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Table 1 Tool for use by medical imaging teams in reflecting on person-centred care [28, 41,42,43,44,45,46]

From: Creating person-al space for unspoken voices during diagnostic medical imaging examinations: a qualitative study

  

QUESTIONS

ACTIONS

ELEMENT

ISSUE(S) FOR DISCUSSION

What are we doing well?

What could be improved?

HOW?

Actions for

improvement

WHO?

Member(s) responsible for action

WHEN?

Timeline & feedback

1. Transition in

Ease of access to services:

• Resources for information (e.g. website to inform patient decisions on practice or examinations; education programmes; information leaflets)

• Making and getting appointments

• Navigation to point of face-to-face contact (e.g. parking, signage, web information)

     

Reception:

• Staff welcome and communication

• Waiting room (e.g. layout, information available, provision for emergencies)

• Management of waiting times (from entry to exit)

     

Documentation and verification / record keeping:

• Mechanisms in place to ensure request orders are appropriately filled

• Access to old imaging examinations and reports

• Pregnancy tests

     

2. Engagement

• Care communication

• Power relations

• Space / opportunity for information exchange with patient and understanding of patient needs

• Staff demeanour

     

3. Decisions

• Participatory decision making

• Communication about procedural decisions for getting quality images

     

4. Well-being

• Ethical considerations (autonomy, dignity, respect)

• Safety and protection

• Patient preferences and needs

• Physical environment

• Psychosocial aspects (e.g. emotional well-being and support)

• Socio-cultural aspects (e.g. community endeavours like educating the public)

• Culturally safe environment

     

5. Experience

• Professionalism

• Pacing of the actual examination

• Efficiency of task performance

• Equitable treatment

     

6. Transition out

• Ease in exiting

• Ensuring safety

• Reporting channels and communication of outcomes

     

7. Staff-related elements for providing quality care

• Equipment and accessories (e.g. equipment function status)

• Medical imaging protocols

• Incident writing

• Utilisation of patient data

• Evaluation of patient satisfaction

• Education programmes for patients and staff

• Peer debriefing

• Multidisciplinary team engagement (e.g. including

• occupational health and safety)

     

8. Organisational / Institutional component

• Institutional leadership and support

• Monitoring of the quality improvement program (e.g. quality assurance, quality control of equipment and workplace environment)

• Standards and compliance with authorising institutional and national regulatory authorities

• Internal and external stakeholder participation

• Institutional culture on safety management (e.g. error disclosure and risk management)

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