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Swedish national survey on MR safety compared with CT: a false sense of security?
Boel Hansson1,2, Johan Olsrud3,4, Jonna Wilén5
1Department of Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden. boel.hansson@med.lu.se.
Objectives:
The objectives were to survey MR safety incidents in Sweden during a 12-month period, to assess severity scores, and to evaluate the confidence of MR personnel in incident-reporting mechanisms.
Method:
Data were collected within a web-based questionnaire on safety in clinical MR environments with CT for comparison. Data reported MR and CT safety incidents (human injury, material damage, and close calls), incident severity, and confidence of participants in incident-reporting systems.
Results:
The study population consisted of 529 eligible participants. Participants reported 200 MR and 156 CT safety incidents. Among MR incidents, 16% were given the highest potential severity score. More MR workers (73%) than CT workers (50%) were confident in being aware of any incident occurring at their workplace. However, 69% MR workers (83% for CT) were not aware of reported incidents at their hospitals.
Conclusion:
Safety incidents resulting in human injury, material damage, and close calls in clinical MR environments do occur. According to national risk assessment recommendations, risk level is high. Results indicated that MR personnel tend to a false sense of security, as a high proportion of staff members were sure that they would have been aware of any incident occurring in their own department, while in reality, incidents did occur without their knowledge. We conclude that false sense of security exists for MR.
Key Points:
• Safety incidents in clinical MR environments still result in human injury and material damage. • Severity level of MR incidents-assessed using Swedish national risk assessment recommendations-is high. • Confidence of MR personnel in incident-reporting mechanisms is high, but reflects a false sense of security, as a high proportion of staff is unaware of reported incidents in the same workplace.
Insights
Magnetic resonance (MR) safety incidents, including injuries and damage, are common in clinical settings and pose a high risk. MR personnel often have a false sense of security regarding incident awareness and reporting mechanisms.
Area of Science:
- Medical Imaging and Radiology
- Patient Safety
- Healthcare Risk Management
Background:
- Clinical magnetic resonance (MR) environments present unique safety challenges.
- Understanding the frequency and severity of MR safety incidents is crucial for improving patient care.
- Existing incident reporting systems may not fully capture the scope of safety events.
Purpose of the Study:
- To systematically survey MR safety incidents in Sweden over a 12-month period.
- To assess the severity scores of reported MR safety incidents.
- To evaluate the confidence levels of MR personnel in current incident-reporting mechanisms.
Main Methods:
- A web-based questionnaire was administered to collect data on safety incidents in clinical MR and CT environments.
- Participants reported MR and CT safety incidents, including human injury, material damage, and close calls.
- Data on incident severity and participant confidence in reporting systems were gathered.
Main Results:
- A total of 529 participants reported 200 MR and 156 CT safety incidents.
- 16% of MR incidents were assigned the highest potential severity score.
- While 73% of MR workers felt aware of incidents, 69% were unaware of reported events in their hospitals, indicating a false sense of security.
Conclusions:
- Safety incidents, including injuries and damage, frequently occur in clinical MR settings.
- The assessed risk level for MR incidents is high, according to national recommendations.
- MR personnel exhibit a false sense of security, overestimating their awareness of incidents within their departments.
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