Skip to main content
Top
Published in: Insights into Imaging 1/2019

Open Access 01-12-2019 | Radiation Protection | Statement

Patient Safety in Medical Imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS)

Authors: European Society of Radiology (ESR), European Federation of Radiographer Societies (EFRS)

Published in: Insights into Imaging | Issue 1/2019

Login to get access

Abstract

The fundamental professional roles of radiographers and radiologists are focused on providing benefit to patients with our skills, while maintaining their safety at all times. There are numerous patient safety issues in radiology which must be considered. These encompass: protection from direct harm arising from the techniques and technologies we use; ensuring physical and psychological well-being of patients while under our care; maintaining the highest possible quality of service provision; and protecting the staff to ensure they can deliver safe services. This paper summarises the key categories of safety issues in the provision of radiology services, from the joint perspectives of radiographers and radiologists, and provides references for further reading in all major relevant areas.
This is a joint statement of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS), published simultaneously in Insights into Imaging [DOI:10.1186/s13244-019-0721-y] and Radiography (DOI: 10.1016/j.radi.2019.01.009).
Literature
3.
go back to reference Council of the European Union (2013) Council Directive 2013/59/EURATOM. Official Journal of the European Union, L 13/1 Council of the European Union (2013) Council Directive 2013/59/EURATOM. Official Journal of the European Union, L 13/1
8.
go back to reference European Society of Radiology, European Society of Paediatric Radiology, European Federation of Radiographer Societies, European Federation of Organizations for Medical Physics (2018) PiDRL – European Diagnostic Reference Levels for paediatric imaging. http://www.eurosafeimaging.org/pidrl Last Accessed 08 Feb 2019 European Society of Radiology, European Society of Paediatric Radiology, European Federation of Radiographer Societies, European Federation of Organizations for Medical Physics (2018) PiDRL – European Diagnostic Reference Levels for paediatric imaging. http://​www.​eurosafeimaging.​org/​pidrl Last Accessed 08 Feb 2019
10.
go back to reference Clement O, Dewachter P, Mouton-Faivre C et al (2018) Immediate hypersensitivity to contrast agents: the French 5-year CIRTACI study. EClinical Medicine 1:51–61CrossRef Clement O, Dewachter P, Mouton-Faivre C et al (2018) Immediate hypersensitivity to contrast agents: the French 5-year CIRTACI study. EClinical Medicine 1:51–61CrossRef
12.
go back to reference van der Molen AJ, Reimer P, Dekkers IA et al (2018) Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. Eur Radiol 28:2845–2855CrossRef van der Molen AJ, Reimer P, Dekkers IA et al (2018) Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. Eur Radiol 28:2845–2855CrossRef
13.
go back to reference van der Molen AJ, Reimer P, Dekkers IA et al (2018) Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: recommendations for updated ESUR Contrast Medium Safety Committee guidelines. Eur Radiol 28:2856–2869CrossRef van der Molen AJ, Reimer P, Dekkers IA et al (2018) Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: recommendations for updated ESUR Contrast Medium Safety Committee guidelines. Eur Radiol 28:2856–2869CrossRef
15.
go back to reference Dunne P, Kaimal N, MacDonald J, Syed AA (2013) Iodinated contrast-induced thyrotoxicosis. CMAJ 185(2):144–147CrossRef Dunne P, Kaimal N, MacDonald J, Syed AA (2013) Iodinated contrast-induced thyrotoxicosis. CMAJ 185(2):144–147CrossRef
16.
