Serious 4B Delayed diagnosis and Abnormal X-ray findings not Review guideline for routine In progress. treatment due to followed up. investigations. failure to act on GP name not entered in radiology Review sign-off process for abnormal abnormal radiological system until after report finalised. radiology results. findings. Ensure GPs are always assigned in the radiology system so they receive a copy of the finalised report. Serious 4A Delayed diagnosis due Shortage of radiologist resource. Increase/recruit radiologist resource. Additional radiologist to failure to schedule Implementation of new electronic employed. Develop and implement clinical radiology procedure radiology system resulted in patient indicators/flags for monitoring CT Electronic radiology system and delayed radiology report delays. colonoscopy waiting times. implemented. reporting following the procedure. Reporting volumes are being monitored. Serious 4A Procedure and reporting delay resulting in delayed diagnosis.
Serious 4B Delayed diagnosis and treatment due to failure to act on abnormal radiological findings. Abnormal X-ray findings not followed up. GP name not entered in radiology system until after report finalised. Review guideline for routine investigations. Review sign-off process for abnormal radiology results. Ensure GPs are always assigned in the radiology system so they receive a copy of the finalised report. In progress. Serious 4A Delayed diagnosis due to failure to schedule radiology procedure and delayed radiology reporting following the procedure. Shortage of radiologist resource. Implementation of new electronic radiology system resulted in patient report delays. Increase/recruit radiologist resource. Develop and implement clinical indicators/flags for monitoring CT colonoscopy waiting times. Additional radiologist employed. Electronic radiology system implemented. Reporting volumes are being monitored. Serious 4A Procedure and reporting delay resulting in delayed diagnosis.
SSE-cases-2010-11-FINALv1.docx