The risk manager at a community hospital had been reviewing occurrence report data trends over the last quarter.
The risk manager at a community hospital had been reviewing occurrence report data trends over the last quarter. There appeared to be an increasing trend of patients who were not appropriate candidates for an MRI due to the patients having implanted metal devices. The lead MRI technologist is very concerned that these patients were not being correctly screened by the nurses on the unit. The risk manager pulled together a team of staff from the nursing, medical, and MRI departments. After reviewing the MRI screening process, it was discovered that a new scheduling system that had been put in place in the radiology department was so efficient in getting inpatients an MRI appointment, the unit nurses did not have time to complete an MRI patient screening after the doctor had ordered it. A new MRI screening process was immediately implemented. The MRI order would now not be placed by the unit secretary until the RN communicated that the MRI patient screening was completed. Note that the problem reported by MRI staff led to the work process change. This protected patients from a potential injury. Use 5 references.
1. Why is it important that patients with implants be identified on the unit by the nurse rather than later by the MRI technologist?
2. How did the risk management process of reviewing the MRI screening process help
with this patient safety issue?
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