Applying the Universal Protocol to improve patient safety in radiology services.

Newspaper/Magazine Article

Applying the Universal Protocol to improve patient safety in radiology services.

June 22, 2011

PA-PSRS Patient Saf Advis. June 2011;8:63-69.

Exploring causes of wrong-site, wrong patient, and wrong procedure errors in radiology, this piece suggests strategies to reduce the incidence of such events.

Free full text

Related Resources From the Same Author(s)

Beyond the count: preventing the retention of foreign objects.

July 15, 2009

Patients taking their own medications while in the hospital.

June 20, 2012

Sterile water should not be given "freely."

July 9, 2008

Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.

June 27, 2018

Health literacy and patient safety events.

July 13, 2016

Bridging the gap between work-as-imagined and work-as-done.

July 26, 2017

Distractions in the operating room.

June 18, 2014

Managing patient access and flow in the emergency department to improve patient safety.

December 15, 2010

Medication errors with the dosing of insulin: problems across the continuum.

March 17, 2010

Safeguarding the storage of drug products.

June 16, 2010

Diagnostic error in acute care.

September 15, 2010

Medication errors: when pharmacy is closed.

March 14, 2012

Speaking up for safety—it’s not simple.

October 3, 2018

Medication errors occurring with the use of bar-code administration technology.

January 28, 2009

Medication errors associated with documented allergies.

October 15, 2008

Medication assessment: one determinant of falls risk.

April 9, 2008

Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention.

June 12, 2013

Latex: a lingering and lurking safety risk.

April 4, 2018

Wrong-site orthopedic operations on the extremities: the Pennsylvania experience.

March 25, 2015

Delivering the right diet to the right patient every time.

June 24, 2015

Distractions and their impact on patient safety.

March 13, 2013

Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis.

April 23, 2008

Medication errors involving overrides of healthcare technology.

January 20, 2016

Medication errors affecting pediatric patients: unique challenges for this special population.

October 7, 2015

Spotlight on electronic health record errors: errors related to the use of default values.

September 25, 2013

Analysis of reported drug interactions: a recipe for harm to patients.

January 11, 2017

Medication errors attributed to health information technology.

March 29, 2017

Robotic-assisted surgery: focus on training and credentialing.

September 24, 2014

Improvement of Pennsylvania healthcare consumers' awareness of patient safety.

March 19, 2014

Surgical fires: decreasing incidence relies on continued prevention efforts.

July 18, 2018

Exploring vulnerability to patient safety events along the age continuum.

April 3, 2019

Perioperative medication errors: uncovering risk from behind the drapes.

January 16, 2019

Promote a culture of safety with good catch reports.

October 4, 2017

Breakdowns in the medication reconciliation process.

January 8, 2014

Omission of high-alert medications: a hidden danger.

January 7, 2015

Improving Diagnosis.

November 28, 2018

The star of the diagnostic journey: assessing patient perspectives.

November 28, 2018

Oral medications inadvertently given via the intravenous route.

September 18, 2013

Prescribing errors that cause harm.

October 5, 2016

Medication errors involving healthcare students.

March 30, 2016

Events associated with the prescribing, dispensing, and administering of medication loading doses.

September 19, 2012

Drug labeling and packaging — looking beyond what meets the eye.

October 10, 2007

Lost surgical specimens, lost opportunities.

October 12, 2005

Safe intrahospital transport of the non-ICU patient using standardized handoff communication.

April 15, 2009

Improving the safety of telephone or verbal orders.

July 12, 2006

The forgotten tourniquet—an update.

March 13, 2016

Skin tears: the clinical challenge.

October 18, 2006

Healthcare industry representatives: maximizing benefits and reducing risks.

April 19, 2006

Use of color-coded patient wristbands creates unnecessary risk.

January 4, 2006

Obstetric Issues.

January 13, 2010

Insight into preventing wrong-site surgery.

January 23, 2008

Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.

September 14, 2011

The role of the electronic health record in patient safety events.

January 9, 2013

Teaching smart people how to learn.

March 6, 2005

Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings.

October 4, 2006

2010 John M. Eisenberg Patient Safety and Quality Awards.

May 4, 2011

Are second victims getting the help they need?

June 20, 2018

Lessons learned from a death outside a hospital's doorstep.

June 26, 2019

The pain of wrong site surgery.

July 6, 2011

Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis.

June 29, 2011

Shifting the risks at night.

June 22, 2011

A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing.

