#UKRC2015: Outsourcing - Don’t Neglect Responsibility
In her organisation, the Trust booked patient appointments, justified requests and sent the requests to the outsourcing company to scan. The information was returned to the Trust for reporting.
Reviewing incidents, they found issues with communication. For example, a scan was reported as incomplete, but when the patient was being rescanned it was discovered that the scan was in fact originally complete. This showed that imaging governance was not robust enough around transfer of the images themselves. There was no process to confirm the number of CDs received and sent.
A second incident was when a radiographer had to make a time critical decision due to timing of IV contrast, and decided to continue to scan covering the anomaly. However, at reporting this was documented as an unjustified scan as previous imaging had reported the anomaly. This was a reportable incident.
A third incident occurred when a follow up HRCT scan was inappropriately timed, and the scan happened unnecessarily two months earlier. The request date was overlooked at the time of booking. The issue was lack of IT access and no access to practitioner advice.
These incidents brought to the fore several governance issues that the Trust has now addressed. A more robust communication process between the Trust and the outsourcing company was needed. They needed to ensure that urgent practitioner/ justification advice for the clinical staff at the outsourcing company was available. Access to RIS and PACS and a robust data transfer method was required and policy co-operation was needed.
In 2010 the Care Quality Commission (CQC) addressed the issue of who is the ‘employer’ under the Ionising Radiation (Medical Exposure) Regulations 2000 (IRMER). The Trust that outsources is the ‘employer’.
To address governance, the Trust made a checklist to cover foreseeable issues. Stevens concluded that organisations should consider the outsourcing unit as a satellite or adopted extension of their service. She emphasised the need to establish a clear flow of information between the two organisations, clear communication between the host and outsourcing managers and clear clinical support communication for outsourcing clinical staff.
Published on : Wed, 1 Jul 2015
UltraDrape is an innovative dressing designed for use during Ultrasound-Guided Peripheral Intravenous (UGPIV) that provides dual-action barrier and securement in one.
The SonoSite EDGE II is a high-resolution, all-digital, 9.0-pound (4.1 kg) ultrasound system with a 12.1in. LED full-bleed glass display. The Edge II boosts improvements in cardiac and abdominal image quality through DirectClear Technology and a new...
Shown to improve comfort in 93% of patients who reported moderate to severe discomfort with standard compression technology2 Curved, unique design mirrors the shape of a woman’s breast to reduce pinching and apply uniform compression over the entire...
Explore the new dimension that you have never seen before WS80A with Elite is designed to create a new possibility for ultrasound diagnosis adopting new dimension that you have never seen before. The finest image quality, advanced 5D diagnostic solution...
Sectra provides a complete solution for primary diagnostics in pathology. The solution includes archiving and storage solutions together with high-end review workstations. It allows pathologists to make their diagnoses and reports with higher precision...