Currently there is no national reporting and learning system specifically intended to analyse and learn from diagnostic imaging errors in the UK.
The Clinical Imaging Board (CIB) recognised the need for such a system and commissioned a working party to take this forward. 'Learning from ionising radiation dose errors, adverse events and near misses in UK clinical imaging departments' was published in June 2019. The report includes a classification and pathway coding system intended to enable organisations to code, analyse and learn from errors, and provides a number of recommendations including the establishment of a multi-disciplinary steering group to develop this work to a national level.
The Medical Exposures Group (MEG) in UKHSA is leading the scoping exercise to understand how best to implement the recommendations put forward by the report. A three phased approach is being been taken for this.