This Open Book describes changes made as a result of X-ray results not being responded to appropriately. The unifying theme for both incidents described is that there was no fail-safe step in the sign-off of results.
Providers should check their existing systems to ensure all possible safety nets are present and if similar changes need to be made.
This report is relevant to:
- chief medical officers
- lead clinicians in radiology departments
- ward and emergency department-based clinicians.
