The ESR Basic Patient Safety Standards and Audit Tool provides clear guidance on how to perform effective audit against 18 Patient Safety Standards that the ESR considers represent essential good practice in any imaging service. These standards encompass all aspects of patient safety, with a particular focus on radiation protection of the patient. To support departments in auditing their practice, the ESR Audit and Standards Subcommittee has produced a set of templates to help radiologists and radiographers assess their compliance with each of the standards. The ESR Audit Tool has been endorsed by the European Society of Radiographers (EFRS).

Clinical Audit is required under the Euratom Basic Safety Standards Directive and therefore mandatory. The ESR Audit Tool aids departments in carrying out audit, thereby complying with the directive, and assuring the protection of their patients.

The ESR Clinical Audit Tool

According to E. Jane Adam, Chair of the ESR Quality, Safety and Standards Committee, 'Clinical Audit is an essential process to assure and improve safety and quality in an imaging service. The ESR Audit Tool will be incredibly valuable to all imaging departments, particularly those that are in the early stages of developing an audit programme.'

The ESR aims to build on this initial publication of the Audit Tool by developing further standards with supporting templates.

The ESR standards aim to address the following questions:

  • Is your service safe?
  • Is your service responsive?
  • Is your service caring?
  • Is your service effective?
  • Is your service well led?

The ESR's web-based Audit Tool is designed to facilitate the development of local Clinical Audit across the spectrum of the services provided by Clinical Radiology. It provides an outline of the principles of Clinical Audit combined with a library of templates for audit in a variety of situations as well as a compendium of useful resources.

Download the ESR Clinical Audit Tool here.

Basic Safety Standards and Clinical Audit Templates

Download the entirety of ESR patient safety standards and clinical audit templates in one document here.


The Level I Clinical Audit Templates can also be downloaded separately.

(For better readability of the printed versions of the documents, the option ‘print in black and white’ is recommended.)

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