Tag Archives: risk

MRI Safety Resolution

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…

Click To Learn How…

Radiology Safety

Make 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.

Click To Read More About Our Special Radiology Safety Duty…

CMS Asked To Review MRI For Pacemaker Patient Exclusion

The 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…

Gurney Crashes MRI, Patient Injured, Hospital Fined $50K

It is the stuff of fabled oral-histories, often dismissed as MRI urban-legend. The patient is wheeled into the MRI room on a gurney that goes flying toward the scanner. “How on Earth could these accidents happen when we know about these risks,” the skeptics question? Almost never does more than a single fragment of information surface about these sorts of accidents and, without verification, nearly all accounts can be erroneously written-off as fiction. Or, that was until enough pieces fell into place to conclusively document a recent episode… Click Here To Read More About MRI Gurney Accidents…

Fear and Clothing In MRI-Land: An MRI Safety Tale

Near the end of last year I posted an article from an RSNA ‘tip of the day’ regarding external fixation, halo, hardware and ferromagnetic risks. Now, in the first few weeks of 2010 we learn of new MRI safety risks from orthopedic hardware that may be more common than halo systems, scoliosis body braces.

External fixation and braces are typically very carefully screened for contraindication for MRI examination, but what may not be as frequently screened is the clothing underneath. Click Here For The Rest Of The Story…

ThermaCare HeatWrap Dangerous In MRI?

Yesterday I was provided a copy of an anonymized MRI accident / incident report which described how an MRI patient wearing a ThermaCare HeatWrap (something of a self-warming patch for muscle aches) had the wrap pulled off of them by the magnetic attraction of the MRI.

ThermaCare HeatWrap

ThermaCare HeatWrap Products Contain Iron And May Be Drawn Into MRI Scanners

Click To Read More About This Incident And How To Prevent Similar Accidents From Occurring…

Can We Still Call Them ‘Never Events’ When Accidents Happen So Frequently In MRI?

This post attempts to draw-together two recent threads from here on the MRI Metal Detector blog. First, there was a long-running question about the FDA and their online-accessible database of medical device accidents which, for months, appeared to be malfunctioning, and recently was repaired. Second, there was my post in which I identified 5 MRI ‘Never Events’ which, if industry standard procedures are followed, should never occur.

Click For Several Recent Examples Of MRI Never Events…

ECRI Top 10 Medical Technology Hazards Includes MRI Projectiles

Every year the ECRI Institute publishes their Top 10 health technology hazards, identifying the 10 most serious (and unintended) risks posed by our ever-increasing use of sophisticated medical devices to diagnose and treat patients. In November, the Institute released their 2010 watch list, which dedicated a Top 10 slot, and an entire page, to ferromagnetic projectiles in MRI.

Click To Read More And Get Link To Original Report…

FDA’s MAUDE Database Appears To Be Restored

For a couple of months, at least, the FDA’s MAUDE database wasn’t displaying all of the accident narratives online… This appears to have been fixed!

A number of the MRI accident reports, when the narratives weren’t appearing, were little more than the name and mailing address of the MRI manufacturer. Today, if you want to read about the MR Technologist who had a pair of scissors magnetically-impelled into his forehead, you can do so. So Click Here If You’re Curious…

2010 ‘Guidelines’ Healthcare Building Code To Have MRI Safety Requirements

“Tweet, tweet” is usually all I hear from little birdies… but one little bird that flew past my office recently had a surprisingly large vocabulary and told me of new requirements that will be introduced in the forthcoming 2010 update to the ‘Guidelines for Design and Construction of Health Care Facilities’ (commonly referred to as ‘Guidelines’).

For those of you who aren’t familiar with the Guidelines, they are the design requirements that are cited by the Joint Commission and, at last count, 42 of the 50 U.S. State Departments of Health. Technically, they aren’t a building code, but the function in almost the exact same way. For the first time, the Guidelines are going to have specific MRI suite design requirements for patient safety.

2010 Guidelines

2010 Guidelines

Click Here To Read About The Specific MRI Safety Design Requirements…