Improving safety in anesthetized patients undergoing magnetic resonance imaging—Concept of time‐out in the magnetic resonance imaging (MRI) suite and measures to improve adherence to time‐out protocol
Authors' conclusion
Using quality improvement methodology, we increased the compliance of time-out protocol in the magnetic resonance imaging environment.
Study context
- Population
- Anesthetized patients undergoing MRI procedures at a tertiary care teaching institute in South India
- Comparison
- Multimodal strategy vs baseline
- Outcome
- Compliance with the time-out protocol (SMART aim >80%)
- Follow-up
- 6 months
Methodological detailsPlan, Do, Study, Act (PDSA) cycle, root cause analysis, single-centre
- Plan, Do, Study, Act (PDSA) cycle
- Root cause analysis
- Single-centre
Main finding
As reported in the abstract
Compliance to time-out protocol
- Compliance to time-out protocol increased from 13% (baseline) to 86% after multimodal strategy
- Run chart: special cause variation, six points above the centerline at 86%
Further findings
Individual components of the time-out
- Greatest improvement in ferromagnetic check of personnel (Anesthesiologist, radiographer, anesthesia technician)
Safety
Delays in the list
- No delays due to adherence to the time-out protocol
Original publication
Improving safety in anesthetized patients undergoing magnetic resonance imaging—Concept of time‐out in the MRI suite and measures to improve adherence to time‐out protocol. Paediatr Anaesth. Published 16 January 2023. doi:10.
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