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The pre-CT checklist: A simple tool to improve workflow and patient safety in an outpatient CT setting
Sheila Sheth1, Beatrice Mudge1, Elliot K Fishman1
1Johns Hopkins Hospital Department of Radiology and Radiological Science, Baltimore, MD 21287, United States of America.
Purpose:
We aim to share our experience with implementation of a simple checklist to improve workflow and safety in patients scheduled for outpatient CT.
Methods:
After identification of several recurrent problems leading to study delays or cancellation, a pre-CT checklist to be used by designated CT technologist in advance of patients' scheduled appointment was designed with input from CT technologists, radiologists, schedulers and nurses.
Results:
Implementation of the checklist led to further actions in 25.9% of cases. The most common actions were calls to referring providers to modify or clarify an order (24.3%), followed by verification of proper premedication in patients with allergy to iodinated contrast (12.7%) and contacting the radiologist for protocolling (12.7%).
Conclusions:
Implementation of a pre-CT checklist that can be tailored to individual practices has potential to improve patients' safety and experience as well as providing a more efficient clinical operation.
Summary Sentence:
We present an easy-to-implement checklist to maximize CT throughput in an outpatient setting that can be customized to the needs of individual institutions and has the potential to improve patients' safety and experience.
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