Michael Colombini MRI RCA - MRI Safety Week
*Update 11-28-11: Patient Safety & Quality Healthcare Magazine
The current issue of PSQH is running a special article presentation on this subject created by Tobias Gilk, M.Arch. HSDQ, and Robert J. Latino.
•Download the PDF Article Here
•Visit PSQH Here
Movie Title Subject: Colombini MRI Case: Root Cause Analysis - 10 Years Later Presented by:
Bob Latino and Tobias Gilk
In addition to the movie, there are articles, Twitter and LInks below - also fill in the form below if you would
like to schedule a private webinar to discuss PROACT RCA, FMEA and Risk Opportunity Analysis or any
Safety Goals RCI and Mr. Gilk can help you with. Form
MRI Safety Week was founded to celebrate and promote excellence in MRI safety. This is the anniversary of the tragic 2001 MRI death of young Michael Colombini, age 6, who died when a portable steel oxygen cylinder was brought into the MRI room during his exam. The 2011 observance marks the 10 year anniversary.
There are a number of special activities that professional MRI providers undertake during this week. Some involve patient education. Some are targeted towards informing referring physicians. Often MRI Safety Week is the trigger for annual renewals of safety training or inspections of MRI safety features (when was the last time everything in and on the crash cart was tested, or the cryogen vent pipe was inspected?).
This year, the people at Mednovus, manufacturers of the SAFESCAN® line of ferromagnetic MRI screening tools have teamed up with Reliability Center, Inc. to bring you the full root cause analysis of this tragic event. See the sequence of events that happened that day, and uncover all of the root causes that led up to that day and beyond. what laid the foundation for this to occur? How could it be prevented from happening again? Join Tobias Gilk and Bob Latino in this movie and see how they drilled down to all of the root causes of this event.
Movie Summary:
June 7-10, 2011 Bob Latino attended and spoke at the RL Solutions User Group Conference in Savannah, Georgia. As promised to those that attended and for their colleagues at home, RCI has made available his presentation in connection with
Tobias Gilk on MRI Safety - The Colombini Case
Movie Length: 24 minutes: PLAY MOVIE
We invite you to share this page with your colleagues for a better understanding of RCA, FMEA and Risk Opportunity Analysis and how PROACT® ERM is quickly becoming the leader in RCA Tools. Follow Bob and Tobias through the thought process of discovering all of the root causes to this event.
Feel free to contact us for any questions. Email: blatino@reliability.com or Tobias Gilk
you will need flash player to view these movies - download it now
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Links
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The Reliability Center is supporting MRI Safety Week by bringing the first MRI safety Twitter play to you below. |
| To learn more about the MRI Safety Play Click Here |
MRI safety is serious business, but that doesn't mean that we can't have fun learning about the different elements of it. We encourage you to download the file below for a fun and enlightening MRI safety review with your MRI staff, or the version for non-MRI staff...
Technologist's Version Version
Click HERE for the MRI Safety Jeopardy - Styled Quiz
Click HERE for Correct Responses in PDF Form
Layperson's Version
Click HERE for the MRI Safety Jeopardy - Styled Quiz
Click HERE for Correct Responses in PDF Form
ADDITIONAL PRESENTER'S RESOURCES Taking risky business out of the MRI suite New Tools for MRI Safety -
Ferromagnetically Naked MRI Suites: Safety Outside the Bore
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