go back to reference van der Molen AJ, Thomsen HS, Morcos SK et al (2004) Effect of iodinated contrast media on thyroid function in adults. Eur Radiol 14(5):902–907CrossRef van der Molen AJ, Thomsen HS, Morcos SK et al (2004) Effect of iodinated contrast media on thyroid function in adults. Eur Radiol 14(5):902–907CrossRef
17.
go back to reference Bellin MF, Jakobsen JA, Tomassin I et al (2002) Contrast medium extravasation injury: guidelines for prevention and management. Eur Radiol 12:2807–2812CrossRef Bellin MF, Jakobsen JA, Tomassin I et al (2002) Contrast medium extravasation injury: guidelines for prevention and management. Eur Radiol 12:2807–2812CrossRef
18.
19.
go back to reference Mayeda-Letourneau J (2014) Safe patient handling and movement: a literature review. Rehabil Nurs 39:123–129CrossRef Mayeda-Letourneau J (2014) Safe patient handling and movement: a literature review. Rehabil Nurs 39:123–129CrossRef
21.
go back to reference England A, Azevedo KB, Bezzina P, Henner A, McNulty JP (2016) Patient safety in undergraduate radiography curricula: a European perspective. Radiography 22(1):S12–S19CrossRef England A, Azevedo KB, Bezzina P, Henner A, McNulty JP (2016) Patient safety in undergraduate radiography curricula: a European perspective. Radiography 22(1):S12–S19CrossRef
25.
go back to reference European Federation of Radiographer Societies (2018) European Qualifications Framework (EQF) level 6 benchmarking document: radiographers. 2nd Edition. European Federation of Radiographer Societies, Utrecht. Available via https://www.efrs.eu/publications Last Accessed 08 Feb 2019 European Federation of Radiographer Societies (2018) European Qualifications Framework (EQF) level 6 benchmarking document: radiographers. 2nd Edition. European Federation of Radiographer Societies, Utrecht. Available via https://​www.​efrs.​eu/​publications Last Accessed 08 Feb 2019
28.
go back to reference European Society of Radiology (ESR), American College of Radiology (ACR) (2016) Report of the 2015 global summit on radiological quality and safety. Insights Imaging 7(4):481–484CrossRef European Society of Radiology (ESR), American College of Radiology (ACR) (2016) Report of the 2015 global summit on radiological quality and safety. Insights Imaging 7(4):481–484CrossRef
32.
go back to reference Expert Panel on MR Safety, Kanal E, Barkovich AJ et al (2013) ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging 37(3):501–530CrossRef Expert Panel on MR Safety, Kanal E, Barkovich AJ et al (2013) ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging 37(3):501–530CrossRef
33.
go back to reference Calamante F, Falukner WH Jr, Ittermann B et al (2015) MR System Operator: recommended minimum requirements for performing MRI in human subjects in a research setting. J Magn Reson Imaging 41(4):899–902CrossRef Calamante F, Falukner WH Jr, Ittermann B et al (2015) MR System Operator: recommended minimum requirements for performing MRI in human subjects in a research setting. J Magn Reson Imaging 41(4):899–902CrossRef
34.
go back to reference Calamante F, Ittermann B, Kanal E, Inter-Society Working Group on MR Safety, Norris D (2016) Recommended responsibilities for management of MR safety. J Magn Reson Imaging 44(5):1067–1069CrossRef Calamante F, Ittermann B, Kanal E, Inter-Society Working Group on MR Safety, Norris D (2016) Recommended responsibilities for management of MR safety. J Magn Reson Imaging 44(5):1067–1069CrossRef
37.
go back to reference Reddy P, Liebovitz D, Chrisman H, Nemcek AA Jr, Noskin GA (2009) Infection control practices among interventional radiologists: results of an online survey. J Vasc Interv Radiol 20(8):1070–1074CrossRef Reddy P, Liebovitz D, Chrisman H, Nemcek AA Jr, Noskin GA (2009) Infection control practices among interventional radiologists: results of an online survey. J Vasc Interv Radiol 20(8):1070–1074CrossRef
38.
