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.
Unlike most of my posts, this one does not offer a position, much less a ‘call to action.’ Instead, I pose a question. You can read it as rhetorical, and allow me to stew in my own juices, or offer your thoughts. The essence of my question is what obligation do I have when I see horrible MRI suite design?
In 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.
No, there’s not an echo in this posting. I’m simply rehearsing for two nearly-back-to-back presentations on MRI safety issues to different groups, both in Orlando, Florida, in the weeks ahead.
Our company, Mednovus, is making the annual pilgrimage to Chicago after Thanksgiving for the biggest of all radiology trade shows, the Radiological Society of North America (RSNA) annual meeting. The ‘buzz’ at each of these shows has traditionally been focused on the new-product launches from the ‘big 3’ (Philips, Siemens, and GE), and very little on ancillary or support solutions. This year, however, with the looming Michael Colombini civil trial and forthcoming design standards on MRI safety, that may all be about to change, with a new focus on MRI safety issues.
To facilitate your review of safety features, I’d like to suggest an itinerary for visiting a select group of exhibitors, starting with North Exhibit Hall B (the Philips hall)… Click To Read The Suggested List…
Yes, I think I’ve written at least twice before about the imminent start of the trial for the civil lawsuit stemming from the Michael Colombini fatal MRI accident in 2001. And, yes, I was wrong both times before. So, I would expect nothing less than readers of this entry to take my 3rd prognostication of the start of the trial with something more than a grain of salt… perhaps an entire salt lick! But today a little birdie told me that there’s a hole in the otherwise-booked New York Supreme Court trial schedule for late October / early November and the Colombini trial may just fit right in there.
Last month, I was honored to have been given the opportunity to present to one of the national American Healthcare Radiology Administrators (AHRA) meetings. In October I gave a presentation on the current state of MRI Safety, including regulatory, legal and accreditation changes that are all in the works.
The full presentation was 90 minutes, including an extensive audience Q&A, but I’ve pulled out one particular section that is particularly relevant to our topic at hand, ferromagnetic detection for MRI pre-screening.
The video excerpt below addresses forthcoming changes to the ‘Guidelines for Design and Construction of Health Care Facilities’, a poly-cyllabic mouthful that roughly translated means the healthcare building code, and changes regarding MRI suite design…
As mentioned in the video above, the proposed changes to the healthcare building code are currently open for public review and comment. The proposed language includes references to the ACR 4-zone principles as well as planning for ferromagnetic detection.
If you would like to see, review or even comment upon the proposed changes to the hospital and healthcare provider building code, public comment for the ‘Guidelines’ is open until December 15th, 2008.Tobias Gilk, President & MRI Safety Director Mednovus, Inc. Tobias.Gilk@Mednovus.com www.MEDNOVUS.com