Identifying and characterizing the 18 steps of medical imaging process workflow as a basis for targeting improvements in clinical practice

Shafiqur Rahman Jabin, Catherine Mandel, Tim Schultz, Peter Hibbert, Farah Magrabi, William Runciman

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

We reviewed initiatives to improve the quality and safety of health information technology in medical imaging through the lens of incident reports provided by healthcare professionals in each sequential step of the medical imaging process workflow. The 18 steps of imaging workflow were framed based on a literature review, visits to hospital radiology departments, interviews with radiologists, and iterative consultations with experts. Both inductive and deductive analyses were applied to 436 health information technology-related incidents identified from 4,915 medical imaging incident reports. In the 18 imaging workflow steps both human (58%) and technical factors (42%) were involved. Classification from the perspective of the 18 steps of the imaging workflow was useful because it orientates the reporter and analysts to the tasks at each stage, and it also informs the analysts as to where corrective strategies could be addressed. Most of the things that go wrong in healthcare occur infrequently, so collecting information after they have gone wrong is the only practical approach to identifying and characterizing them. This should become a routine part of clinical practice in a complex constantly changing system.

Original languageEnglish
Title of host publicationIST 2019 - IEEE International Conference on Imaging Systems and Techniques, Proceedings
Place of PublicationPiscataway, NJ
PublisherInstitute of Electrical and Electronics Engineers Inc.
Number of pages6
ISBN (Electronic)9781728138688
DOIs
Publication statusPublished - Dec 2019
Externally publishedYes
Event2019 IEEE International Conference on Imaging Systems and Techniques, IST 2019 - Abu Dhabi, United Arab Emirates
Duration: 8 Dec 201910 Dec 2019

Publication series

NameIST 2019 - IEEE International Conference on Imaging Systems and Techniques, Proceedings

Conference

Conference2019 IEEE International Conference on Imaging Systems and Techniques, IST 2019
CountryUnited Arab Emirates
CityAbu Dhabi
Period8/12/1910/12/19

Keywords

  • health information technology
  • imaging workflow
  • incident reports
  • medical imaging
  • safety and quality

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