title: Risk management in magnetic resonance: failure mode, effects, and criticality analysis.
abstract: The aim of the study was to perform a risk management procedure in "Magnetic Resonance Examination" process in order to identify the critical phases and sources of radiological errors and to identify potential improvement projects including procedures, tests, and checks to reduce the error occurrence risk. In this study we used the proactive analysis "Failure Mode Effects Criticality Analysis," a qualitative and quantitative risk management procedure; has calculated Priority Risk Index (PRI) for each activity of the process; have identified, on the PRI basis, the most critical activities and, for them, have defined improvement projects; and have recalculated the PRI after implementation of improvement projects for each activity. Time stop and audits are performed in order to control the new procedures. The results showed that the most critical tasks of "Magnetic Resonance Examination" process were the reception of the patient, the patient schedule drafting, the closing examination, and the organization of activities. Four improvement projects have been defined and executed. PRI evaluation after improvement projects implementation has shown that the risk decreased significantly following the implementation of procedures and controls defined in improvement projects, resulting in a reduction of the PRI between 43% and 100%.
authors.affiliation: Division of Radiology, Department of Diagnostic Imaging, Radiant and Metabolic Therapy, "Istituto Nazionale Tumori Fondazione G. Pascale," IRCCS, Via Mariano Semmola, 80131 Naples, Italy.
authors.forename: Antonella
authors.initials: A
authors.lastname: Petrillo
authors.forename: Roberta
authors.initials: R
authors.lastname: Fusco
authors.forename: Vincenza
authors.initials: V
authors.lastname: Granata
authors.forename: Salvatore
authors.initials: S
authors.lastname: Filice
authors.forename: Nicola
authors.initials: N
authors.lastname: Raiano
authors.forename: Daniela Maria
authors.initials: DM
authors.lastname: Amato
authors.forename: Maria
authors.initials: M
authors.lastname: Zirpoli
authors.forename: Alessandro
authors.initials: A
authors.lastname: di Finizio
authors.forename: Mario
authors.initials: M
authors.lastname: Sansone
authors.forename: Anna
authors.initials: A
authors.lastname: Russo
authors.forename: Eugenio Maria
authors.initials: EM
authors.lastname: Covelli
authors.forename: Tonino
authors.initials: T
authors.lastname: Pedicini
authors.forename: Maria
authors.initials: M
authors.lastname: Triassi
mesh_terms: D003951:Diagnostic Errors / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods / Q000592:standards*; D008297:Male; D008330:Management Audit; D012308:Risk Management