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Mohammad Mansouri Shima Aran Khalid W Shaqdan Hani H Abujudeh 《European radiology》2016,26(7):2064-2072
Objectives
Our goal is to present our multi-year experience in incident reporting in CT in a large medical centre.Methods
This is an IRB-approved, HIPAA-compliant study. Informed consent was waived for this study. The electronic safety incident reporting system of our hospital was searched for the variables from April 2006 to September 2012. Incident classifications were diagnostic test orders, ID/documentation, safety/security/conduct, service coordination, surgery/procedure, line/tube, fall, medication/IV safety, employee general incident, environment/equipment, adverse drug reaction, skin/tissue and diagnosis/treatment.Results
A total of 1918 incident reports occurred in the study period and 843,902 CT examinations were performed. The rate of safety incident was 0.22 % (1918/843,902). The highest incident rates were due to adverse drug reactions (652/843,902?=?0.077 %) followed by medication/IV safety (573/843,902?=?0.068 %) and diagnostic test orders (206/843,902?=?0.024 %). Overall 45 % of incidents (869/1918) caused no harm and did not affect the patient, 33 % (637/1918) caused no harm but affected the patient, 22 % (420/1918) caused temporary or minor harm/damage and less than 1 % (10/1918) caused permanent or major harm/damage or death.Conclusion
Our study shows a total safety incident report rate of 0.22 % in CT. The most common incidents are adverse drug reaction, medication/IV safety and diagnostic test orders.Key points
? Total safety incident report rate in CT is 0.22?%.? Adverse drug reaction is the most common safety incident in CT.? Medication/IV safety is the second most common safety incident in CT.4.
Recent advances in computed tomography (CT) technology allow for acquisition of two CT datasets with different X-ray spectra. There are different dual-energy computed tomography (DECT) technical approaches such as: the dual-source CT, the fast kilovoltage-switching method, and the sandwich detectors technique. There are various postprocessing algorithms that are available to provide clinically relevant spectral information. There are several clinical applications of DECT that are easily accessible in the emergency setting. In this review article, we aim to provide the emergency radiologist with a discussion on how this new technology works and how some of its applications can be useful in the emergency room setting. 相似文献
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Shaqdan Khalid W. Parakh Anushri Kambadakone Avinash R. Sahani Dushyant V. 《Abdominal imaging》2019,44(2):406-421
Abdominal Radiology - Computed tomography angiography (CTA) is the modality of choice to evaluate abdominal vascular emergencies (AVE). CTA protocols are often complex and require acquisition of... 相似文献
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