Investig Magn Reson Imaging.  2016 Sep;20(3):152-157. 10.13104/imri.2016.20.3.152.

Safety Management for MR-Guided Interventions

• Cherkashin M
• Berezina N
• Serov A
• Fedorov A
• Andreev G
• Kuplevatsky V

• KMID: 2354795
• DOI: http://doi.org/10.13104/imri.2016.20.3.152

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.

Keyword

Hybrid operating room; Surgical safety checklist; Patient safety; Magnetic resonance imaging

MeSH Terms

Anesthesiology
Checklist
Delivery of Health Care
Humans
Magnetic Resonance Imaging
Magnets
Operating Rooms
Patient Safety
Safety Management*

Figure

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  Fig. 1 In-bore MR-guided prostate biopsy. Biopsy coil and non-magnetic needle positioning.

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  Fig. 2 Stereotactic brain tumor biopsy.

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  Fig. 3 In-bore MR-guided prostate biopsy. Biopsy coil and non-magnetic needle positioning.

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  Fig. 4 Color marks for equipment.

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  Fig. 5 MRI-equipped operating room blueprint.

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