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Proposed RCR / CRAC Audit 2014

Proposed RCR / CRAC Audit 2014. Karen A Duncan. NPSA Safer Practice Notice Early identification of failure to act on Radiological Imaging Reports 2007. Background to NPSA report. Questions to be asked:.

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Proposed RCR / CRAC Audit 2014

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  1. Proposed RCR / CRAC Audit 2014 Karen A Duncan The Clinical Radiology Audit Committee’s 2014 Audit Forum

  2. NPSA Safer Practice NoticeEarly identification of failure to act on Radiological Imaging Reports2007 The Clinical Radiology Audit Committee’s 2014 Audit Forum

  3. The Clinical Radiology Audit Committee’s 2014 Audit Forum

  4. Background to NPSA report The Clinical Radiology Audit Committee’s 2014 Audit Forum

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  18. Questions to be asked: • Do you have a defined policy on the communication of critical, urgent and unexpected significant findings? • Is this a Trust policy which has been agreed with your referring clinicians? • Do you have an automated electronic alert system to all referring clinicians with the ability for the clinicians to acknowledge receipt of reports and that they have been read? The Clinical Radiology Audit Committee’s 2014 Audit Forum

  19. How do you notify hospital clinicians and referrers? Electronic alert system Phone Fax Through MDT co-ordinator / cancer offices How do you notify GPs? Electronic alert system Phone Fax Through MDT co-ordinator / cancer offices Do you send patients a standard letter if examination abnormal? The Clinical Radiology Audit Committee’s 2014 Audit Forum

  20. For what categories of findings do you issue alerts? New cancer type Critical finding Eg pneumoperitoneum, pneumothorax, severe cardiac failure, severe pneumonia, acute fracture( other than emergency department requests) leaking aortic aneurysm, pyonephrosis, liver abscess. Urgent/significant/unexpected – Eg. malignancy, pleural effusion , metastases, DVT, ascites, hydronephrosis, pelvic mass, pancreatic mass, testicular tumour, Missed fracture eg femoral neck The Clinical Radiology Audit Committee’s 2014 Audit Forum

  21. Acknowledgements • Karl Drinkwater RCR Audit Officer • CRAC Members The Clinical Radiology Audit Committee’s 2014 Audit Forum

  22. Thank you. • Comments? • Questions? The Clinical Radiology Audit Committee’s 2014 Audit Forum

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