ACTA). identified factors in the wider healthcare system that support or inhibit diagnostic decision making when staff are seeing patients with non-specific symptoms and signs that may suggest PE. Findings Recognising that a person may have a PE is challenging, particular
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NHS warned multiple times that imaging shortages may kill
Patient Safety Learning posted a news article in News
Coroners have warned the NHS nearly a dozen times in recent years that a lack of imaging capacity could lead to more deaths, HSJ can reveal. Five of these warnings followed deaths at a single site, Tameside General Hospital in Greater Manchester. The most recent case concerned a patient that died after developing covid during a prolonged wait for an MRI scan. Sir Mike Richards last year warned in a major report for NHS England about the lack of imaging equipment, and the Royal College of Radiologists has highlighted national shortages of radiology staff on numerous occasions in recen -
Content ArticleThe study, published in the European Heart Journal - Cardiovascular Imaging, found that around one in seven showed severe abnormalities likely to have a major effect on their survival and recovery. It also showed that one in three patients who received an echocardiography scan had their treatment changed as a result. The findings suggest that heart scans could prove crucial for identifying patients who may benefit from additional treatments to improve their COVID-19 recovery and prevent potential long-term damage to their heart. Professor Marc Dweck, British Heart Foundation Senior L
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Patient blog - A tale of two MRIs (10 July 2020)
Patient-Safety-Learning posted an article in Patient stories
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Content ArticleProfessor Ted Baker, CQC’s Chief Inspector of Hospitals, said:“It is important that organisations learn from incidents and take action to mitigate any risks when patients are exposed to ionising radiation from x-rays, radiotherapy or radiopharmaceuticals as part of their diagnosis or treatment." “The number of errors involving patients is small in the context of the many millions of procedures undertaken each year involving radiation. That said, in too many cases errors happen as a result of inadequate checks, poor communication, or because of a simple failure follow procedures around rad
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Content ArticleThe investigation identified: There is an opportunity to clarify the consent requirements for diagnostic imaging facilitated by a general anaesthetic. There is variation in the information given to patients regarding anaesthesia at the point of referral for an MRI scan under general anaesthetic. The observations and examinations to be routinely performed in pre-anaesthetic assessment are not defined nationally. The investigation found variation in the hospitals it visited. Children coming into hospital for an MRI scan who had been assessed as fit for anaesthetic were perce
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Scans of 1,800 patients reviewed after private contract suspended
Patient Safety Learning posted a news article in News
Ultrasound scans for around 1,800 patients have had to be reviewed over concerns about the “quality and safety” of work carried out by two sonographers employed by an independent provider. The two sonographers were employed by Bestcare Diagnostics. The company held an “any qualified provider” contract for non-obstetric ultrasound scans with Coastal West Sussex Clinical Commissioning Group (CCG) from April 2017. This contract was suspended in September 2018 over what the CCG said were “quality issues”. However, new information came to light in spring 2019 and the CCG decided to review -
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Patient had wrong eye injected after software error
Patient Safety Learning posted a news article in News
Herefordshire clinicians injected a patient in the wrong eye after a technical blunder, board papers have revealed. The Wye Valley Trust patient was injected with an antivascular endothelial growth factor to treat age-related macular degeneration. They did not come to harm as a result of the incident. The mistake occurred after the ophthalmology department deleted a poor quality image of one of the patient’s eyes. This shifted up the other images, which were stored sequentially using software called IMAGEnet6, which led to the mistake. Although initially reported as a “never ev -
Content ArticleFindings The PHSO analysed 25 complaints relating to failings in the imaging journey since 2013. Most concluded between 2018 and 2020. This report focuses on four key findings they have seen in their casework Failure to follow national guidelines on reporting unexpected imaging findings. Failure to act on important unexpected findings. Delays in reporting imaging findings. Failure to learn from past mistakes. Recommendations For the system as a whole: Recommendations from previous work related to imaging must be implemented as a priority (referring to
