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Joint Commission Alert Shines Light On Preventing MRI Accidents, Injuries
The Joint
Commission issued a Sentinel Event Alert that urges hospitals and
ambulatory care centers to pay special attention to preventing accidents
and injuries that can occur during MRI scans.
More than 10 million MRI scans are performed each year in the United
States and while most cause no harm, the inherent dangers of the process
are not well known. The most common types of injuries are burns, while some
of the more devastating accidents are caused by common objects that become
missiles when brought into the MRI scanner's magnetic field. The Sentinel
Event Alert brings the reality of risks associated with MRIs to the
attention of the nation's accredited health care organizations, and offers
practical solutions to avoiding injuries or deaths.
"MRI technology represents an important advance in diagnostic medicine,
but special care must be taken to protect patients," says Mark R. Chassin,
M.D., M.P.P., M.P.H., president, The Joint Commission. "The increasing use
of MRI scans as a diagnostic tool, coupled with stronger MRI technology,
suggests that the risk of accident and injury may increase. This Alert
offers health care organizations specific steps that can be taken to keep
patients safe."
Magnetic resonance imaging, or MRI, is a diagnostic procedure that uses
powerful magnet and radio waves to produce detailed images of a patient's
organs and structures, without the use of X-rays or other radiation.
According to the Alert, the Food and Drug Administration (FDA) has
received nearly 400 reports of MRI-related accidents over the past decade.
More than 70 percent of accidents were burns, while 10 percent of injuries
occurred when metal objects such as ink pens, cleaning equipment and oxygen
canisters have become "missiles" when pulled into the magnetic field of the
scanner.
To reduce the risk for MRI injuries to patients, The Joint Commission's
Sentinel Event Alert newsletter recommends that health care organizations
take the following steps:
-- Restrict access to all MRI sites by creating safe zones recommended
by the American College of Radiology (ACR);
-- Use trained screeners to perform double checks of patients for items
such as metal objects, implanted or other devices, drug delivery patches
and tattoos;
-- Ensure that the MRI technologist has the patient's complete and
accurate medical history to ensure that the patient can be safely scanned;
-- Have a specially trained staff person accompany any patients,
visitors and staff into the MRI suite at all times;
-- Annually educate all medical and ancillary staff who may accompany
patients into the MRI suite about the risk of accidents;
-- Take precautions to prevent patient burns during scanning;
-- Only use fire extinguishers, oxygen tanks and other equipment that
have been tested and approved for use during MRI scans (equipment that will
not be attracted to the magnet);
-- Manage critically ill patients who require monitoring and
life-sustaining drugs to assure that their care needs are continuously met
while in the MRI suite;
-- Provide all MRI patients with ear plugs to diminish the loud
"knocking" noise emanating from the equipment; and
-- Never run a cardio-pulmonary arrest code or resuscitate a patient in
the MRI room.
The warning about risks associated with MRIs is part of a series of
Alerts issued by the Joint Commission. Much of the information and guidance
provided in these Alerts is drawn from the Joint Commission's Sentinel
Event Database, one of the nation's most comprehensive voluntary reporting
systems for serious adverse events in health care. The database includes
detailed information about both adverse events and their underlying causes.
Previous Alerts have addressed wrong-site surgery, medication mix-ups,
health care-associated infections, and patient suicides, among others. The
complete list and text of past issues of Sentinel Event Alert can be found on the Joint Commission website, http://www.jointcommission.org.
For more patient safety solutions, visit the Joint Commission
International Center for Patient Safety's free, online database of
practices and interventions to prevent adverse events at http://www.jcipatientsafety.org.
Founded in 1951, The Joint Commission seeks to continuously improve the
safety and quality of care provided to the public through the provision of
health care accreditation and related services that support performance
improvement in health care organizations. The Joint Commission evaluates
and accredits more than 15,000 health care organizations and programs in
the United States, including more than 8,000 hospitals and home care
organizations, and more than 6,300 other health care organizations that
provide long term care, assisted living, behavioral health care, laboratory
and ambulatory care services. The Joint Commission also accredits health
plans, integrated delivery networks, and other managed care entities. In
addition, The Joint Commission provides certification of disease-specific
care programs, primary stroke centers, and health care staffing services.
An independent, not-for-profit organization, The Joint Commission is the
nation's oldest and largest standards-setting and accrediting body in
health care. Learn more about The Joint Commission at
http://www.jcipatientsafety.org.
The Joint Commission
http://www.jcipatientsafety.org
Comisia mixtã de alertã straluceste de lumina cu privire la prevenirea accidentelor MRi, leziuni - Joint Commission Alert Shines Light On Preventing MRI Accidents, Injuries - articole medicale engleza - startsanatate