dc.contributor.author
Muench, Gloria
dc.contributor.author
Witham, Denis
dc.contributor.author
Rubarth, Kerstin
dc.contributor.author
Zimmermann, Elke
dc.contributor.author
Marz, Susanne
dc.contributor.author
Praeger, Damaris
dc.contributor.author
Wegener, Viktor
dc.contributor.author
Nee, Jens
dc.contributor.author
Dewey, Marc
dc.contributor.author
Pohlan, Julian
dc.date.accessioned
2024-01-11T12:36:59Z
dc.date.available
2024-01-11T12:36:59Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/41996
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-41719
dc.description.abstract
Background: Strategies to identify imaging-related error and minimise its consequences are important in the management of critically ill patients. A new quality management (QM) initiative for radiological examinations has been implemented in an intensive care unit (ICU) setting. In regular multidisciplinary conferences (MDCs), radiologists and ICU physicians re-evaluate recent examinations. Structured bilateral feedback is provided to identify errors early. This study aims at investigating its impact on the occurrence of QM events (imaging-related errors). Standardised protocols of all MDCs from 1st of June 2018 through 31st of December 2019 were analysed with regard to categories of QM events (i.e. indication, procedure, report) and resulting consequences.
Results: We analysed 241 MDCs with a total of 973 examinations. 14.0% (n = 136/973) of examinations were affected by QM events. The majority of events were report-related (76.3%, n = 106/139, e.g. misinterpreted finding), followed by procedure-related (18.0%, n = 25/139, e.g. technical issue) and indication-related events (5.8%, n = 8/139, e.g. faulty indication). The median time until identification of a QM event (time to MDC) was 2 days (interquartile range = 2). Comparing the first to the second half of the intervention period, the incidence of QM events decreased significantly from 22.9% (n = 109/476) to 6.0% (n = 30/497) (p < 0.0001). Significance of this effect was confirmed by linear regression (p < 0.0001).
Conclusions: Establishing structured discussion and feedback between radiologists and intensive care physicians in the form of MDCs is associated with a statistically significant reduction in QM events. These results indicate that MDCs may be one suitable approach to timely identify imaging-related error.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Quality improvement
en
dc.subject
Intensive care units
en
dc.subject
Critical care
en
dc.subject
Interdisciplinary communication
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Imaging intensive care patients: multidisciplinary conferences as a quality improvement initiative to reduce medical error
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
175
dcterms.bibliographicCitation.doi
10.1186/s13244-022-01313-5
dcterms.bibliographicCitation.journaltitle
Insights into Imaging
dcterms.bibliographicCitation.number
1
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.volume
13
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
36333572
dcterms.isPartOf.eissn
1869-4101