Trinidad-and-Tabago-Congerss-Abstract-Book

20 th ISRRT World Congress 2018
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QUALITY MANAGEMENT
Establishing a Radiology Outpatient Clinic for Renal Tumor Biopsy Patients
QM1-1
Bo Mussmann 1 , Birthe Degn 2 , Jarl Christensen 3 , Ole Graumann 4
1 Research Radiographer PhD, Odense University Hospital, Denmark; 2 Head of CT, Master of learning processes;
3 Consultant, Master in Business Innovation and Concept Making; 4 MD, PhD, Associate professor
Purpose: The number of renal tumor biopsies performed in the radiology department is constantly increasing. Often
the radiology department is only responsible for the invasive procedure, while other aspects of the procedure are
managed by the urology department. Thus, much time is spent planning, preparing and coordinating the procedure,
which may increase time from primary diagnostic imaging to biopsy for tumor histopathology. At our hospital a radiology
outpatient clinic will be established and patients referred for renal biopsy are the first to be included. Thus, the radiology
department will take responsibility for all aspects of the procedure, i.e. planning, patient information, performing the
biopsy, post-procedural observation etc. The purpose of the innovation project was to map all actions in the current
and future state in a radiology outpatient clinic in order to create an improved biopsy procedure.
Methods: We arranged an interdisciplinary cross organizational consensus meeting with a board of stakeholders. Each
participant had detailed knowledge on different parts of the renal tumor biopsy procedure, i.e. a urologist, radiologist,
clinical nurse, patient coordinator, radiology booking secretary, RIS/PACS manager, head of CT and a specialist
radiographer. An innovation consultant led the process of mapping current and future state using a case-based
innovative approach.
Results: The innovative mapping of the biopsy procedure resulted in consensus about immediate improvements which
may reduce time from primary diagnostic imaging to biopsy by at least one day. The most important improvements
were: 1) Faster interdisciplinary decision on the biopsy grade, type and procedure. 2) Improved follow-up on blood
samples and anticoagulation regulation. 3) At least two patient transfers can be avoided.
Conclusion: Establishing a radiology outpatient clinic for renal tumor biopsy will markedly reduce time from primary
diagnostic imaging to biopsy. Furthermore, major potential optimization areas can be immediately implemented in
clinical practice.
Using “Timeouts” To Promote Quality and Efficiency During Vascular Interventional
Radiography Procedures
Craig St. George
Director of Education, American Society of Radiologic Technologists, USA
QM1-2
Purpose: The field of vascular interventional radiography is always advancing with new life saving techniques. Because
of the complex nature of the VIR environment, patient safety must remain on the precipice of importance. I will discuss
the simple technique, the pre-procedure timeout, which supports patient care techniques to improve individually
focused care during a vascular procedure.
Methods: As a previous technologist supervisor for a high output provider I aim to provide evidence that adequately
performing a thorough timeout requires very little time and can help to avoid wrong person, wrong procedure, and
wrong site incidents. Videos were recorded before actual vascular procedures although; the videos cannot be shared
during this presentation due to facility protected health information protocol. Photography will be used to demonstrate
the appearance of the process and examples of a tool used to complete a proper timeout.
Results: Thorough time outs improve the overall accuracy of performing the correct procedure on the correct patient.
There are very few requirements of information for each time out procedure of which can be extended. Including more
information than is required in a time out only further improves the safety and efficiency of the procedure, and the
procedure team, by eliminating the need to verify patient data intra-procedurally for uncovered topics, such as doublechecking
the patient’s chart for allergy details before administering a medication. The information is readily available
on the time out board in clear view and on average the process takes only 37 seconds.
Conclusion: The key point is that it can take only a few extra seconds to stop adverse events in the health care setting.
Taking the extra time to perform a thorough timeout can eliminate many errors. Additionally, making pertinent patient
20 th International Society of Radiographers and Radiological Technologist, World Congress
April 12 – 15, 2018 • Hyatt Regency Trinidad, Wrightson Road, Port of Spain, Trinidad, W.I.
Website: www.isrrt2018.org.tt Email: queries@isrrt2018.org.tt