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Journal of Digital Imaging

, Volume 29, Issue 3, pp 341–346 | Cite as

Stakeholders’ Perceptions Regarding the Use of Patient Photographs Integrated with Medical Imaging Studies

  • Gelareh Sadigh
  • Kimberly E. Applegate
  • Timothy W. Ng
  • Kamilah A. Hendrix
  • Srini TridandapaniEmail author
Article

Abstract

Integrating digital facial photographs of pediatric patients as identifiers (ID) with medical imaging (integrated photographic IDs) may increase the detection of mislabeled studies. The purpose of this study was to determine how different stakeholders would receive this novel technology. Parents or guardians of patients in a children’s hospital outpatient radiology department, radiology faculty and residents, and radiology technologists and nurses were asked to complete a survey. The perception about the anticipated use of integrated photographic ID in different clinical scenarios was investigated, and its predictors were determined using logistic regression analysis. Four hundred ninety-eight parents responded (response rate 83 %); 96 and 97 % supported the use of integrated photographic ID, if it improves the radiologist’s imaging interpretation or decreases the rate of mislabeled errors, respectively. Thirty-eight percent were worried that photographic IDs would impact patients’ privacy. Ninety-four percent believed that they should be asked for their consent prior to obtaining their child’s photograph. Seventy-eight radiologists responded (response rate 39 %); 63 and 59 % believed that the use of integrated photographic ID would result in improvement in accurate interpretation of images and identification of mislabeled patient errors, respectively. Forty-nine percent of radiologists had concern that integrated photographic ID would increase interpretation time. Fifty technologists and nurses responded (response rate 59 %); 71 and 73 % supported the technology if it resulted in more acute interpretation of images and identification of mislabeled patients, respectively. A majority of stakeholders support integrated photographic ID in order to improve safety. A majority of parents believe that consent should be obtained.

Keywords

Integrated photographic identifiers Imaging Wrong-patient error Quality and safety Radiology 

References

  1. 1.
    James JT: A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf 9(3):122–8, 2013CrossRefPubMedGoogle Scholar
  2. 2.
    Institue of Medicine. To err is human: Building a safer health system. Corrigan J, Donaldson M, Kohn L, eds. Novemebr 1999. Available at: http://www.iom.edu/~/media/Files/Report Files/1999/To-Err-is-Human/To Err is Human 1999 report brief.pdf.
  3. 3.
    Pennsylvania Patient Safety Advisory: Applying the universal protocol to improve patient safety in radiology. Pennsylvania Patient Safety Authority 8(2):63–70, 2011Google Scholar
  4. 4.
    Sadigh G, Loehfelm T, Applegate K, Tridandapani S. Evaluation of Near-miss Wrong-Patient Errors in Radiology Reports. Am J Rontgenology 205:337–43, 2015Google Scholar
  5. 5.
    Joint Commission on Accreditation of Healthcare Organizations National patient safety goals. January 1, 2013. Available at: http://www.jointcommission.org/assets/1/18/NPSG_Chapter_Jan2013_OME.pdf. Accessed on September 21, 2013.
  6. 6.
    Ramamurthy S, Bhatti P, Arepalli CD, Salama M, Provenzale JM, Tridandapani S: Integrating patient digital photographs with medical imaging examinations. J Digit Imaging 26(5):875–85, 2013CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Tridandapani S, Ramamurthy S, Galgano SJ, Provenzale JM: Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography. AJR Am J Roentgenol 200(4):W345–52, 2013CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Tridandapani S, Ramamurthy S, Provenzale J, Obuchowski NA, Evanoff MG, Bhatti P: A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. Acad Radiol 21(8):1038–47, 2014CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Erdfarb, A, Zampolin, R, Burns, J, Amis, E, Incidence and Etiology of Ionizing Radiation Misadministrations at a Tertiary Care Academic Medical Center: A Retrospective Five Year Review. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, Chicago IL. http://archive.rsna.org/2014/14006250.html Accessed February 20, 2015
  10. 10.
    Schultz SR, Watson Jr, RE, Prescott SL, Krecke KN, Aakre KT, Islam MN, et al: Patient safety event reporting in a large radiology department. AJR Am J Roentgenol 197(3):684–8, 2011CrossRefPubMedGoogle Scholar
  11. 11.
    Heinrich HW (1931). Industrial accident prevention: a scientific approach. McGraw-HillGoogle Scholar
  12. 12.
    Phipps E, Turkel M, Mackenzie ER, Urrea C: He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Jt Comm J Qual Patient Saf 38(3):127–34, 2012PubMedGoogle Scholar
  13. 13.
    Beyea SC: Patient identification--a crucial aspect of patient safety. AORN J 78(3):478, 2003. 81–2CrossRefPubMedGoogle Scholar
  14. 14.
    Hyman D, Laire M, Redmond D, Kaplan DW: The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics 130(1):e211–9, 2012CrossRefPubMedGoogle Scholar
  15. 15.
    Ryan J, Khanda GE, Hibbert R, Duigenan S, Tunis A, Fasih N, et al: Is a picture worth a thousand words? the effect of viewing patient photographs on radiologist interpretation of CT studies. J Am Coll Radiol 12(1):104–7, 2015CrossRefPubMedGoogle Scholar
  16. 16.
    Turner, Y, Hadas-Halpern, I, The Effects of Including a Patient's Photograph to the Radiographic Examination. Radiological Society of North America 2008 Scientific Assembly and Annual Meeting, February 18 - February 20, 2008 ,Chicago IL. http://archive.rsna.org/2008/6008880.html Accessed February 20, 2015
  17. 17.
    Weiss F, Safdar N: Do digital pictures add to the interpretation of diagnostic imaging: a survey along the spectrum of experience. American Journal of Roentgenology 194:A4–A7, 2010. Availabe at: http://www.arrs.org/uploadedFiles/ARRS/Pressroom/2010 AM Oral Abstracts.pdf. Accessed on March 1, 2015.
  18. 18.
    Ramamurthy S, Bhatti P, Munir F, Ng T, Applegate K, Tridandapani S. A Novel Technology for Automatically Obtaining Digital Facial Photographs Near-Simultaneously with Portable Radiographs. J Digit Imaging. 2014Google Scholar
  19. 19.
    Franchitto N, Gavarri L, Dedouit F, Telmon N, Rouge D: Photography, patient consent and scientific publications: medicolegal aspects in France. J Forensic Leg Med 15(4):210–2, 2008CrossRefPubMedGoogle Scholar
  20. 20.
    Lakdawala N, Bercovitch L, Grant-Kels JM: A picture is worth a thousand words: ethical dilemmas presented by storing digital photographs in electronic health records. J Am Acad Dermatol 69(3):473–5, 2013CrossRefPubMedGoogle Scholar

Copyright information

© Society for Imaging Informatics in Medicine 2015

Authors and Affiliations

  • Gelareh Sadigh
    • 1
  • Kimberly E. Applegate
    • 1
    • 2
  • Timothy W. Ng
    • 1
  • Kamilah A. Hendrix
    • 2
  • Srini Tridandapani
    • 1
    • 3
    Email author
  1. 1.Department of Radiology and Imaging SciencesEmory University School of Medicine, Winship Cancer InstituteAtlantaUSA
  2. 2.Children’s Healthcare of AtlantaAtlantaUSA
  3. 3.Georgia Institute of TechnologyAtlantaUSA

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