Taking risky business out of the MRI suite.

Fay A Rozovsky; Tobias B Gilk; Robert J Latina

Newspaper/Magazine Article

Taking risky business out of the MRI suite.

February 15, 2006

Rozovsky FA, Gilk TB, Latina RJ. Materials management in health care. 2006;15(1):18-23.

View more articles from the same authors.

This article discusses risk management in magnetic resonance imaging facilities and the use of root cause analysis to inform risk management methodologies.

PubMed citation

Related Resources From the Same Author(s)

Planning an MR suite: what can be done to enhance safety?

May 6, 2015

Implementing a bar-code medication administration system.

January 21, 2009

Developing a medication patient safety program — infrastructure and strategy.

March 7, 2007

A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.

June 29, 2005

Am I safe here? Improving patients' perceptions of safety in hospitals.

January 25, 2006

Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.

August 23, 2017

Using contemporary leadership skills in medication safety programs.

June 29, 2016

Nursing care quality and adverse events in US hospitals.

August 11, 2010

Variations in nursing care quality across hospitals.

November 4, 2009

Improving patient safety—five years after the IOM report.

March 6, 2005

SWITCH for safety: perioperative hand-off tools.

November 6, 2013

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.

July 1, 2009

Interruptions in healthcare: theoretical views.

February 18, 2009

Detection of adverse drug events using an electronic trigger tool.

October 12, 2016

The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.

April 27, 2011

Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit.

October 11, 2006

Assessing and monitoring override medications in automated dispensing devices.

May 31, 2006

Designing a strategy to promote safe, innovative off-label use of medications.

August 2, 2006

Sensemaking of patient safety risks and hazards.

July 12, 2006

Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?

May 25, 2016

Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views.

June 26, 2013

Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration.

August 14, 2013

Evaluation of parenteral nutrition errors in an era of drug shortages.

December 16, 2015

Medication errors resulting from computer entry by nonprescribers.

May 6, 2009

Efficiency and safety of speech recognition for documentation in the electronic health record.

November 8, 2017

Why and how to approach user experience in safety-critical domains: the example of health care.

September 8, 2021

Assessing patient safety in the United States: challenges and opportunities.

April 3, 2005

Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study.

September 16, 2020

Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients.

June 29, 2022

Time motion study in a pediatric emergency department before and after computer physician order entry.

December 10, 2008

Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.

November 21, 2018

Increasing demands for quality measurement.

November 27, 2013

Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis.

May 10, 2006

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.

July 28, 2010

Can aviation-based team training elicit sustainable behavioral change?

January 6, 2010

Effect of barcode-assisted medication administration on emergency department medication errors.

October 2, 2013

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.

July 31, 2019

Implementing standardized operating room briefings and debriefings at a large regional medical center.

August 5, 2009

A medication-based trigger tool to identify adverse events in pediatric anesthesiology.

July 2, 2014

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department.

February 6, 2008

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.

January 23, 2008

Self-reported adverse events in health care that cause harm: a population-based survey.

May 13, 2009

Safer prescribing—a trial of education, informatics, and financial incentives.

March 30, 2016

Interruptions and blood transfusion checks: lessons from the simulated operating room.

February 4, 2009

How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience?

September 28, 2022

Circumstances involved in unsupervised solid dose medication exposures among young children.

April 22, 2020

Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center.

April 4, 2012

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies.

June 17, 2020

An intervention to decrease catheter-related bloodstream infections in the ICU.

January 3, 2007

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

July 6, 2011

Medication errors related to computerized order entry for children.

November 22, 2006

Race, postoperative complications, and death in apparently healthy children.

August 12, 2020

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

March 9, 2011

Obstacles to research on the effects of interruptions in healthcare.

February 10, 2016

Obstetrician-gynecologist views of pregnancy-related medication safety.

November 4, 2020

Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study.

October 24, 2018

National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.

July 8, 2015

Effect of computer order entry on prevention of serious medication errors in hospitalized children.

March 19, 2008

Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter?

April 21, 2005

Views of practicing physicians and the public on medical errors.

March 27, 2005

Virtual urgent care quality and safety in the time of Coronavirus.

January 20, 2021

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory.

May 18, 2022

Improving patient safety in intensive care units in Michigan.

June 25, 2008

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis.

March 22, 2023

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study.

March 10, 2010

Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses.

