Cork University Hospital Faces Scrutiny Over Radiation Exposure Protocols

Cork University Hospital (CUH) has been instructed to urgently address non-compliance issues regarding patient referrals to its diagnostic imaging department, ensuring proper care concerning radiation exposure. The directive followed an inspection by the Health Information and Quality Authority (HIQA) in July 2025, as part of broader checks on facilities utilizing medical exposure to ionizing radiation .

Key Findings from the HIQA Inspection

The inspection revealed that while the radiotherapy department adhered to appropriate referral protocols, issues existed within a subset of the radiology department. Specifically, inspectors found evidence of “pre-signed blank referral cards” being used in the orthopaedic out-patient department . These cards were completed by individuals not authorized to act as referrers, a practice that had been ongoing for several years despite previous attempts to rectify it.

the report highlighted instances where procedures were entered into the radiology system retrospectively, after they had been performed, circumventing the requirement for prior, appropriate referral .

Compliance Levels and Required Actions

CUH demonstrated compliance in four areas, substantial compliance in seven, and non-compliance in three areas assessed by HIQA regarding medical exposure to ionizing radiation . As a result of the findings, CUH was required to submit an urgent compliance plan to address the identified issues. Hospital management assured HIQA that the risks were adequately addressed, stating that all referrals now originate from recognized referrers and retrospective referrals are no longer accepted.

Broader Context: National Inspections

The inspection of CUH was part of a wider series of assessments conducted by HIQA across eight public and six private facilities in Ireland, focusing on compliance with regulations concerning medical exposure to ionizing radiation . A separate inspection also identified areas for improvement at Tallaght University Hospital in Dublin, specifically regarding radiation safety governance, documentation, and oversight.

Looking Ahead

The HIQA report underscores the importance of robust referral systems and clear accountability in ensuring patient safety during radiological procedures. Continued monitoring and adherence to best practices will be crucial for CUH and other healthcare facilities to maintain compliance and protect patients from unnecessary radiation exposure.