This past weekend I was invited to present the findings of a study I did with my friend and colleague, Emanuel Kanal. Among his many accolades and credentials, Manny Kanal is the Chair of the ACR MR Safety Committee, a fellow of the ACR and ISMRM, and a neuroradiologist at the University of Pittsburgh Medical Center. The study had a two-part mission, first to review and categorize 18 months of the FDA’s MRI accident data, and second to compare each of these adverse events against existing best-practice standards for MRI safety. The results of the analysis were both stunning, and disheartening…
Archive for the ‘Other MRI Safety’ Category
Calling Out Radiology Accreditation For MRI Safety (video)
Tuesday, October 26th, 2010Radiology Safety
Friday, September 24th, 2010Make no mistake, I believe that healthcare has a special obligation to protect the well being of our patients, our beneficiaries, our charges. When it comes to radiology, nuclear medicine and radiation therapy (where treating the patient involves sticking them in an astoundingly complex machine and exercising advanced concepts in physics to have a computer reconstruct fragments of data into an intelligible picture)… well its just so damned complicated that we have to assume the full responsibility for patient safety because, under those circumstances, it is wholly unreasonable to expect the patient to be active participants in their own safety.
‘Learn The Things You Don’t Know That You Don’t Know.’
Wednesday, September 15th, 2010This, in essence, is the entirety of point-of-care safety standards for MRI.
“Hey, you, MR technologist! Make sure you know what you’re supposed to know to keep people safe around MRI.“
Make no mistake, as someone who spent a decade in college (which included a Masters degree and about half of a 2nd Bachelors), I’m a huge fan of education. What I’m adamantly opposed to – when it comes to MRI safety – is education without any standards or benchmarks, which is precisely where we find ourselves today.
Click To Read What Tobias Thinks Is Wrong With MRI Safety Training…
MRI Accident Rates: It’s Not As Bad As Previously Reported…
Monday, 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
Wednesday, 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)
Tuesday, 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
Friday, 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…
Sunday, 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)”
Sunday, 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.
CMS Asked To Review MRI For Pacemaker Patient Exclusion
Friday, 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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