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Establishing Quality and Safety in Hospital-based 3D Printing Programs: Patient-first Approach
Sarah Bastawrous1, Lei Wu1, Brian Strzelecki1
1From the Department of Radiology (S.B., L.W., B.R.) and Department of Medicine, Division of Cardiology (D.B.L.), University of Washington School of Medicine, 1959 NE Pacific St, Seattle WA 98195; Department of Radiology, VA Puget Sound Health Care System, Seattle, Wash (S.B., L.W., B.R.); Department of Mechanical Engineering, University of Washington, Seattle, Wash (J.S.L.); Research and Development, Center for Limb Loss and MoBility (CLiMB), VA Puget Sound Health Care System, Seattle, Wash (B.S., J.S.L.); and Department of Bioengineering, University of Maryland, College Park, Md (J.C.).
Abstract:
The adoption of three-dimensional (3D) printing is rapidly spreading across hospitals, and the complexity of 3D-printed models and devices is growing. While exciting, the rapid growth and increasing complexity also put patients at increased risk for potential errors and decreased quality of the final product. More than ever, a strong quality management system (QMS) must be in place to identify potential errors, mitigate those errors, and continually enhance the quality of the product that is delivered to patients. The continuous repetition of the traditional processes of care, without insight into the positive or negative impact, is ultimately detrimental to the delivery of patient care. Repetitive tasks within a process can be measured, refined, and improved and translate into high levels of quality, and the same is true within the 3D printing process. The authors share their own experiences and growing pains in building a QMS into their 3D printing processes. They highlight errors encountered along the way, how they were addressed, and how they have strived to improve consistency, facilitate communication, and replicate successes. They also describe the vital intersection of health care providers, regulatory groups, and traditional manufacturers, who contribute essential elements to a common goal of providing quality and safety to patients. ©RSNA, 2021.
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