Role of a Checklist to Improve Patient Safety in Interventional Radiology

Abstract

A checklist can be defined as a comprehensive formal list of essential actions to be taken in a specific fashion. This concept has been extended from the aviation industry to health care to improve patient outcome and patient satisfaction with a significant reduction in complication rates. This review article aims to assess the importance and benefits associated with the use of a well-formulated checklist while performing the various minimally invasive image-guided procedures. Various databases including PubMed, Medline, Scopus, and Cochrane were searched for using various keywords including “Checklist,” “Radiology,” “Interventional Radiology,” “Image-Guided Procedure,” and “minimally invasive procedure.” The use of a checklist is the way ahead especially when patients today require minimal risk but demand high-quality care. Implementation of such an easy-to-perform tailor-made mechanism can significantly improve patient outcome and patient satisfaction.

Keywords

interventional radiology - patient safety - vascular interventions

• References

• 1 Morrow DG, Leirer VO, Andrassy JM, Hier CM, Menard WE. The influence of list format and category headers on age differences in understanding medication instructions. Exp Aging Res 1998; 24 (03) 231-256
• 2 Carrafiello G, Floridi C, Pellegrino C, Nocchi CardimL, Ierardi AM, Fugazzola C. Errors and malpractice in interventional radiology. Semin Ultrasound CT MR 2012; 33 (04) 371-375
• 3 Whang JS, Baker SR, Patel R, Luk L, Castro III A. The causes of medical malpractice suits against radiologists in the United States. Radiology 2013; 266 (02) 548-554
• 4 Gawande A. The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books; 2002
• 5 The Joint Commission. National patient safety goals. The Joint Commission website. Available at: www.jointcommission.org/assets/1/6/2015_NPSG_HAP.pdf Accessed November 22, 2018
• 6 World Health Organization (WHO). WHO guidelines for safe surgery. WHO website. Available at: whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf Accessed November 22, 2018
• 7 Haynes AB, Weiser TG, Berry WR. et al; Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360 (05) 491-499
• 8 de Vries EN, Prins HA, Crolla RMPH. et al; SURPASS Collaborative Group. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med 2010; 363 (20) 1928-1937
• 9 de Vries EN, Hollmann MW, Smorenburg SM, Gouma DJ, Boermeester MA. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care 2009; 18 (02) 121-126
• 10 Koetser IC, de Vries EN, van Delden OM, Smorenburg SM, Boermeester MA, van Lienden KP. A checklist to improve patient safety in interventional radiology. Cardiovasc Intervent Radiol 2013; 36 (02) 312-319
• 11 Angle JF, Nemcek Jr AA, Cohen AM. et al; SIR Standards Division; Joint Commission Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Quality improvement guidelines for preventing wrong site, wrong procedure, and wrong person errors: application of the joint commission “Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery” to the practice of interventional radiology. J Vasc Interv Radiol 2008; 19 (08) 1145-1151
• 12 Duncan JR. Strategies for improving safety and quality in interventional radiology. J Vasc Interv Radiol 2008; 19 (01) 3-7
• 13 Jacobs B, Duncan JR. Improving quality and patient safety by minimizing unnecessary variation. J Vasc Interv Radiol 2009; 20 (02) 157-163
• 14 Miller DL. Safety in interventional radiology. J Vasc Interv Radiol 2007; 18 (01) Pt 1 1-3
• 15 Stecker MS. Root-cause analysis. J Vasc Interv Radiol 2007; 18 (01) Pt 1 5-8
• 16 Borgstede JP, Zinninger MD. Radiology and patient safety. Acad Radiol 2004; 11 (03) 322-332
• 17 Cardella JF, Kundu S, Miller DL, Millward SF, Sacks D. Society of Interventional Radiology. Society of Interventional Radiology clinical practice guidelines. J Vasc Interv Radiol 2009; 20 (07) Suppl S189-S191
• 18 Knight F, Galvin R, Davoren M. et al. The evolution of universal protocol in interventional radiology. J Radiol Nurs 2006; 25: 106-115
• 19 Sridhar S, Duncan JR. Strategies for choosing process improvement projects. J Vasc Interv Radiol 2008; 19 (04) 471-477
• 20 Thrall JH. Quality and safety revolution in health care. Radiology 2004; 233 (01) 3-6
• 21 Tuong B, Shnitzer Z, Pehora C. et al. The experience of conducting mortality and morbidity reviews in a pediatric interventional radiology service: a retrospective study. J Vasc Interv Radiol 2009; 20 (01) 77-86
• 22 Lee MJ, Fanelli F, Haage P, Hausegger K, Van Lienden KP. Patient safety in interventional radiology: a CIRSE IR checklist. Cardiovasc Intervent Radiol 2012; 35 (02) 244-246
• 23 Corso R, Vacirca F, Patelli C, Leni D. Use of “Time-Out” checklist in interventional radiology procedures as a tool to enhance patient safety. Radiol Med (Torino) 2014; 119 (11) 828-834
• 24 Pronovost P, Needham D, Berenholtz S. et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006; 355 (26) 2725-2732
• 25 Walsh TS, Dodds S, McArdle F. Evaluation of simple criteria to predict successful weaning from mechanical ventilation in intensive care patients. Br J Anaesth 2004; 92 (06) 793-799
• 26 Wolff AM, Taylor SA, McCabe JF. Using checklists and reminders in clinical pathways to improve hospital inpatient care. Med J Aust 2004; 181 (08) 428-431
• 27 Mayo PH, Hegde A, Eisen LA, Kory P, Doelken P. A program to improve the quality of emergency endotracheal intubation. J Intensive Care Med 2011; 26 (01) 50-56
• 28 Rafiei P, Walser EM, Duncan JR. et al; Society of Interventional Radiology Health and Safety Committee. Society of Interventional Radiology IR pre-procedure patient safety checklist by the Safety and Health Committee. J Vasc Interv Radiol 2016; 27 (05) 695-699
• 29 Urbach DR, Govindarajan A, Saskin R, Wilton AS, Baxter NN. Introduction of surgical safety checklists in Ontario, Canada. N Engl J Med 2014; 370 (11) 1029-1038
• 30 Sewell M, Adebibe M, Jayakumar P. et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop 2011; 35 (06) 897-901
• 31 Verdaasdonk EG, Stassen LPS, Widhiasmara PP, Dankelman J. Requirements for the design and implementation of checklists for surgical processes. Surg Endosc 2009; 23 (04) 715-726
• 32 Reames BN, Krell RW, Campbell Jr DA, Dimick JB. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. JAMA Surg 2015; 150 (03) 208-215
• 33 Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. Effective surgical safety checklist implementation. J Am Coll Surg 2011; 212 (05) 873-879
• 34 Boorman D. Today's electronic checklists reduce likelihood of crew errors and help prevent mishaps. ICAOJ 2001; 56 (01) 17-21
• 35 Gottumukkala R, Street M, Fitzpatrick M, Tatineny P, Duncan JR. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patient Saf 2012; 38 (09) 387-394