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Improving Radiology Reporting: Digital Imaging Summit 2019

Monday 28 January 2019
De Vere West One Conference Centre, London

Improving Radiology Reporting: Digital Imaging Summit 2019
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We uncovered serious concerns around the length of time it was taking for Worcester Royal Hospital, Kettering General Hospital and Queen Alexandra Hospital to report on radiology examinations, and the potential risk to patients that this posed. The issues found at these trusts warranted immediate action, but it flagged wider concerns about delays in reporting across NHS trusts. Following these inspections, we have strengthened our approach to assessing radiology services. This includes introducing new key lines of enquiry to help inspectors monitor the reporting of imaging examinations to make sure that radiology services are providing a safe, effective, caring, responsive and well-led service for patients. However, the issues flagged in our report highlight that there has been a lack of recognition and management of the risk these present. There is a need for wider local and national action to address current delays and to keep people safe from harm. In particular, the lack of clear national standards for trusts to benchmark themselves against is a key barrier to ensuring that radiology examinations are both reported on in a timely manner, and making sure that trusts are effectively monitoring the performance of radiology services…. Trusts should also be able to assure themselves that any reporting that is outsourced or delegated to nonradiology clinical staff is being reviewed by clinicians who are appropriately trained and competent to perform the task. The safety of any such approach must be closely assessed and monitored. Our report calls for action to address these issues, which have gone under the radar for far too long. Action needs to be taken now to help minimise the risks to patients and make sure that patient examinations are reported on in a timely way by an appropriately trained healthcare professional. A national review of radiology reporting within the NHS in England, Care Quality Commission 2018

“We found that there are few national standards for trusts to benchmark themselves against so trusts can be unclear about what good looks like. In particular, we found huge variation in reporting times and how trusts monitored these.” A national review of radiology reporting within the NHS in England, Care Quality Commission 2018

“Increased demand means that almost all radiology departments are struggling with workload. In the 2017 census only 3% of radiology departments stated that they were able to meet all their reporting requirements within staff contracted hours” The Royal College of Radiologists UK workforce census report 2017

“A small number of trusts told us that IT challenges and technical issues with their Radiology Information System (RIS)* and Picture Archiving and Communication System (PACS) † limited their ability to monitor turnaround times” A national review of radiology reporting within the NHS in England, Care Quality Commission 2018

We have updated our inspection key lines of enquiry and provider information requests to make sure that we can inspect radiology services in more depth. We have also improved the resources we provide our hospital inspectors to make sure that they feel confident when inspecting diagnostic imaging departments. These changes will mean that we can monitor the reporting of imaging examinations as part of our inspections to make sure that radiology services are providing a safe, responsive, effective, caring and well-led service for patients.” A national review of radiology reporting within the NHS in England, Care Quality Commission 2018

This conference focuses on the important issue of improving radiology reporting turnaround times. The 2018 national review of radiology reporting within the NHS in England by the Care Quality Commission found huge variation in radiology reporting highlighting trusts that had backlogs of 33,400 unreported images (the oldest images had been waiting to be reported for eight months).

This conference will enable you to:

  • Network with colleagues who are working to improve radiology reporting turnaround times and safety
  • Learn from outstanding practice in radiology reporting
  • Reflect on national developments and learning from the the 2018 national review of radiology reporting within the NHS in England by the Care Quality Commission
  • Improve the way you monitor radiology reporting turnaround times, use key performance indicators to monitor reporting times effectively, and manage and escalate backlogs  
  • Identify how digital imaging and the effective use of PACS and RIS can support improvement in turnaround times
  • Explore the role of the reporting radiographer
  • Identify key strategies for safe insourcing and outsourcing
  • Reflect on the use of Technological advances in reporting and artificial intelligence
  • Understand the legal implications of backlogs, unreported images and staff competence in reporting
  • Self assess and reflect on your own practice
  • Gain cpd accreditation points contributing to professional development and revalidation evidence
     

100% of delegates at our previous conference on this subject would recommend it to a colleague

 

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