go back to reference Ribner B (2012) Healthcare-associated infections related to procedures performed in radiology. In: Mayhal CG (ed) Hospital epidemiology and infection control, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 1018–1025 Ribner B (2012) Healthcare-associated infections related to procedures performed in radiology. In: Mayhal CG (ed) Hospital epidemiology and infection control, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 1018–1025
39.
go back to reference Nyhsen CM, Humphreys H, Nicolau C, Mostbeck G, Claudon M (2016) Infection prevention and ultrasound probe decontamination practices in Europe: a survey of the European Society of Radiology. Insights Imaging 7(6):841–847CrossRef Nyhsen CM, Humphreys H, Nicolau C, Mostbeck G, Claudon M (2016) Infection prevention and ultrasound probe decontamination practices in Europe: a survey of the European Society of Radiology. Insights Imaging 7(6):841–847CrossRef
40.
go back to reference Nyhsen CM, Humphreys H, Koerner RJ et al (2017) Infection prevention and control in ultrasound – best practice recommendations from the European Society of Radiology Ultrasound Working Group. Insights Imaging 8(6):523–535CrossRef Nyhsen CM, Humphreys H, Koerner RJ et al (2017) Infection prevention and control in ultrasound – best practice recommendations from the European Society of Radiology Ultrasound Working Group. Insights Imaging 8(6):523–535CrossRef
41.
go back to reference Sartoretti T, Sartoretti E, Bucher C et al (2017) Bacterial contamination of ultrasound probes in different radiological institutions before and after specific hygiene training; do we have a general hygienical problem? Eur Radiol 27(10):4181–4187CrossRef Sartoretti T, Sartoretti E, Bucher C et al (2017) Bacterial contamination of ultrasound probes in different radiological institutions before and after specific hygiene training; do we have a general hygienical problem? Eur Radiol 27(10):4181–4187CrossRef
42.
go back to reference European Society of Radiology (ESR) (2017) The new EU general data protection regulation: what the radiologist should know. Insights Imaging 8(3):295–299CrossRef European Society of Radiology (ESR) (2017) The new EU general data protection regulation: what the radiologist should know. Insights Imaging 8(3):295–299CrossRef
43.
go back to reference European Parliament and European Council (2016) Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation). Official Journal of the European Union L 119/1 European Parliament and European Council (2016) Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation). Official Journal of the European Union L 119/1
44.
go back to reference Tang A, Tam R, Cadrin-Chênevert A et al (2018) Canadian Association of Radiologists white paper on artificial intelligence in radiology. Can Assoc Radiol J 69:120–135CrossRef Tang A, Tam R, Cadrin-Chênevert A et al (2018) Canadian Association of Radiologists white paper on artificial intelligence in radiology. Can Assoc Radiol J 69:120–135CrossRef
45.
go back to reference Kohli M, Geis R (2018) Ethics, artificial intelligence and radiology. J Am Coll Radiol 15(9):1317–1319CrossRef Kohli M, Geis R (2018) Ethics, artificial intelligence and radiology. J Am Coll Radiol 15(9):1317–1319CrossRef
46.
go back to reference European Society of Radiology (2019) Methodology for ESR iGuide content. Insights Imaging 10:32 European Society of Radiology (2019) Methodology for ESR iGuide content. Insights Imaging 10:32
48.
go back to reference European Society of Radiology (ESR) (2017) ESR concept paper on value-based radiology. Insights Imaging 8(5):447–454CrossRef European Society of Radiology (ESR) (2017) ESR concept paper on value-based radiology. Insights Imaging 8(5):447–454CrossRef
49.
