Patient safety and quality improvement: Iatrogenic venous air embolism in diagnostic imaging

Lockwood, P. and Breen, W. (2013) Patient safety and quality improvement: Iatrogenic venous air embolism in diagnostic imaging. In: International Association of Risk Management in Medicine (IARMM) 2nd World Congress of Clinical Safety 'Risk in Clinical Care', 12-13 September, 2013, Heidelberg University, Germany.

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Abstract

The Medicines and Healthcare products Regulatory Agency (MHRA), the executive agency for the Department of Health (DoH) in England, ensures medicines and medical devices work and are safe. An incidence of fatal arterial embolism (AE) was reported, in which air was inadvertently injected into a patient rather than contrast media during a Computer Tomography (CT) examination with a contrast power injector pump. Instigating the issuing of safety notification MDA_SN_96261 however this was withdrawn with the implication being that the equipment is safe and the incidence was human error.

Item Type: Conference or Workshop Item (Poster)
Subjects: R Medicine > R Medicine (General) > R0690 Medicine as a profession. Physicians > R0697 Allied health professionals
Divisions: Faculty of Health and Wellbeing > School of Allied Health Professions
Related URLs:
Depositing User: Paul Lockwood
Date Deposited: 21 May 2015 15:37
Last Modified: 21 May 2015 15:37
URI: https://create.canterbury.ac.uk/id/eprint/13435

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Last edited: 29/06/2016 12:23:00