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

    Research output: Contribution to conferencePoster

    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 Instigating the issuing of safety notification MDA_SN_96261 however this was withdrawn with the implication being that the equipment is safe and the incidence was human error.
    Original languageEnglish
    Publication statusPublished - 2 Feb 2013
    EventInternational Association of Risk Management in Medicine (IARMM) 2nd World Congress of Clinical Safety 'Risk in Clinical Care' -
    Duration: 2 Feb 2013 → …

    Conference

    ConferenceInternational Association of Risk Management in Medicine (IARMM) 2nd World Congress of Clinical Safety 'Risk in Clinical Care'
    Period2/02/13 → …

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

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