Original Research Paper

A Study To Carry Out Safety Profile And Risk Assessment Of Mri Centre At A Tertiary Care Teaching Hospital

Abstract :

Background Potential risks associated with Magnetic Resonance Imaging processes, and its adverse effects, with its damaging consequences for patients, healthcare professionals, and healthcare institutions, is a reason for concern in most health-related sectors. Failure Mode & Effect Analysis (FMEA) allows, the analysis of processes to take preventive tools for possible faults identification and the definition of improvement actions to optimize work and minimize the risk of errors for the patient.Aim: To evaluate the safety profile and carry out a risk assessment of the MRI Centre at a tertiary care teaching hospital.Settings & Design: A Cross-Sectional Descriptive prospective study of magnetic resonance imaging procedure was conducted over the period of 01 Nov 2021 to 30 Jan 2022.Methods & Material Direct observations supplemented with semi-structured interviews were carried out to identify various hazards associated with MRI procedures and determine the various failure modes and evaluate their potential to cause patient harm. Two multidisciplinary teams were constituted and carried out their research independently, identifying common themes & thematic analysis was done. The FMEA approach also enabled each failure mode to be attributed accumulative numerical value, the Risk Priority Number (a numerical rating of the severity, probability, and detectability) of each failure mode. The hazard analysis was completed by plotting the RPNs of higher-risk failure modes in a Risk priority matrix divided into three coloured areas reflecting different levels of priority for action. Results & Conclusion A total of 15 high-risk failures were identified and plotted in a graph allotting priorities and areas of improvement of processes. Improvements are suggested at both Organisational & Individual Levels.

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