go back to reference Lee MJ, Fanelli F, Haage P, Hausegger K, Van Lienden KP (2012) Patient safety in interventional radiology: A CIRSE IR checklist. Cardiovasc Intervent Radiol 35:244–246CrossRef Lee MJ, Fanelli F, Haage P, Hausegger K, Van Lienden KP (2012) Patient safety in interventional radiology: A CIRSE IR checklist. Cardiovasc Intervent Radiol 35:244–246CrossRef
50.
go back to reference Koetser IC, de Vries EN, van Delden OM, Smorenburg SM, Boermeester MA, van Lienden KP (2013) A checklist to improve patient safety in interventional radiology. Cardiovasc Intervent Radiol 36:312–319CrossRef Koetser IC, de Vries EN, van Delden OM, Smorenburg SM, Boermeester MA, van Lienden KP (2013) A checklist to improve patient safety in interventional radiology. Cardiovasc Intervent Radiol 36:312–319CrossRef
53.
go back to reference O’Neill P, Evans A, PAttinson T, Tolhurst-Cleaver M, Tolhurst-Cleaver S (2016) Macleod’s Clinical OSCEs. Churchil Livingstone, Edinburgh, pp 199–255 O’Neill P, Evans A, PAttinson T, Tolhurst-Cleaver M, Tolhurst-Cleaver S (2016) Macleod’s Clinical OSCEs. Churchil Livingstone, Edinburgh, pp 199–255
57.
go back to reference Curie J (2002) Improving the efficiency of patient handover. Emerg Nurse 10:24–27CrossRef Curie J (2002) Improving the efficiency of patient handover. Emerg Nurse 10:24–27CrossRef
58.
go back to reference Achrekar MS, Murthy V, Kanan S, Shetty R, Nair M, Khattry N (2016) Introduction of Situation, Background, Assessment, Recommendation into Nursing Practice: A Prospective Study. Asia Pac J Oncol Nurs 3(1):45–50CrossRef Achrekar MS, Murthy V, Kanan S, Shetty R, Nair M, Khattry N (2016) Introduction of Situation, Background, Assessment, Recommendation into Nursing Practice: A Prospective Study. Asia Pac J Oncol Nurs 3(1):45–50CrossRef
59.
go back to reference Arora V, Johnson J (2006) A model for building a standardized hand-off protocol. Jt Comm J Qual Patient Saf 32(11):646–655CrossRef Arora V, Johnson J (2006) A model for building a standardized hand-off protocol. Jt Comm J Qual Patient Saf 32(11):646–655CrossRef
60.
go back to reference Brown, Joe E., as Osgood Fielding lll, in “Some Like it Hot” (1959), dir. Billy Wilder, United Artists Brown, Joe E., as Osgood Fielding lll, in “Some Like it Hot” (1959), dir. Billy Wilder, United Artists
61.
go back to reference Brady AP (2017) Error and discrepancy in radiology: inevitable or avoidable? Insights Imaging 8:171–182CrossRef Brady AP (2017) Error and discrepancy in radiology: inevitable or avoidable? Insights Imaging 8:171–182CrossRef
63.
go back to reference European Federation of Radiographer Societies (2018) Continuous professional development recommendations and guidance notes. European Federation of Radiographer Societies, Utrecht. Available via https://www.efrs.eu/publications Last Accessed 08 Feb 2019 European Federation of Radiographer Societies (2018) Continuous professional development recommendations and guidance notes. European Federation of Radiographer Societies, Utrecht. Available via https://​www.​efrs.​eu/​publications Last Accessed 08 Feb 2019
65.
go back to reference European Society of Radiology (ESR) (2015) Summary of the European Directive 2013/59/Euratom: essentials for health professionals in radiology. Insights Imaging 6:411–417CrossRef European Society of Radiology (ESR) (2015) Summary of the European Directive 2013/59/Euratom: essentials for health professionals in radiology. Insights Imaging 6:411–417CrossRef
66.
go back to reference European Society of Radiology (ESR) (2018) The ESR Audit Tool (Esperanto): genesis, contents and pilot. Insights Imaging 9:899–903 Available viaCrossRef European Society of Radiology (ESR) (2018) The ESR Audit Tool (Esperanto): genesis, contents and pilot. Insights Imaging 9:899–903 Available viaCrossRef
67.
