When using NIR, what happens when images are in the wrong patient folder and have been reviewed already by a trust and perhaps clinical decisions have been made on the images?

NIR Governance & Clinical Safety FAQs
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In these scenarios, NIR expects the following mitigations are actioned:

  • Consuming Trust, Study mismatch: patient has had someone else’s image attached to their record and the consuming trust spots it. They should report it to service desk and then the Service Desk will contact the originating source.

  • Provider Trust, Study mismatch: patient has had someone else’s image attached to their record and the providing trust spots it. They would need to correct the issue and expose the correct image to NIR, in the event of clinical concern, organisations can leverage the PARS audit mechanism to check the NIR activity associated with that image and initiate any local clinical safety protocols in place.

  • Please see both the onboarding page for understanding the assurance process, and the governance page to review the Hazard log and associated guidance. https://digital.nhs.uk/services/national-imaging-registry/nir-onboarding-guidance https://digital.nhs.uk/services/national-imaging-registry/governance