IR safety roundImproving Quality and Patient Safety by Minimizing Unnecessary Variation
Section snippets
Quality and Safety Are Linked
The frequency, severity, and cost of medical errors have made patient safety a high-profile issue (4, 5). Quality and patient safety are clearly linked, as quality errors lead to unsafe practices and procedural complications are often linked to quality lapses. Although process improvement will never yield systems that are completely error-free, we can still strive to decrease the frequency, minimize the burden, and improve the early detection of errors (6).
High-reliability industries such as
Summary
Throughout this series of articles, we have argued that process improvement follows the scientific method whereby one the existing system and makes predictions about how the current process might be improved. Data are collected and compared with those predictions. These data allow one to make an informed decision about whether the evidence supports the prediction or refutes it. Although it may seem cumbersome to collect and analyze data, the alternative is to allow conjecture and emotion to
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Quality improvement in interventional radiology: An opportunity to demonstrate value and improve patient-centered care
2012, Journal of Vascular and Interventional RadiologyCitation Excerpt :At the present time in the United States, it is common for different interventional radiologists performing the same procedure on the same type of patient to use completely different techniques—a situation analogous to having every airplane pilot follow different processes for take-off, flight, and landing. Although minimizing variation in IR has been the subject of recent publications, variation in technique, policies, and procedures remains the norm (18,19). This variation is a major problem that we interventional radiologists must resolve if we wish to provide the best possible care to our patients.
Optimizing radiation use during fluoroscopic procedures: Proceedings from a multidisciplinary consensus panel
2011, Journal of Vascular and Interventional RadiologyCitation Excerpt :The role of registries and federal oversight was reviewed (24). Finally, systems-based approaches that build upon previous work in data collection and analysis were presented (25–34). The overall status of the current state and contrasting view of the desired future state are summarized in Figure 3.
Capturing the essence of developing endovascular expertise for the construction of a global assessment instrument
2010, European Journal of Vascular and Endovascular SurgeryCitation Excerpt :In contrast to other available rating scales1,6,9,12,15,23 the novel SAVE scale addresses several aspects of procedural non-technical skills. Pre-procedural planning is an essential first step of EV procedures37 and relates well to theories on development of expertise in which a forethought phase of task analysis, goal setting and strategic planning characterises expert performance.38 The effect of predicting procedural challenges was confirmed in a recent trial that significantly reduced morbidity (11–7%, P < 0.001) and mortality (1.5–0.8%, P = 0.003) in surgical procedures.39
Guidelines for establishing a quality improvement program in interventional radiology
2010, Journal of Vascular and Interventional RadiologyCitation Excerpt :If the effects are positive, the practice standard is modified; if not, the modification is discarded. Such strategies have been well documented to improve overall health care quality (17). QA and CQI programs should reflect the underlying dynamics of a radiology department.
Can assessing chronic pain outcomes data improve outcomes?
2013, Pain Medicine (United States)Citation Excerpt :Progress has been very slow in part because of the complexities involved in implementing these systems as well as the challenges associated with making changes to the prevailing culture within the practice of medicine 40. Several studies have demonstrated that the gap between the best possible medical care and actual care still remains large 7–41. In spite of the challenges associated with successful implementation of meaningful change, the potential in improvement in patient outcomes justify the effort.
Best practices in modified barium swallow studies
2020, American Journal of Speech-Language Pathology
This work was supported in part by the Society of Interventional Radiology (SIR) Foundation, Barnes Jewish Hospital Foundation (St. Louis, Missouri), and Siemens Medical Systems (Erlangen, Germany). Neither of the authors has identified a conflict of interest.