PMID- 38170413 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240106 IS - 2520-8934 (Electronic) IS - 2520-8934 (Linking) VI - 7 IP - 1 DP - 2024 Jan 3 TI - Avoiding adverse events in interventional radiology - a systematic review on the instruments. PG - 2 LID - 10.1186/s42155-023-00413-7 [doi] LID - 2 AB - BACKGROUND: Avoiding AEs is a pivotal fundament for high patient safety in an efficient interventional radiology (IR) department. Although IR procedures are considered to have a lower risk than their surgical alternatives, they account for one third of all radiological adverse events (AEs) and in general, the number of AEs is increasing. Thus, measures to prevent AEs in IR are of interest. METHODS: A systematic literature search was conducted via handsearch and Ovid. A structured data extraction was performed with all included studies and their quality of evidence was evaluated. Finally, data were aggregated for further statistical analysis. RESULTS: After screening 1,899 records, 25 full-text publications were screened for eligibility. Nine studies were included in the review. Of those, four studies investigated in simulator training, one in team training, three in checklists, and one in team time-out. Eight were monocenter studies, and five were conducted in a non-clinical context. Study quality was low. Aggregation and analysis of data was only possible for the studies about checklists with an overall reduction of the median error per procedure from 0.35 to 0.06, observed in a total of 20,399 and 58,963 procedures, respectively. CONCLUSION: The evidence on the instruments to avoid AEs in IR is low. Further research should be conducted to elaborate the most powerful safety tools to improve patient outcomes in IR by avoiding AEs. CI - (c) 2023. The Author(s). FAU - Blum, Sophia Freya Ulrike AU - Blum SFU AUID- ORCID: 0000-0001-7096-5199 AD - Institute and Polyclinic for Diagnostic and Interventional Radiology, University Hospital Carl Gustav Carus, Technical University Dresden, Fetscherstrasse 74, Dresden, 01307, Germany. sophia.blum@ukdd.de. AD - Quality and Medical Risk Management, University Hospital Carl Gustav Carus, Technical University Dresden, Fetscherstrasse 74, Dresden, 01307, Germany. sophia.blum@ukdd.de. FAU - Hoffmann, Ralf-Thorsten AU - Hoffmann RT AD - Institute and Polyclinic for Diagnostic and Interventional Radiology, University Hospital Carl Gustav Carus, Technical University Dresden, Fetscherstrasse 74, Dresden, 01307, Germany. LA - eng PT - Journal Article PT - Review DEP - 20240103 PL - Switzerland TA - CVIR Endovasc JT - CVIR endovascular JID - 101738484 PMC - PMC10764660 OTO - NOTNLM OT - Adverse events OT - Checklist OT - Communication OT - IR OT - Safety culture OT - Simulator training OT - Value-based interventional radiology COIS- The authors declare that they have no competing interests. EDAT- 2024/01/04 01:18 MHDA- 2024/01/04 01:19 PMCR- 2024/01/03 CRDT- 2024/01/03 12:55 PHST- 2023/09/28 00:00 [received] PHST- 2023/12/05 00:00 [accepted] PHST- 2024/01/04 01:19 [medline] PHST- 2024/01/04 01:18 [pubmed] PHST- 2024/01/03 12:55 [entrez] PHST- 2024/01/03 00:00 [pmc-release] AID - 10.1186/s42155-023-00413-7 [pii] AID - 413 [pii] AID - 10.1186/s42155-023-00413-7 [doi] PST - epublish SO - CVIR Endovasc. 2024 Jan 3;7(1):2. doi: 10.1186/s42155-023-00413-7.