Identifying healthcare errors in adult patients undergoing interventional radiology procedures - a systematic approach
File(s)
Author(s)
Rawf, Faraidoon
Type
Thesis
Abstract
This PhD thesis systematically assesses and addresses the gap in the understanding of the healthcare errors within the Interventional Radiology (IR) pathway. The thesis encompasses several studies including a systematic review, observation studies by field-notes and by using error capture tool , questionnaire studies, and the development and validation of innovative tools such as the FERERI ( Failure estimation Record in Radiology Intervention) error-capture tool and the FARADION ( FAst RADiology InterventiON) mobile application (app).
A lack of studies on healthcare errors and patient safety in IR is highlighted requiring systematic assessment via validated tools.
Different approaches were taken to assess healthcare errors, such as field-note-based observation to map out and identify errors within the IR pathway. Further evaluation of these errors and pathways was needed via questionnaire studies and validated error-capturing tools.
Mixed models were used in a questionnaire to evaluate the perception of various healthcare professionals regarding the failure modes within the IR pathways.
This work resulted in the triangulation of the FERERI tool which then validated and used to assess the whole IR pathway in elective, urgent and ITU patients. This showed that healthcare errors, especially the non-technical errors are prevalent within the IR pathway. The most common errors are safety awareness, communication, and equipment-related errors.
Evaluating the WHO checklist, themes emerged related to the compliance and correct use. A simple pragmatic intervention through a structured task allocation to the IR consultant showed a significant improvement in the rate of the compliance which impacted positively on the overall rate of the errors...
A lack of studies on healthcare errors and patient safety in IR is highlighted requiring systematic assessment via validated tools.
Different approaches were taken to assess healthcare errors, such as field-note-based observation to map out and identify errors within the IR pathway. Further evaluation of these errors and pathways was needed via questionnaire studies and validated error-capturing tools.
Mixed models were used in a questionnaire to evaluate the perception of various healthcare professionals regarding the failure modes within the IR pathways.
This work resulted in the triangulation of the FERERI tool which then validated and used to assess the whole IR pathway in elective, urgent and ITU patients. This showed that healthcare errors, especially the non-technical errors are prevalent within the IR pathway. The most common errors are safety awareness, communication, and equipment-related errors.
Evaluating the WHO checklist, themes emerged related to the compliance and correct use. A simple pragmatic intervention through a structured task allocation to the IR consultant showed a significant improvement in the rate of the compliance which impacted positively on the overall rate of the errors...
Version
Open Access
Date Issued
2023-07-15
Date Awarded
01/12/2023
License URL
Advisor
Hamady, Mohamad Shareef
Darzi, Ara
Bicknell, Colin David
Sponsor
Kudistan Regional Government
Publisher Department
Medicine - Surgery and Cancer
Publisher Institution
Imperial College London
Qualification Level
Doctoral
Qualification Name
Doctor of Philosophy (PhD)