Open Book: Acting on X-ray reports (June 2015)

30 Jun 2015 | Adverse Events

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.

Last updated 09/08/2020