June 19, 2013

Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma.

March 6, 2005

The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada.

March 6, 2005

Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia.

August 10, 2022

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.

February 10, 2021

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.

January 10, 2007

Personal accountability in healthcare: searching for the right balance.

September 12, 2012

Patient safety at ten: unmistakable progress, troubling gaps.

December 2, 2009

The (slowly) vanishing prescription pad.

July 23, 2008

Trends influencing the cost of care and patient safety.

July 26, 2006

Could computerization harm patient safety?

July 12, 2006

Expected and unanticipated consequences of the quality and information technology revolutions.

June 21, 2006

Costly issues of an uncommunicative OR.

May 3, 2006

Multidisciplinary approach to inpatient medication reconciliation in an academic setting.

May 9, 2007

Two cultures in modern science and technology: for safety and validity does medicine have to update?

April 1, 2020

Seeking high reliability in primary care: leadership, tools, and organization.

May 28, 2014

Why diagnostic errors don't get any respect--and what can be done about them.

September 15, 2010

The end of the beginning: patient safety five years after 'To Err Is Human.'

March 6, 2005

Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results.

March 6, 2005

A piece of my mind. Copy-and-paste.

June 14, 2006

Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.

April 26, 2006

Anesthesia safety: model or myth? A review of the published literature and analysis of current original data.

March 6, 2005

Color coded medication safety system reduces community pediatric emergency nursing medication errors.

May 27, 2009

Payment innovations to improve diagnostic accuracy and reduce diagnostic error.

November 7, 2018

Progress in patient safety: a glass fuller than it seems.

August 28, 2013

Balancing "no blame" with accountability in patient safety.

October 7, 2009

Random safety auditing, root cause analysis, failure mode and effects analysis.

May 19, 2010

Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates.

February 9, 2022

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

October 15, 2008

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response].

November 1, 2006

Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice.

April 22, 2015

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

June 23, 2010

Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities.

January 20, 2021

Related Resources

Radiographers' experience of preventing patient safety incidents in the context of radiological examinations.

September 13, 2023

WebM&M Cases

Ventricular Wall Injury during a Diagnostic Cardiac Catheterization

June 28, 2023

Redesigning Event Review with RCA2

September 13, 2023 - November 7, 2023

Patient Safety Innovations

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

March 15, 2023

Anesthesia outside of the OR: cause for patient safety concerns?

January 25, 2023

Factors impacting on patient setup analysis and error management during breast cancer radiotherapy.

November 9, 2022

WebM&M Cases

Medication Safety Events Related to Diagnostic Imaging

July 8, 2022

Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy.

May 4, 2022

Quality Special Issue.

April 13, 2022

Collaborative case review: a systems-based approach to patient safety event investigation and analysis.

March 30, 2022

Emotional harm in the radiology department: analysis of an underrecognized preventable error.

February 9, 2022

Preventing and mitigating radiology system failures: a guide to disaster planning.

February 2, 2022

Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care.

August 11, 2021

Implementing a human factors approach to RCA(2) : tools, processes and strategies.

March 10, 2021

Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities.

January 20, 2021

Wear face masks with no metal during MRI exams.

December 16, 2020

Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital.

September 2, 2020

Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.

July 22, 2020

How safety is compromised when hospital equipment is a poor fit for patients who are obese.

April 15, 2020

Patient Safety Primers

Radiation Safety

September 7, 2019

Root cause analysis for hospital-acquired pressure injury.

August 14, 2019

Partnering with families and patient advocates: another line of defense in adverse event surveillance.

August 14, 2019

ACR guidance document on MR safe practices: updates and critical information 2019.

August 14, 2019

Using near-miss events to improve MRI safety in a large academic centre.

May 15, 2019

Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS).

May 8, 2019

WebM&M Cases

The Magnetic Deflection

May 1, 2019

WebM&M Cases

Which Line: Ordering Provider or Proceduralist?

March 1, 2019

Performing an inadvertent procedure.

January 30, 2019

Creating a culture of accountability promotes safe medical care.

November 21, 2018

WebM&M Cases

Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees

November 1, 2018

See More About The Topic

Risk Managers

Radiology

Interventional Radiology

MRI safety

Root Cause Analysis

Taking risky business out of the MRI suite.

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Radiation Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Taking risky business out of the MRI suite.

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Radiation Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site