Labelling X-ray compatible operating tables in Urology

Background

Insertion of a double-J (DJ) ureteric stent requires intra-operative fluoroscopy to confirm the position of the stent. Therefore, it is essential that the operating table is radiolucent; a factor, sometimes overlooked, leading to unnecessary interruptions during the surgery, and potentially a threat to patient safety.

Aim

To devise a fool-proof method of identification of X-ray transparent operating tables.

Pdsa 1

Plan/Do: To document instances where a radiopaque operating table was used during the insertion of a DJ stent.

Study: In September 2022, there were 2 instances of radiopaque operating tables being used. The error was discovered midprocedure after the patient had been intubated. Patients were then shifted onto the correct trolley. No injuries or complications were reported, and the procedures were completed successfully

Act: Design and display visual aids on operating tables to correctly identify radio-compatibility.

Conclusion

Pdsa 2

Plan/Do: To measure the change in practice after implementation of change

Study: In the month of October 2022, there were no instances of a radiopaque operating table being used for DJ stenting procedures.

Future action: To apply appropriate stickers on all operating tables. To educate new members of the team about the importance of confirming use of X-ray compatible operating tables.

Prominent labelling of operating tables, identifying X-ray compatibility, is a simple yet effective method of minimising errors related to incorrectly using Xray-incompatible tables for procedures requiring intraoperative fluoroscopy.