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Decreasing Radiograph Errors in Pediatric Sports Medicine Clinic.

Amy E Valasek1,2, James Gallup3, T Arthur Wheeler3

  • 1Department of Pediatrics, Ohio State University College of Medicine, Columbus, Ohio.

Pediatric Quality & Safety
|September 20, 2018
PubMed
Summary
This summary is machine-generated.

This quality improvement project successfully reduced duplicate radiographs in pediatric sports medicine clinics, eliminating unnecessary radiation exposure. Interventions focused on communication and education, leading to zero errors in two clinics.

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Area of Science:

  • Medical Imaging
  • Pediatric Sports Medicine
  • Quality Improvement

Background:

  • Musculoskeletal complaints frequently lead to radiographs in outpatient settings.
  • Errors such as incorrect laterality, location, or duplicate imaging occur in clinics.
  • Unnecessary radiation exposure in pediatric patients is a significant concern.

Purpose of the Study:

  • To reduce incorrect duplicate radiographs in an outpatient pediatric sports medicine clinic.
  • To minimize unnecessary radiation exposure for pediatric patients.
  • To implement and evaluate quality improvement interventions.

Main Methods:

  • Utilized quality improvement (QI) methodology and Plan-Do-Study-Act (PDSA) cycles.
  • Evaluated clinic flow, radiograph ordering, and completion processes.
  • Identified and addressed gaps in staff communication, education, and patient participation.

Main Results:

  • Baseline duplicate radiograph errors were 9% in the main clinic and 6% in a second clinic.
  • Following 6 months of PDSA cycles, no duplicate errors were observed in the main clinic.
  • After 2 months of PDSA cycles, the second clinic also achieved zero duplicate errors.

Conclusions:

  • The quality improvement initiative successfully reduced duplicate radiographs in pediatric sports medicine.
  • Effective communication among healthcare providers, patients, and families was key to success.
  • The Institute for Healthcare Improvement model facilitated significant positive change in reducing errors and radiation exposure.