Magnetic resonance imaging incidents are severely underreported : a finding in a multicentre interview survey

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Kihlberg, Johan,Medicine doktor,1970-Linköpings universitet,Linköping University,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Avdelningen för diagnostik och specialistmedicin,Region Östergötland, Röntgenkliniken i Linköping (författare)

Magnetic resonance imaging incidents are severely underreported : a finding in a multicentre interview survey

Artikel/kapitelEngelska2022

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2021-07-20
Springer Science and Business Media LLC,2022

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LIBRIS-ID:oai:lup.lub.lu.se:aa190aae-b0ec-4cd8-9b0a-98d6f6ce03c4
https://lup.lub.lu.se/record/aa190aae-b0ec-4cd8-9b0a-98d6f6ce03c4URI
https://doi.org/10.1007/s00330-021-08160-wDOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178229URI

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Språk:engelska
Sammanfattning på:engelska

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Anmärkningar

Funding: Linkoping University; Region Ostergotland [LIO-827671]
Objectives: The purpose of this study was to develop a procedure to investigate the occurrence, character and causes of magnetic resonance (MR) imaging incidents. Methods: A semi-structured questionnaire was developed containing details such as safety zones, examination complexity, staff MR knowledge, staff categories, and implementation of EU directive 2013/35. We focused on formally reported incidents that had occurred during 2014–2019, and unreported incidents during one year. Thirteen clinical MR units were visited, and the managing radiographer was interviewed. Open questions were analysed using conventionally adopted content analysis. Results: Thirty-seven written reports for 5 years and an additional 12 oral reports for 1 year were analysed. Only 38% of the incidents were reported formally. Some of these incidents were catastrophic. Negative correlations were observed between the number of annual incidents (per scanner) and staff MR knowledge (Spearman’s rho − 0.41, p < 0.05) as well as the number of MR physicists per scanner (− 0.48, p < 0.05). It was notable that only half of the sites had implemented the EU directive. Quotes like ‘Burns are to be expected in MR’ and not even knowing the name of the incident reporting system suggested an inadequate safety culture. Finally, there was a desire among staff for MR safety education. Conclusions: MR-related incidents were greatly underreported, and some incidents could have had catastrophic outcomes. There is a great desire among radiographers to enhance the safety culture, but to achieve this, much more accessible education is required, as well as focused involvement of the management of the operations. Key Points: • Only one in three magnetic resonance–related incidents were reported. • Several magnetic resonance incidents could have led to catastrophic consequences. • Much increased knowledge about magnetic resonance safety is needed by radiologists and radiographers.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Radiologi och bildbehandling hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Radiology, Nuclear Medicine and Medical Imaging hsv//eng
SAMHÄLLSVETENSKAP Annan samhällsvetenskap Arbetslivsstudier hsv//swe
SOCIAL SCIENCES Other Social Sciences Work Sciences hsv//eng
Incident reporting
Magnetic resonance imaging
Medical device safety
Patient safety
Medical device safety ; Magnetic resonance imaging ; Incident reporting ; Patient safety

Biuppslag (personer, institutioner, konferenser, titlar ...)

Hansson, BoelLund University,Lunds universitet,Diagnostisk radiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Diagnostic Radiology, (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Department of Medical Imaging and Physiology and Department of Diagnostic Radiology, Clinical Sciences, Lund University, Lund, Sweden(Swepub:lu)med-boh (författare)
Hall, AnnikaLinköpings universitet,Linköping University,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Region Östergötland, Röntgenkliniken i Linköping(Swepub:liu)annha04 (författare)
Tisell, Anders,1981-Linköpings universitet,Linköping University,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Avdelningen för diagnostik och specialistmedicin,Region Östergötland, Medicinsk strålningsfysik(Swepub:liu)andti51 (författare)
Lundberg, Peter,1958-Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Medicinsk strålningsfysik(Swepub:liu)petlu11 (författare)
Linköping UniversityMedicinska fakulteten (creator_code:org_t)

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Ingår i:European Radiology: Springer Science and Business Media LLC32:1, s. 477-4880938-79941432-1084

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Av författaren/redakt...: Kihlberg, Johan, ...; Hansson, Boel; Hall, Annika; Tisell, Anders, ...; Lundberg, Peter, ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Radiologi och bi ...

SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Annan samhällsve ...; och Arbetslivsstudie ...

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Av lärosätet: Lunds universitet; Linköpings universitet

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