Contribution of Simulation in the Development of the Competences of Future Radiology Technicians in the Framework of the Management of the Risks Associated with the Medical Radiology Techniques

Asma Fadi,Said Belaaouad,Said Benmokhtar,Jabran Daaif,El Hassane Khouya,Khadija Legrouri,Fatima Zahra Ramdani

doi:10.3991/ijoe.v17i08.23779

Abstract

Objectives: The objectives of this study are to raise awareness among future radiology technicians regarding risk management in medical imaging and to measure their satisfaction with their participation in simulation sessions focused on the management of emergencies in radiology. Method: A prospective research-action study was conducted at the simulation center of the Institut Supérieur des Professions Infirmières et Techniques de Santé of Agadir, with radiology technician students enrolled in the 5th semester.A simulation workshop applied to the theme "Risk management in radiology related to an immediate hypersensitivity reaction to iodinated contrast products (ICP) used in CT" was organized over three days.Results: Sixteen radiology students participated in the three simulation scenarios. The evaluation of the technical skills of the participants in this simulation workshop revealed an insufficient mastery of these emergencies. Indeed, during the first simulation session concerning the management of an immediate hypersensitivity reaction to iodinated contrast products in second-grade CT, the average score for the session was 06.39/20 (3.25-9). In addition, the mean score for the second simulation session applied to cardiac arrest management was 06.03/20 (2.25- 8.75).Regarding the error room scenario, (50%) of the participants were satisfied with the relevance of the errors implemented in this simulation session, (37.5%) very satisfied, and (75%) judged the simulation as an effective approach to risk management.Conclusion: Teaching by simulation applied to the management of medical imaging emergencies proves to be a relevant pedagogical method for building a base of skills for future radiology professionals.

Highlights

1.1 Management of risks associated with careThe health care system is a complex environment with a high risk of error, the consequences of which can be life-threatening or even fatal for the patient. [1]there is a growing awareness and commitment to patient safety worldwide since the late 1990s, following the emergence of the Academy of Medicine's U.S study "To Err is Human: Building a Safer Health System" [2, 3]
The results of this study sounded the alarm by revealing that in this country, the estimated number of deaths due to adverse events associated with care (AEHC) in hospitals amounts to 98,000 each year when they could have been avoided [4]
In the first simulation session regarding the management of an immediate hypersensitivity reaction to iodinated contrast media in second-grade CT, the mean score for the session was 06.39/20 (3.25-9)

Summary

Introduction

1.1 Management of risks associated with careThe health care system is a complex environment with a high risk of error, the consequences of which can be life-threatening or even fatal for the patient. [1]there is a growing awareness and commitment to patient safety worldwide since the late 1990s, following the emergence of the Academy of Medicine's U.S study "To Err is Human: Building a Safer Health System" [2, 3]. The results of this study sounded the alarm by revealing that in this country, the estimated number of deaths due to adverse events associated with care (AEHC) in hospitals amounts to 98,000 each year when they could have been avoided [4]. The 1991 Harvard Medical Practice study found that 4% of patients experience some type of harm in the hospital; 70% of adverse events lead to brief disability, but 14% result in death [6]. Several studies estimate the cost to some countries of additional hospitalizations, court awards, hospital-acquired infections, lost income, disability, and medical expenses to be between $6 billion and $29 billion per year [1, 5]. In the United Kingdom of Great Britain and Northern Ireland, prolonged hospital stays alone cost some £2 billion per year, and compensation payments cost the National Health Service some £400 million per year, not including the potential compensation claims - estimated at £2.4 billion - that may arise from pending and expected claims, while hospital-acquired infections - 15% of which may be preventable - have an estimated annual cost of nearly £1 billion [6]

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