Abstract
Our aims were to first assess uptake of the modified safety checklist (SC) for interventional radiology (IR), identify obstacles to using the SC, and then apply changes to local policy to reach maximum compliance. Retrospective data collection was performed of all patients who underwent an interventional procedure in the interventional suite at the Royal Berkshire Hospital in February, March and May 2014. Barriers to a SC: a lack of awareness about the SC; lack of training in how to complete the SC; lack of leadership—no team member had been given the role of promoting the SC and collecting and collating the SC; attitude of staff—some team members felt that the SCs were time consuming and further bureaucracy; out-of-hours procedures involved staff from outside departments who were not familiar with the SC; paper copies of the completed SCs were being misplaced. Results: February 2014 = 79%; staff education of the importance of the modified World Health Organization (WHO) checklist disseminated in the interventional suite and at clinical governance; each day a designated ‘SC champion’ in the interventional suite has the responsibility for overseeing the WHO checklist is completed for each patient; the use of a clipboard for storing checklists, amalgamated and scored at the end of each day. Any checklists not completed are highlighted and discussed with the consultant. March 2014 = 95%; junior nurse involvement in auditing to improve awareness and engagement; out-of-hours interventional radiologist ensuring that the checklist is completed for each patient. May 2014 = 100%.
Highlights
Interventional radiology (IR) is a procedure-based speciality with parallels in surgery
The Royal College of Radiologists assisted with the implementation of a modified World Health Organization (WHO) checklist specific to the IR.[3,4]
The Royal College of Radiologists WHO checklist was further optimized for interventional procedures performed at the Royal Berkshire Hospital to make every question relevant to our clinical practice
Summary
Interventional radiology (IR) is a procedure-based speciality with parallels in surgery. Both can result in significant morbidity with potential for serious complications. IR procedures take place in defined areas, such as the IR suite, where teamwork and, above all, safety requirements are equivalent.[1] With this in mind, it is appropriate that IR should be subject to the same safety practices and standards as surgery. In 2008, the World Health Organization (WHO) introduced the surgical checklist to reduce mortality, morbidity and errors in surgical procedures.[2] Shortly after, Haynes et al[2] carried out a large multicentre trial to test its efficacy and demonstrated resounding success, proving that simple but effective guidelines could significantly reduce poor outcomes. The Royal College of Radiologists assisted with the implementation of a modified WHO checklist specific to the IR.[3,4] The checklist was further modified for use at the Royal Berkshire Hospital (Appendix A)
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