Ensuring Patient Safety: A Summary of the 2008 Intersociety Conference

Journal of the American College of Radiology

Volumn 6, Issue 4, 2009, Pages 230-234

  Dunnick, N Reed ^a  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

best practices; contrast media; magnetic resonance safety; Patient safety; quality improvement; radiation protection

Indexed keywords

EID: 62849123078     PISSN: 15461440     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacr.2008.11.028     Document Type: Review

References (47)

1. Kohn L.T., Corrigan J.M., and Donaldson M.S. To err is human: building a safer health system (2000), National Academy Press, Washington, DC
2. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century (2001), National Academy Press, Washington, DC
3. Madewell J.E., Hattery R.R., Thomas S.S.R., et al. American Board of Radiology: maintenance of certification. Acad Radiol 12 (2005) 104-113
4. Hillman B.J., Amis S., and Neiman H.L. The future quality and safety of medical imaging: proceedings of the third annual ACR Forum. J Am Coll Radiol 1 (2004) 33-39
5. Hattery R.R. President's address from the opening session of RSNA 2006: strengthening professionalism. RadioGraphics 28 (2008) 7-11
6. Olmsted W.W. Twenty-seven years and counting: the pursuit of excellence in radiologic education. RadioGraphics 28 (2008) 1-2
7. Kruskal J.B. Quality initiatives in radiology: historical perspectives for an emerging field. RadioGraphics 28 (2008) 3-5
8. Mitchell J.M. Utilization trends for advanced imaging procedures. Med Care 46 (2008) 460-466
9. Brenner D.J., and Hall E.J. Computed tomography-an increasing source of radiation exposure. N Engl J Med 357 (2007) 2277-2284
10. McCollough C.H., Schueler B.A., Atwell T.D., et al. Radiation exposure and pregnancy: when should we be concerned?. RadioGraphics 27 (2007) 909-918
11. Goske M.J., Applegate K.E., Boylan J., et al. The Image Gently campaign: working together to change practice. AJR Am J Roentgenol 190 (2008) 273-274
12. Lee C.I., and Forman H.P. The hidden costs of CT bioeffects. J Am Coll Radiol 5 (2008) 2 78-9
13. ECRI Institute. CT scans can affect the operation of implanted electronic devices. Health Devices 36 (2007) 136-138
14. Mouton J., Haug R., Bridier A., Dodinot B., and Eschwege F. Influence of high-energy photon beam irradiation on pacemaker operation. Phys Med Biol 47 (2000) 2879-2893
15. McCollough C.H., Zhang J., Primak A.N., Clement W.J., and Buysman J.R. Effects of CT irradiation on implantable cardiac rhythm management devices. Radiology 243 (2007) 766-774
16. Hellstrom M., Svensson M.H., and Lasson A. Extracolonic and incidental findings on CT colonography (virtual colonoscopy). AJR Am J Roentgenol 182 (2004) 631-638
17. Cascade P.N. Setting appropriateness guidelines for radiology. Radiology 192 (1994) 50A-54A
18. Verdun F.R., Bochud F., Gudinchet F., Aroua A., Schnyder P., and Meauli R. Quality initiatives radiation risk: what you should know to tell your patient. RadioGraphics 28 (2008) 1807-1816
19. Chen D.W. Boy, 6 dies of skull injury during M.R.I. The New York Times (2001) B1-B5 July 31
20. Landrigan C. Preventable deaths and injuries during magnetic resonance imaging. [letter]. N Engl J Med 345 (2001) 1000-1001
21. Schenck J.F. Safety of strong, static magnetic fields. J Magn Reson Imaging 12 (2000) 2-19
22. Klucanik R.P., Carrier D.A., Pyka R., and Haid R.W. Placement of a ferromagnetic intracerebral aneurysm clip in a magnetic field with fatal outcome. Radiology 187 (1993) 855-856
23. Draud K.S. Magnetic resonance imaging bioeffects and safety: a review. Appl Radiol 31 suppl (2002) 14-21
24. Bottomley P.A., Mahesh M., and Hevezi J.M. Turning up the heat on MRI. J Am Coll Radiol 4 (2008) 853-854
25. Stralka J.P., and Bottomley P.A. A prototype RF dosimeter for independent measurement of the average specific absorption rate (SAR) during MRI. J Magn Reson Imaging 26 (2007) 1296-1302
