RC 914 - Patient safety: professional and clinical responsibility of the radiographer
RC 914 - Patient safety: professional and clinical responsibility of the radiographerFriday, March 3, 08:30 - 10:00 Room: K Session Type: Refresher Course Topics: Professional Issues, Radiographers Moderators: T. Roding (Haarlem/NL), P. Due-Tønnessen (Oslo/NO) Add session to my schedule In your schedule (remove)
1. To appreciate the current guidelines and legislation across the EU.
2. To learn about current research and different roles of the radiographer.
3. To discuss different ways to ensure patient safety is maintained.
A wide variety of legislation and guidelines exist internationally to ensure that patient and staff safety in medical imaging is maintained. The systems for radiation protection for the 28 member states of the EU were initially based on the requirements of Council Directive 96/29/Euratom, i.e. European basic safety standards (EU BSS). The more recent Council Directive 2013/59/Euratom revises these standards and contains important changes to the legislation. In addition, a deadline of February 6, 2018 has been set whereby each member state must bring into force the laws and regulations necessary to comply with the new requirements. Free movement of health professionals within the European Union was established by Directive 2005/36 of the European Commission. This directive states that EU countries should recognise professional qualifications from other member states. However, the profession of radiography does not have specific requirements regarding training and education, or identification of required competencies defined at European level. Current research highlights great variation in the different education frameworks and competencies acquired during training by radiographic staff across the EU. Further work is required to standardise these qualifications and ensure safe movement of radiographic staff across member states. As technology continues to advance, the practice of radiography is continually evolving and new staff roles are emerging across all departments to accommodate these changes. A clear standardised framework recognising the different roles/competencies of radiographic staff, i.e. referrers, practitioners and operators across the EU is required to ensure safe autonomous practice is maintained.
1. To appreciate the core competencies and the radiographer's role as a key element to ensure patient safety at the imaging department.
2. To learn about the main concepts of patient safety related to the radiographer's professional responsibility and ethics outlines at the imaging department level from a public or private hospital or even at the private practice level.
3. To discuss ways to promote patient safety and quality in imaging.
The radiographer is a key element in the radiology department. To perform the examinations, from their programming, to their execution and evaluation, there are several factors that may influence patient safety, not only at the department level, but also at the healthcare facility level. It is clear that the main goal is to diagnose and treat the patient, but at the same time do no unnecessary harm. Incidents or accidents, more commonly seen as errors are one of the most assessed measurements when the topic is patient safety; however, as James Reason alerted, to err is human and healthcare is always a potentially hazardous sector. To maximize patient safety, the first step is to make it a cultural issue in the department and in the institution. Only if every healthcare worker understands the importance of this subject and feels like a link in the chain of safety, it becomes possible to achieve higher levels of safety. The professional responsibility in safety starts even before the first contact with the patient and ends after the last contact with the patient. During this period, several steps can be taken to increase safety and it is always important to check the progress in patient safety, by looking at indicators and to the healthcare worker perceptions.
1. To appreciate the current status and challenges ahead with ensuring patient safety in medical imaging.
2. To learn about new ways of addressing the challenges ahead.
3. To discuss the implementation of patient safety focused curricula and the benefits for clinical departments.
Patient safety is a major priority for all healthcare professions and undergraduate health professions education has the potential to improve patient safety. While patient safety curricula have been developed by many organisations to help support the introduction and promotion of patient safety within educational curricula, patient safety in medical imaging requires particular attention. There is a paucity of reports regarding the inclusion of patient safety topics within undergraduate radiography curricula and within radiology training programmes. We have reached a point where a comprehensive approach to patient safety from education and training through to service delivery cannot be viewed as optional. While some patient safety topics within medical imaging are stated to be comprehensively addressed across Europe, such as radiation protection, other topics may be being neglected. The starting point for addressing patient safety and any associated challenges is through an initial mapping exercise of how and where all topics are addressed in education and training programmes and how risk is minimised in clinical departments. While resourcing of new initiatives is often problematic, it would be negligent of educational and clinical service providers to overlook initiatives targeting patient safety on this basis. Education and training providers should actively engage with clinical departments and professional bodies to ensure the medical imaging department so that risks are minimised. European professional societies such as the European Federation of Radiographer Societies (EFRS) and European Society of Radiology (ESR) have significant roles to play in driving this activity.