go back to reference Guenette JP, Smith SE (2017) Burnout: prevalence and associated factors among radiology residents in New England with comparison against United States resident physicians in other specialties. AJR Am J Roentgenol 209:136–141CrossRef Guenette JP, Smith SE (2017) Burnout: prevalence and associated factors among radiology residents in New England with comparison against United States resident physicians in other specialties. AJR Am J Roentgenol 209:136–141CrossRef
68.
go back to reference Bakker AB, Demerouti E, Sanz-Vergel A (2014) Burnout and work engagement: the JD-R approach. Annu Rev Organ Psychol Organ Behav 1:389–411CrossRef Bakker AB, Demerouti E, Sanz-Vergel A (2014) Burnout and work engagement: the JD-R approach. Annu Rev Organ Psychol Organ Behav 1:389–411CrossRef
69.
go back to reference Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52:397–422CrossRef Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52:397–422CrossRef
72.
go back to reference Waite S, Kolla S, Jeudy J et al (2017) Tired in the reading room: the influence of fatigue in radiology. J Am Coll Radiol 14:191–197CrossRef Waite S, Kolla S, Jeudy J et al (2017) Tired in the reading room: the influence of fatigue in radiology. J Am Coll Radiol 14:191–197CrossRef
73.
go back to reference Harolds JA, Parikh JR, Bluth EI, Dutton SC, Recht MP (2016) Burnout of radiologists: frequency, risk factors, and remedies: a report of the ACR Commission on Human Resources. J Am Coll Radiol 13(4):411–416CrossRef Harolds JA, Parikh JR, Bluth EI, Dutton SC, Recht MP (2016) Burnout of radiologists: frequency, risk factors, and remedies: a report of the ACR Commission on Human Resources. J Am Coll Radiol 13(4):411–416CrossRef
76.
go back to reference Vivekananda-Schmidt P, Sandars J (2016) Developing and implementing a patient safety curriculum. Clin Teach 13:91–97CrossRef Vivekananda-Schmidt P, Sandars J (2016) Developing and implementing a patient safety curriculum. Clin Teach 13:91–97CrossRef
78.
go back to reference Tregunno D, Ginsburg L, Clarke B, Norton P (2014) Integrating patient safety into health professionals’ curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. BMJ Qual Saf 23:257–264CrossRef Tregunno D, Ginsburg L, Clarke B, Norton P (2014) Integrating patient safety into health professionals’ curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. BMJ Qual Saf 23:257–264CrossRef
79.
go back to reference King J, Anderson CM (2012) The Canadian interprofessional patient safety competencies: their role in healthcare professionals’ education. J Patient Saf 8:30–35PubMed King J, Anderson CM (2012) The Canadian interprofessional patient safety competencies: their role in healthcare professionals’ education. J Patient Saf 8:30–35PubMed
80.
go back to reference Nie Y, Li L, Duan Y et al (2011) Patient safety education for undergraduate medical students: a systematic review. BMC Med Educ 11(33):1–8 Nie Y, Li L, Duan Y et al (2011) Patient safety education for undergraduate medical students: a systematic review. BMC Med Educ 11(33):1–8
84.
85.
go back to reference European Federation of Radiographer Societies (2016) European Qualifications Framework (EQF) level 7 benchmarking document: radiographers. Federation of Radiographer Societies, Utrecht. Available via https://www.efrs.eu/publications Last Accessed 08 Feb 2019 European Federation of Radiographer Societies (2016) European Qualifications Framework (EQF) level 7 benchmarking document: radiographers. Federation of Radiographer Societies, Utrecht. Available via https://​www.​efrs.​eu/​publications Last Accessed 08 Feb 2019
Metadata
Title
Patient Safety in Medical Imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS)
Authors
European Society of Radiology (ESR)
European Federation of Radiographer Societies (EFRS)
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 1/2019
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1186/s13244-019-0721-y

Other articles of this Issue 1/2019

Insights into Imaging 1/2019 Go to the issue