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BioMed Research International
Volume 2013 (2013), Article ID 763186, 5 pages
http://dx.doi.org/10.1155/2013/763186
Research Article

Risk Management in Magnetic Resonance: Failure Mode, Effects, and Criticality Analysis

1Division of Radiology, Department of Diagnostic Imaging, Radiant and Metabolic Therapy, “Istituto Nazionale Tumori Fondazione G. Pascale,” IRCCS, Via Mariano Semmola, 80131 Naples, Italy
2Department of Electrical Engineering and Information Technologies, University of “Federico II,” Via Claudio, 80125 Naples, Italy
3Department of Preventive Medical Sciences, University of “Federico II,” Via Pansini, 80131 Naples, Italy
4Department of Diagnostic Imaging, Sant’Anna e San Sebastiano Hospital of Caserta, Via Gennaro Tescione, Caserta, Italy
5General Director, “Istituto Nazionale Tumori Fondazione G. Pascale,” IRCCS, Via Mariano Semmola, 80131 Naples, Italy

Received 30 April 2013; Accepted 22 August 2013

Academic Editor: Barry J. Byrne

Copyright © 2013 Antonella Petrillo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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%.