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

Conference poster

Lockwood, P. and Breen, W. 2013. Patient safety and quality improvement: Iatrogenic venous air embolism in diagnostic imaging.

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Authors	Lockwood, P. and Breen, W.
Type	Conference poster
Description	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 Instigating the issuing of safety notification MDA_SN_96261 however this was withdrawn with the implication being that the equipment is safe and the incidence was human error.
Year	2013
Conference	International Association of Risk Management in Medicine (IARMM) 2nd World Congress of Clinical Safety 'Risk in Clinical Care'
Related URL	http://www.iarmm.org/2WCCS/
File	13435.pdf
Deposited	21 May 2015
Accepted	13 May 2013
Output status	Published
Page range	-
Publication dates
Print	02 Feb 2013

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