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.
AuthorsLockwood, P. and Breen, W.
TypeConference 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 Instigating the issuing of safety notification MDA_SN_96261 however this was withdrawn with the implication being that the equipment is safe and the incidence was human error.

Year2013
ConferenceInternational Association of Risk Management in Medicine (IARMM) 2nd World Congress of Clinical Safety 'Risk in Clinical Care'
Related URLhttp://www.iarmm.org/2WCCS/
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Publication process dates
Deposited21 May 2015
Accepted13 May 2013
Output statusPublished
Page range-
Publication dates
Print02 Feb 2013
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https://repository.canterbury.ac.uk/item/87559/patient-safety-and-quality-improvement-iatrogenic-venous-air-embolism-in-diagnostic-imaging

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