The Athens, Alabama, News Courier ran a story December 4th on their website about a 21-month boy who received a 3rd degree burn from an MRI. This hits square in the middle of the 5 MRI ‘never events’ that were enumerated a few months ago here on this blog.
Posts Tagged ‘SAR’
MRI ‘Never Event’ In Athens, Alabama
Sunday, December 6th, 20095 MRI ‘Never Events’
Friday, September 18th, 2009For those unfamiliar with the term, a ‘never event’ is a label used to describe an adverse event that is wholly avoidable by simply following established best practices. For example, if you have an accurate count of the surgical instruments before and after surgery, there should never be an event where the patient leaves the OR with a sponge or clamp sewn up inside of them. A retained surgical instrument, or wrong-site surgery, or bed-sores, or patient mis-identification, or medication errors are all examples of ‘never events’.
Some insurance payers are beginning to refuse reimbursement for care that is necessitated by certain ‘never events’, and that list is likely to grow. And while they may not always result in patient injury, I’d like to propose my own list of 5 MRI ‘never events’ which should at least trigger an investigation…