Avoiding and Managing Error in Interventional Radiology Practice: Tips and Tools
Abstract
Abstract
While there are limited data on error in interventional radiology (IR), the literature so far indicates that many errors in IR are potentially preventable. Yet, understanding the sources for error and implementing effective countermeasures can be challenging. Traditional methods for reducing error such as increased vigilance and new policies may be effective but can also contribute to an “error cycle.” A hierarchy of effectiveness for patient safety interventions is outlined, and the characteristics of “high-reliability” organizations in other “high-risk” industries are examined for clues that could be implemented in IR. The evidence behind team error reduction strategies such as checklists is considered along with individual approaches such as “slowing down when you should.” However, error in medicine is inevitable, and this article also seeks to outline an evidence-based approach to managing the psychological impact of being involved in medical error as a physician.
Résumé
En radiologie interventionnelle (RI), les données sur l’erreur sont limitées. La documentation publiée jusqu’à présent indique que de nombreuses erreurs en RI sont potentiellement évitables. Toutefois, la compréhension des sources d’erreurs et le déploiement de mesures préventives efficaces peuvent être difficiles. Les méthodes classiques de diminution des erreurs (une vigilance accrue et de nouvelles politiques, par exemple) peuvent être efficaces tout en contribuant à l’instauration d’un cycle d’erreurs. Cet article présente une hiérarchie de l’efficacité des interventions axées sur la sécurité des patients et les caractéristiques des organisations associées à une « forte fiabilité » dans d’autres secteurs à « haut risque », en examinant les mesures qui pourraient être déployées en RI. Les données relevant des stratégies collectives de diminution des erreurs (comme les listes de contrôle) sont évaluées, parallèlement aux démarches individuelles (comme « ralentir lorsqu’il le faut »). Toutefois, l’erreur dans le domaine de la médecine est inévitable. Cet article vise donc également à décrire les démarches fondées sur des preuves destinées à gérer l’impact psychologique chez un médecin impliqué dans une erreur médicale.
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Article first published online: February 26, 2020
Issue published: November 2020
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PubMed: 32100547
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