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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)