While they released a Sentinel Event Alert on MRI safety in 2008, and while they’ve interpreted MRI-specific applications of a couple of hospital-wide standards (mainly, non-magnetic portable fire extinguishers), it was this past December (2013) when they announced their first explicit MRI Safety Standards, which become effective in July of 2014.
There are a few highly-specific criteria that don’t leave much to interpretation (collect data on your failed screenings in which a ferromagnetic object was allowed to enter the MRI scanner room), and there are more somewhat ambiguously-worded standards (manage MRI safety risks). Any facility that has undergone more than one Joint Commission survey knows that there is often different emphasis from one survey to the next, even if the standards haven’t changed. What follows is my own, personal, compliance checklist of the new MRI standards. While not reviewed / approved / sanctioned / blessed by the Joint Commission, I would contend that anyone who can check all of these boxes should sail through any survey that uses the new MRI safety standards… Continue reading →
Every New Year holds great promise… this one perhaps more than most.
First, I want to share with you that my direct employment with Mednovus has ended. The relationship with the founders and principals of the company is as strong as ever, and I owe them a huge debt of gratitude for allowing me to do so much ‘extracurricular’ work to further MRI safety. I will continue to work with them on a consulting basis, indefinitely. Which is a great segue into my new venture… Continue reading →
If you’ve ever been on an email mailing list for the ACR, then you’ve probably received a few of these in the last few months… emails imploring you to contact your Senators and Representatives to urge them to support the Diagnostic Imaging Services Access Protection Act (HR 3269). So far I’ve received three or four of them, and for the ones I’d received previously, I replied, agreeing to contact my elected officials on their behalf, but on one condition…
Ambivalence is rampant with respect to MRI safety. “It hasn’t happened to us (so therefore the risk is just theoretical)”, or “MRI is the safe modality”, or “our last license or accreditation surveyor didn’t say anything, so we must be good.” In large part, I understand this let-sleeping-dogs-lie attitude (I don’t agree with it, but I can understand where it comes from). What I can’t abide, however, is hypocrisy with regard to MRI safety as typified by one entity’s ‘we’re the greatest thing for MRI safety since sliced bread’ PR.
Those who know me know that I’m an upbeat person. Not the spring-out-of-be-fifteen-minutes-before-the-alarm-“so-happy-to-greet-the-morning” type of upbeat, but more of an indefatigable cautious-optimism. Yes, there are bad days… days when I’d just prefer to pull the covers over my head to wait to see if next week Thursday offers enough to coax me out of bed. But I’m of the firm belief that – on those days – you have to drag your sorry butt out of bed and put one foot in front of the other, if for no other reason than you might forget how if you skip a day. Someday, no matter how distant or unlikely, you will meet your goal.
Ironically, those two words – so similar on the surface – often turn out to be antonyms. Today I’m going to attempt to provide you with some transparency relative to a recent disappearance here on this site.
One can only presume that this is the commentary that US States and radiology accreditation agencies have to offer on the contemporary state of MRI safety. After all, there’s been nothing more than navel-gazing when it comes to measurable changes in standards for MRI providers. Let’s break it down…
I’m not big on New Years’ resolutions. In fact, I’ve previously resolved to not resolve… but today I’m breaking that vow (or would that be a ‘disavow’?). This year there are just too many things precariously poised — that could fall our way or not — that I can’t help but to resolve to rededicate myself to making substantive changes to industry standards and practices for MR safety, and here’s how I’m going to do it…
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…
This, 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.