26. Kanal E., Barkovich A.J., Bell C., Borgstede J.P., et al. ACR guidance document for safe MR practices: 2007. AJR Am J Roentgenol 188 (2007) 1447-1474
27. Katayama H., Yamaguchi K., Kozuka T., Takashima T., Seez P., and Matsuura K. Adverse reactions to ionic and nonionic contrast media. Radiology 175 (1990) 621-628
28. Cohan R.H., and Dunnick N.R. Intravascular contrast media: adverse reactions. AJR Am J Roentgenol 149 (1987) 665-670
29. Lasser E.C., Berry C.C., Talner L.B., et al. Pretreatment with corticosteroids to alleviate reactions to intravenous contrast material. N Engl J Med 317 (1987) 845-849
30. Lasser E.C., Berry C.C., Mishkin M.M., Williamson B., Zheutlin N., and Silverman J.M. Pretreatment with corticosteroids to prevent adverse reactions to nonionic contrast media. AJR Am J Roentgenol 162 (1994) 523-526
31. Dillman J.R., Ellis J.H., Cohan R.H., et al. Frequency and severity of acute allergic-like reactions to gadolinium-containing IV contrast media in children and adults. AJR Am J Roentgenol 189 (2007) 1533-1538
32. Kuo P.H., Kanal E., Abu-Alfa A.K., et al. Gadolinium-based MR contrast agents and nephrogenic systemic fibrosis. Radiology 242 (2007) 647-649
33. Joffe P., Thomsen H.S., and Meusel M. Pharmacokinetics of gadodiamide injection in patients with severe renal insufficiency and patients undergoing hemodialysis or continuous ambulatory peritoneal dialysis. Acad Radiol 5 (1998) 491-502
34. Borgstede J.P., and Zinninger M.D. Radiology and patient safety. Acad Radiol 11 (2004) 322-332
35. Amis Jr. E.S. American College of Radiology standards, accreditation programs and Appropriateness Criteria. AJR Am J Roentgenol 174 (2000) 307-310
36. American College of Radiology. ACR Appropriateness Criteria, 2003. http://www.acr.org/dyna/?doc=departments/appropriateness_criteria/text.html Accessed July 22, 2003
37. American College of Radiology. ACR BI-RADS-mammography. ACR Breast Imaging Reporting and Data System, breast imaging atlas. 4th ed. (2003), American College of Radiology, Reston, Va
38. ACR Task Forces. Effective tools for change. ACR Bull (2003)
39. Borgstede J.P., Lewis R.S., Bhargavan M., and Sunshine J.H. RADPEER quality assurance program: a multifacility study of interpretive disagreement rates. J Am Coll Radiol 1 (2004) 295-297
40. van Moore A. Metrics and NRDR: what is "near dear" and how will it affect radiology's future?. J Am Coll Radiol 3 (2006) 723-724
41. Dunnick N.R., Applegate K.E., and Arenson R.L. The inappropriate use of imaging studies: a report of the 2004 InterSociety Conference. J Am Coll Radiol 2 (2005) 401-406
42. Hillman B.J., Joseph B.A., Mabry M.R., et al. Frequency and costs of diagnostic imaging in office practice-a comparison of self-referring and radiologist-referring physicians. N Engl J Med 332 (1990) 1604-1608
43. Hillman B.J., Olson G.T., Griffith P.E., et al. Physicians' utilization and charges for outpatient diagnostic imaging in a Medicare population. JAMA 268 (1992) 2055-2059
44. Referrals to physician-owned imaging facilities warrant HCFA's scrutiny: report to the chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives (GAO/HEHS-95-2) (1994), US General Accounting Office, Washington, DC
45. Levin D.C. The 2005 Robert D. Moreton Lecture: the inappropriate utilization of imaging through self-referral. J Am Coll Radiol 3 (2006) 90-95
46. Levin D.C., and Rao V.M. Turf wars in radiology: updated evidence on the relationship between self-referral and the overutilization of imaging. J Am Coll Radiol 5 (2008) 806-810
47. Lee S.I., Saokar A., Dreyer K.J., Weilburg J.B., Thrall J.H., and Hahn P.F. Does radiologist recommendation for follow-up with the same imaging modality contribute substantially to high-cost imaging volume?. Radiology 242 (2007) 857-864