June 8, 2011

2011 ISMP Medication Safety Self Assessment for Hospitals.

May 4, 2011

Medical misdiagnoses can have fatal consequences.

July 6, 2011

Optimizing patient safety through system strategies and patient engagement.

July 8, 2020

Regulating patient safety: The Patient Protection and Affordable Care Act.

September 21, 2011

Reducing alarm hazards: selection and implementation of alarm notification systems.

May 4, 2011

Common cause analysis.

June 16, 2010

Sound the alarm.

June 25, 2014

Leadership practices to advance patient safety.

May 27, 2009

Scanner beep only means the barcode has been scanned.

July 13, 2011

Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization.

June 29, 2011

Risk perception on the labour ward: a mixed methods study.

April 28, 2021

The partnership with patients: a call to action for leaders.

September 7, 2011

MRI safety 10 years later.

December 7, 2011

Daily check-in for safety: from best practice to common practice.

October 26, 2011

Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions.

March 2, 2011

Hospitals collaborate to prevent wrong-site surgery.

October 20, 2010

Implementing standardized reporting and safety checklists.

June 1, 2011

Addressing intimate partner violence and helping to protect patients.

February 2, 2022

Medicine and the rise of the robots: a qualitative review of recent advances of artificial intelligence in health.

July 11, 2018

Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).

June 22, 2011

Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL.

July 8, 2015

Physicians-in-training attitudes on patient safety: 2003 to 2008.

September 7, 2011

The malpractice mess.

December 7, 2005

A Conversation with Patient Safety Officers.

October 24, 2007

The incidence of opioid misuse among the surgical patients with persistent opioid use.

February 8, 2023

New Approaches to Researching Patient Safety.

January 6, 2010

Bar code label requirement for human drug products and biological products.

March 27, 2005

Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers.

July 5, 2006

Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.

July 22, 2009

Reducing Diagnostic Errors.

November 21, 2012

Knowledge for Improvement.

April 27, 2011

Quality of Care and Information Technology.

May 11, 2016

Patient Safety Authority Annual Reports.

May 1, 2023

Physician reporting of clinically significant events through a computerized patient sign-out system.

September 14, 2011

Patient Safety.

September 25, 2019

Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.

December 7, 2011

Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020.

October 7, 2020

Disclosure of medical errors involving gametes and embryos.

November 9, 2011

Related Resources

Quality and Safety in Health Care.

August 13, 2023

Patient Safety Authority Annual Reports.

May 1, 2023

Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.

March 22, 2023

Interview

In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS

December 14, 2022

Perspective

Resilient Healthcare and the Safety-I and Safety-II Frameworks

December 14, 2022

Perspective

Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions

November 16, 2022

Interview

In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD

November 16, 2022

Prep, Stop, Block.

February 2, 2022

WebM&M Cases

Wrong Catheter in the Right Patient

May 27, 2020

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association.

March 25, 2020

Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case.

September 18, 2019

Partnering with families and patient advocates: another line of defense in adverse event surveillance.

August 14, 2019

Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework.

May 29, 2019

Chasing zero harm in radiation oncology: using pre-treatment peer review.

May 22, 2019

Overcoming human barriers to safety event reporting in radiology.

March 6, 2019

Perioperative medication errors: uncovering risk from behind the drapes.

January 16, 2019

Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.

December 5, 2018

A factorial survey on safety behavior providing opportunities to improve safety.

December 5, 2018

Despite technology, verbal orders persist, read back is not widespread, and errors continue.

May 31, 2017

WebM&M Cases

Getting the (Right) Doctor, Right Away

August 21, 2016

July 27, 2016

WebM&M Cases

Fire in the Hole!—An OR Fire

April 1, 2015

Consumer Guide to Adverse Health Events.

February 28, 2015

Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized?

December 10, 2014

Improvement of Pennsylvania healthcare consumers' awareness of patient safety.

March 19, 2014

Perspective

Safety in Radiology

October 1, 2013

Oral medications inadvertently given via the intravenous route.

September 18, 2013

ACR guidance document on MR safe practices: 2013.

March 21, 2013

Patient Safety.

February 13, 2013

Disclosure of medical errors involving gametes and embryos.

November 9, 2011

See More About The Topic

Health Care Providers

Quality and Safety Professionals

Radiology

Identification Errors

Discontinuities, Gaps, and Hand-Off Problems

Applying the Universal Protocol to improve patient safety in radiology services.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Applying the Universal Protocol to improve patient safety in radiology services.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site