You can start reading the blog posts (a little way below) or click immediately below for an introduction to help you find what you came here for…
NOT Magnet Safe Scissors!
July 6th, 2010Last year I highlighted an FDA MRI accident report in which a technologist had to have a pair of scissors surgically removed from his forehead after they’d caught him between the magnet-homing missile that they became, and the isocenter of the MRI. You may remember that I fauxtoshopped a hypothesis as to what that accident would have looked like on plain film: perhaps something like this… Click For More On What This Accident Was Like…
MRI Accident Rates: It’s Not As Bad As Previously Reported…
June 28th, 2010IT’S WORSE!
That’s right, the FDA has updated it’s MRI accident figures available online through the MAUDE database. We were alarmed and astonished when we thought that the rate of increases in MRI accidents was only 270% (from 2004 to 2008). Turns out that the FDA must have found additional accident reports that were in a stack of junk-mail, or got lost between the sofa cushions, which means that the rate if adverse events went up, significantly, in 2008 from the prior calculation.
Click Here To Learn How Much Worse MRI Accident Rates Really Are…
MRI Safety Video Available Online
June 23rd, 2010Just a very brief note to let you know that the video of my presentation from the April MRI Safety Workshop at Children’s Mercy Hospital in Kansas City is now available for online viewing.
If you’d like to watch it, it’s in 3 parts. The first of 3 is available here (requires QuickTime viewer).
Tobias Gilk, President & MRI Safety Director Mednovus, Inc. Tobias.Gilk@Mednovus.com www.MEDNOVUS.com
No Vacation For MRI Safety (Recent Death)
June 15th, 2010Yes, I’ve not kept up with my blog postings as I usually do. I’d like to tell you that it was because I’ve been spending the last month or so sipping umbrella-drinks on a sunny beach somewhere, but that’s about the furthest thing from the truth. The fact is that there have been torrents of activity, but they’re all happening below the glassy surface. For example, the radiology press has been strangely silent about the most recent MRI fatality…
Stockton, CA – MRIs vs. Firefighters, Round 2
April 2nd, 2010I didn’t know that MRI scanners formed clubs, or gangs, but it appears that they’ve at least colluded in Stockton, California, and they’ve got it out for the municipal firefighters!
Click Here To Learn More About The Stockton Firefighter-MRI Vendetta…
I Love Being Wrong…
March 7th, 2010Alright, I don’t love the fact of being wrong, but my mission is to motivate improvements in MRI safety for patients, staff, and providers. I’m not the least bit interested in having the longest list of ‘I told you so’ moments, and I’m uncomfortable when someone applies the term ‘guru’ to me. I am openly, vocally, critical of organizations when I feel that they haven’t lived up to their obligation to reinforce MRI safety standards, so when one of them does well, I can’t tell you how happy I am to eat my prior words, and today is an example of that…
“The Magnetic Elephant In The Room (Or Congressional Hearing Chamber)”
February 28th, 2010Here we sit, on the cusp of mandatory accreditation for ‘Advanced Imaging’ modalities at outpatient providers (these are CT, MRI and PET), and a series of articles on medical radiation exposure splashes across the New York Times.
In nearly concurrent moves, the Joint Commission (JC) unveils their just-developed Advanced Imaging (AI) accreditation program, the FDA is clamoring for new authority to regulate medical device safety (or gearing-up to use authority that it’s been hiding for safe-keeping, that isn’t exactly clear to me), the US Congress whips together a set of hearings on the issue, and, at those hearings, the American College of Radiology (ACR) recommends that the Feds expand the scope of the AI accreditation requirement to include radiation therapy and to apply the expanded accreditation requirements to hospitals, too.
Whew, that’s a lot of ground covered for radiology in just the last few weeks! Wait a minute… who is that sitting in the backseat? Who has been drug through all of the hullabaloo about radiation exposure and patient safety without once having been considered, individually? MRI, that’s who.
MRI Design Requirements – Guidelines Dominoes
February 25th, 2010In stark contrast to the speed with which we expect to see medical technology advance, the more bureaucratic process of regulatory or accreditation tends to be more deliberative and… oh heck, I’ll just say it… glacial in its pace to keep up. Every once in a while, however, these efforts ‘sling-shot’ forward.
Much to my surprise (and delight), this is happening with the new Guidelines for Design and Construction of Health Care Facilities (or Guidelines, for short). Though the 2010 edition of Guidelines has only been published for about a month (and the publisher has been struggling to catch up on back-ordered copies), two states have already adopted the 2010 edition as their requirements for licensure.
CMS Asked To Review MRI For Pacemaker Patient Exclusion
July 2nd, 2010The Centers for Medicare & Medicaid Services (CMS) has opened a brief public comment period on a request to lift reimbursement restrictions on imaging pacemaker patients with pacemakers.
Example of a Pacemaker Pulse-Generator Which Could Present Dangerous Contraindications For MRI Exams
Click To Read More And Link To The CMS Info…
Tags: cardiac, CMS, comment, death, defibrillator, device, FDA, hazard, ICD, imaging, implant, injury, magnetic, Medicaid, Medicare, MRI, National Coverage Determination, NCD, pacemaker, public, radiology, resonance, risk, Russo, safety, Scripps
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