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Incident reporting and level of MR safety education: A Danish national study
1Department of Radiology, Aarhus University Hospital, Aarhus, Denmark; Research Centre for Emergency Medicine, The Research Programme "The Acute Care Patient", Aarhus University, Aarhus University Hospital, Aarhus, Denmark.
Introduction:
MR-safety remains a concern among MR professionals. We aimed to evaluate the extent of MR-related incidents using a national database and a questionnaire among MR professionals and to identify possible predictors for MR-related incidents.
Methods:
MR-related incidents reported to a national database from 2015 to 2017 were scrutinized. A national online survey focussing on MR safety and education was performed. Quantitative analyses, descriptive statistics and regression analyses were used.
Results:
The database included 196, 97 and 100 direct MR-related incidents in 2015, 2016 and 2017, respectively. Regarding the questionnaire, 208 MR professionals responded. Within the last year, 33% had been involved in an MR-related incident that was reported in the national database. At some time in their working life, 53% had been involved in an MR-related incident that was reported, but 25% had been involved in an incident that was not reported. The responses to the questionnaire reflected far more incidents than those reported to the database for all categories. Sixty-one percent of respondents indicated that external personnel in the MR environment are a safety risk. External personnel in the MR environment were found to be a predictor for reported and unreported MR-related incidents with odds ratio (OR) = 2.07; p = 0.033 and OR = 5.17; p = 0.0005 respectively.
Conclusion:
There seems to be severe underreporting of MR-related incidents. External personnel in the MR-environment and scanning patients in anaesthesia were found to be predictors for both reported and unreported MR-related incidents. Regulations regarding the minimum required MR safety education of different groups of MR professionals and external personnel are recommended.
Implications For Practice:
Enforcing MR safety education and highlighting the importance of MR safety within hospital organisations would contribute to better patient and personnel safety.
Insights
MR professionals reported significantly more incidents than were officially recorded, indicating underreporting. External personnel and scanning anesthetized patients are key predictors of MR incidents, highlighting a need for enhanced safety education.
Area of Science:
- Medical Imaging
- Radiological Safety
- Magnetic Resonance Imaging
Background:
- MR-safety is a significant concern for healthcare professionals.
- Understanding the true extent and predictors of MR-related incidents is crucial for improving safety protocols.
Purpose of the Study:
- To evaluate the extent of MR-related incidents using national data and professional surveys.
- To identify predictors for MR-related incidents.
Main Methods:
- Analysis of a national database of MR-related incidents (2015-2017).
- A national online survey of MR professionals regarding safety and education.
- Quantitative and regression analyses were employed.
Main Results:
- The national database recorded 196, 97, and 100 incidents in 2015, 2016, and 2017, respectively.
- Survey responses indicated substantial underreporting, with 25% of professionals involved in unreported incidents.
- External personnel in the MR environment (OR=2.07) and scanning patients under anesthesia were significant predictors of incidents.
Conclusions:
- There is significant underreporting of MR-related incidents.
- External personnel and scanning anesthetized patients are identified as key risk factors.
- Recommendations include mandatory MR safety education for all personnel and stricter regulations.
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