In 2009, the Pennsylvania Patient Safety Authority received reports of 652 events specifically related to wrong-procedure or test (50%), wrong-patient (30%), wrong-side (15%), and wrong-site (5%) radiology errors. Predominant testing modalities reported to the Authority included radiography (45%), computed tomography (CT) scan (18%), mammography (15%), magnetic resonance imaging (MRI) (6%), and ultrasound (5%).
In response to a request from a Pennsylvania healthcare facility for a more recent analysis of wrong radiology safety events, analysts queried the Authority's reporting database for reports of wrong radiology events using criteria similar to that used to analyze the 2009 data. Analysts' review of the event data identified almost 1,000 wrong radiology imaging events reported during a 12-month period.
Field C. Adapting verification processes to prevent wrong radiology events. Pa Pat Saf Advis 2018 Sep [cited 2018 Sep 20]. http://patientsafety.pa.gov/ADVISORIES/Pages/201809_WrongSiteRadiology.aspx.
Applying the universal protocol to improve patient safety in radiology services. Pa Pat Saf Advis 2011 Jun [cited 2018 Sep 20]. http://patientsafety.pa.gov/ADVISORIES/Pages/201106_63.aspx.