Qip to Reduce Erroneous Examinations Performed Due to Wrong Laterality through Site Tagging and the Use of Visual Aids
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2021
Eliminate incidents of wrong side X-rays and incorrect anatomical marker labeling to safeguard patient safety. Implementation of visual aids and laterality stickers enhanced patient safety and diagnostic quality.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Quality Improvement, Clinical Practice Improvement, Value Based Care, Safe Care, Risk Management, Preventive Approach
About this Content
Aims
Eliminate incidents of wrong side X-rays and incorrect anatomical marker labeling to safeguard patient safety.
Background
Between Feb-Dec 2019, 11 incidents of wrong side or marker labeling errors were identified, necessitating corrective actions.
Methods
Implemented visual aids, laterality stickers, mandatory workflows, and conducted refresher training sessions.
Results
Achieved zero errors after implementing changes; compliance improved to 95% with sustained monitoring.
Conclusion
Implementation of visual aids and laterality stickers enhanced patient safety and diagnostic quality.
Lessons Learnt
Consistent training and regular audits are critical to maintaining zero-error compliance.
Keywords
X-Ray Imaging, Diagnostic Quality, Anatomical Marker
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital, Jurong Community Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health |
Applicable Specialty or Discipline | Radiology |
Project Lead(s) | Manful Chan, Melissa Liang Meishi, Tan Hui Wen, Chua Poh Hai |
Project Member(s) | Chu Hao Ee Charmaine |
Connect with this contributor!
Tan Hui Wen - huiwen_tan@nuhs.edu.sg