U.O. Radiologia Malpighi, Dipartimento di Malattie Apparato Digerente e Medicina Interna, Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Via Albertoni 15, 40138 Bologna, Italy.
Radiol Med. 2010 Oct;115(7):1121-46. doi: 10.1007/s11547-010-0578-0. Epub 2010 Sep 17.
The present contribution, presented as an Editorial, addresses the issue of patient safety in Radiology: this topic, of great current National and Regional interest, has stimulated a strong focus on accidents and mistakes in medicine, together with the diffusion of procedures for Risk Management in all health facilities. The possible sources of incidents in the radiological process are exposed, due to human errors and to system errors connected both to the organization and to the dissemination of Information Technology in the Radiological world. It also describes the most common methods and tools for risk analysis in health systems, together with some application examples presented in Part II.
这个话题目前在国家和地区都非常关注,它激发了人们对医疗事故和失误的强烈关注,同时也推动了在所有医疗机构中实施风险管理程序。本文揭示了放射科工作流程中可能出现的问题,这些问题源于人为错误和与放射科组织以及信息技术传播相关的系统错误。文中还介绍了医疗系统中风险分析的常用方法和工具,并在第二部分中给出了一些应用实例。