Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
권호 표지
DOI QR코드

DOI QR Code

Safety Management for MR-Guided Interventions

  • Received : 2016.07.19
  • Accepted : 2016.09.18
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Operating room management is the serious and complex task for hospital managers and the common approach is to develop relevant standard operational procedures. From patient and staff safety perspective, operating room management should be well-studied and hospital should identify and address any potential risks. Simultaneous usage of different imaging and less-invasive treatment technologies demands strong management control. Materials and Methods: We have formed the multidisciplinary expert panel (surgeons, anesthesiologists, radiologists, healthcare managers etc.) for hybrid theater management standard operational procedure development. On the first stage the general concept of hybrid room design and patient routing was developed. The second stage included the technical details discussion. For patient safety improvement we modified the Surgical Safety Check-list in accordance with potential MRI-related safety challenges and concerns. Results: WHO Surgical Safety Checklist is a simple and easy-to use tool which includes three blocks of question (grouped by the surgery process). We have developed two additional blocks of questions for the intraoperative magnetic resonance investigation. It is very important to have a special detailed routing with a strong control of ferromagnetic devices and anesthesiology care. Conclusion: High-energy MRI (1.5-3.0T) is characterized by potential influence on patient and staff safety in case of hybrid surgery. It is obvious to have a strong managerial control of ferromagnetic devices and anesthesiology care. Surgical Safety Checklist is the validated tool for improving patient safety. Modification and customization of this check-list potentially provides the opportunity for surgery processes improving.

Keywords

References

  1. Sivathasan N, Rakowski KR, Robertson BF, Vijayarajan L. The World Health Organization's 'Surgical Safety Checklist': should evidence-based initiatives be enforced in hospital policy? JRSM Short Rep 2010;1:40
  2. Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. Effective surgical safety checklist implementation. J Am Coll Surg 2011;212:873-879 https://doi.org/10.1016/j.jamcollsurg.2011.01.052
  3. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;360:491-499 https://doi.org/10.1056/NEJMsa0810119
  4. de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med 2010;363:1928-1937 https://doi.org/10.1056/NEJMsa0911535
  5. Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA 2010;304:1693-1700 https://doi.org/10.1001/jama.2010.1506
  6. Li G, Su H, Cole GA, et al. Robotic system for MRIguided stereotactic neurosurgery. IEEE Trans Biomed Eng 2015;62:1077-1088 https://doi.org/10.1109/TBME.2014.2367233
  7. Yu N, Gassert R, Riener R. Mutual interferences and design principles for mechatronic devices in magnetic resonance imaging. Int J Comput Assist Radiol Surg 2011;6:473-488 https://doi.org/10.1007/s11548-010-0528-2
  8. White MJ, Thornton JS, Hawkes DJ, et al. Design, operation, and safety of single-room interventional MRI suites: practical experience from two centers. J Magn Reson Imaging 2015;41:34-43 https://doi.org/10.1002/jmri.24577
  9. Porteous J. Intraoperative MRI: the challenges of providing a safe environment for patients and personnel. ORNAC J 2014;32:12-14, 16-19, 22 passim
  10. Henrichs B, Walsh RP. Intraoperative MRI for neurosurgical and general surgical interventions. Curr Opin Anaesthesiol 2014;27:448-452 https://doi.org/10.1097/ACO.0000000000000095
  11. http://www.who.int/patientsafety/safesurgery/ss_checklist/en/ Published 2008. Accessed September 28, 2016
  12. Helmreich RL. On error management: lessons from aviation. BMJ 2000;320:781-785 https://doi.org/10.1136/bmj.320.7237.781
  13. Soroka VV, Andreichuk KA, Kechaeva EI, Postnov AA, Kagachev PN. Hybrid operating room: a new horizon in cardiovascular surgery. Angiol Sosud Khir 2011;17:93-101
  14. Childs S, Bruch P. Successful management of risk in the hybrid OR. AORN J 2015;101:223-234; quiz 235-227 https://doi.org/10.1016/j.aorn.2014.04.020
  15. Hemingway M, Kilfoyle M. Safety planning for intraoperative magnetic resonance imaging. AORN J 2013;98:508-524 https://doi.org/10.1016/j.aorn.2013.09.002

Cited by

  1. The interventional magnetic resonance imaging suite: Experience in the design, development, and implementation in a pre-existing radiology space and review of concepts vol.10, pp.None, 2016, https://doi.org/10.25259/sni-209-2019
  2. Anesthetic challenges and outcomes for procedures in the intraoperative magnetic resonance imaging suite: A systematic review vol.54, pp.None, 2019, https://doi.org/10.1016/j.jclinane.2018.10.022
  3. The Zurich Checklist for Safety in the Intraoperative Magnetic Resonance Imaging Suite: Technical Note vol.16, pp.6, 2016, https://doi.org/10.1093/ons/opy205