Proposal of a New Adverse Event Classification by the Society of Interventional Radiology Standards of Practice Committee

被引:524
作者
Khalilzadeh, Omid [1 ]
Baerlocher, Mark O. [2 ]
Shyn, Paul B. [3 ]
Connolly, Bairbre L. [4 ]
Devane, A. Michael [5 ]
Morris, Christopher S. [6 ]
Cohen, Alan M. [7 ]
Midia, Mehran [8 ]
Thornton, Raymond H. [9 ]
Gross, Kathleen [10 ]
Caplin, Drew M. [11 ]
Aeron, Gunjan [12 ]
Misra, Sanjay [13 ]
Patel, Nilesh H. [14 ]
Walker, T. Gregory [15 ]
Martinez-Salazar, Gloria [15 ]
Silberzweig, James E. [1 ]
Nikolic, Boris [16 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
[2] Royal Victoria Hosp, Dept Radiol, Barrie, ON, Canada
[3] Brigham & Womens Hosp, Dept Radiol, 75 Francis St, Boston, MA 02115 USA
[4] Hosp Sick Children, Dept Radiol, Toronto, ON, Canada
[5] Greenville Hlth Syst Univ Med Grp, Dept Radiol, Greenville, SC USA
[6] Univ Vermont, Med Ctr, Dept Radiol, Burlington, VT USA
[7] Univ Texas Houston, McGovern Sch Med, Dept Radiol, Houston, TX USA
[8] McMaster Univ, Dept Radiol, Hamilton, ON, Canada
[9] Mem Sloan Kettering Canc Ctr, Dept Radiol, 1275 York Ave, New York, NY 10021 USA
[10] Greater Baltimore Med, Dept Radiol, Owings Mills, MD USA
[11] Hofstra Northwell Sch Med, Dept Radiol, Manhasset, NY USA
[12] Vet Affairs Med Ctr, Dept Radiol, Providence, RI USA
[13] Mayo Clin & Mayo Fdn, Dept Radiol, Rochester, MN USA
[14] Northwestern Med Cent DuPage Hosp, Dept Radiol, Winfield, IL USA
[15] Massachusetts Gen Hosp, Dept Radiol, Boston, MA USA
[16] Stratton Med Ctr, Dept Radiol, 113 Holland Ave, Albany, NY 12208 USA
关键词
SEVERITY GRADING SYSTEM; QUALITY IMPROVEMENT GUIDELINES; CLAVIEN-DINDO CLASSIFICATION; SURGICAL COMPLICATIONS; SURGERY; IMPACT; RISK; CARE;
D O I
10.1016/j.jvir.2017.06.019
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To develop a new adverse event (AE) classification for the interventional radiology (IR) procedures and,evaluate Its clinical, research, and educational value compared with the existing Society of Interventional Radiology (SIR) classification via an SIR member survey. Materials and Methods: A new AE classification was developed by members of the Standards of Practice Committee of the SIR. Subsequently, a survey was created by a group of 18 members from the SIR Standards of Practice Committee and Service Lines. Twelve clinical AE case scenarios,were generated that encompassed a broad spectrum of IR procedures and potential AEs. Survey, questions Were designed to evaluate the following domains: educational and research values, accountability for intraprocedural challenges, consistency of AE reporting, unambiguity, and potential for incorporation into existing quality-assurance framework. For each AE scenario, the survey participants were instructed to answer questions about the proposed and existing SIR classifications. SIR members were invited via online survey links, and 68 members participated among 140 surveyed. Answers on new and existing classifications Were evaluated and compared statistically. Overall comparison between the two surveys Was performed by generalized linear modeling. Results; The proposed AE classification received superior evaluations in terms of consistency of reporting <.05) and potential for incorporation into :existing quality-assurance framework (P <.05). Respondents gave a higher overall rating: to the educational and research value of the new compared with the existing classification (P <.05). Conclutions: This study, proposed an AE classification system that outperformed the existing SIR classification in the studied domains.
引用
收藏
页码:1432 / 1437
页数:6
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