Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Department of Diagnostic Imaging, National University Health System, Singapore, Singapore.
Br J Radiol. 2020 Sep;93(1113):20200082. doi: 10.1259/bjr.20200082. Epub 2020 Jul 2.
To understand the status of pre-procedural safety practices in radiological examinations at radiology residency training institutions in various Asian regions.
A questionnaire based on the Joint Commission International Accreditation Standards was electronically sent to 3 institutions each in 10 geographical regions across 9 Asian countries. Questions addressing 45 practices were divided into 3 categories. A five-tier scale with numerical scores was used to evaluate safety practices in each institution. Responses obtained from three institutions in the United States were used to validate the execution rate of each surveyed safety practice.
The institutional response rate was 70.0% (7 Asian regions, 21 institutions). 44 practices (all those surveyed except for the application of wrist tags for identifying patients with fall risks) were validated using the US participants. Overall, the Asian participants reached a consensus on 89% of the safety practices. Comparatively, most Asian participants did not routinely perform three pre-procedural practices in the examination appropriateness topic.
Based on the responses from 21 participating Asian institutions, most routinely perform standard practices during radiological examinations except when it comes to examination appropriateness. This study can provide direction for safety policymakers scrutinizing and improving regional standards of care.
This is the first multicenter survey study to elucidate pre-procedural safety practices in radiological examinations in seven Asian regions.
了解亚洲各地区放射学住院医师培训机构放射检查前安全性实践的现状。
以国际联合委员会认证标准为基础，向 9 个亚洲国家的 10 个地理区域的每家机构各发送了一份电子问卷。涵盖 45 种实践的问题分为 3 类。使用五级评分制评估每家机构的安全实践。使用来自美国的 3 家机构的回复来验证每个被调查安全实践的执行率。
机构回复率为 70.0%（亚洲 7 个地区，21 家机构）。使用美国参与者对 44 种实践（所有调查的实践，除了腕带标签的应用来识别有跌倒风险的患者）进行了验证。总体而言，亚洲参与者对 89%的安全实践达成了共识。相比之下，大多数亚洲参与者在检查适宜性主题中并没有例行执行三项检查前的实践。
根据 21 家参与的亚洲机构的回复，除了检查适宜性外，大多数机构在放射检查中常规执行标准实践。本研究可为审查和改进区域护理标准的安全政策制定者提供指导。
这是第一项阐明七个亚洲地区放射检查前安全性实践的多中心调查研究。
