Alghamdi Sami A
Radiological Sciences Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Risk Manag Healthc Policy. 2023 Feb 10;16:199-208. doi: 10.2147/RMHP.S398826. eCollection 2023.
The aim of this study is to investigate the safety practices used by MRI departments in Saudi Arabia.
A cross-sectional study across 113 private and public hospitals was conducted in Saudi Arabia. A survey questionnaire was designed and sent to 113 MRI units. The questionnaire consisted of 43 items under 14 sections for the assessment of MRI safety practices. These 14 sections are related to (i) MRI and its safety, (ii) MRI usage and its safety, and (iii) safety of the MRI technologists and reporting of adverse effects during the usage. The American College of Radiology (ACR) guidance document on MRI safety practices was used as a template for this survey. Data were analyzed using IBM SPSS Statistical software for Windows version 26.0 (IBM Corp., Armonk, NY, USA).
Of the 43 items assessed, only 3 items' binary responses (Yes & No) did not differ much. A greater proportion of positive responses for 40 items (93%) regarding MRI safety practices. More than 50% of the participants claimed that their departments lacked a Magnetic Resonance Safety Officer (MRSO). Regarding regular safety training programs, less than 50% received training in MRI safety. Handheld metal detectors were found in only 39% of the MRI units.
The majority of MRI units in Saudi Arabia have demonstrated compliance with majority of ACR MRI safety recommendations; nonetheless, there are two main items for which the guidelines may not be attained: MRSO and regular MRI safety training programs. By taking into account the limitations of this study, it is strongly recommended to assign MRSO and implement annual MRI safety training to improve MRI safety practices for both patients and healthcare workers.
本研究旨在调查沙特阿拉伯磁共振成像（MRI）科室所采用的安全措施。
在沙特阿拉伯对113家私立和公立医院开展了一项横断面研究。设计了一份调查问卷并发送给113个MRI科室。该问卷由14个部分的43个项目组成，用于评估MRI安全措施。这14个部分涉及（i）MRI及其安全性，（ii）MRI使用及其安全性，以及（iii）MRI技术人员的安全和使用过程中不良反应的报告。美国放射学会（ACR）关于MRI安全措施的指导文件被用作本次调查的模板。使用IBM SPSS统计软件Windows版26.0（美国纽约州阿蒙克市IBM公司）对数据进行分析。
在评估的43个项目中，只有3个项目的二元响应（是与否）差异不大。对于40个项目（93%）关于MRI安全措施的肯定回答比例更高。超过50%的参与者声称他们所在的科室缺乏磁共振安全官（MRSO）。关于定期安全培训项目，不到50%的人接受过MRI安全培训。仅在39%的MRI科室发现了手持式金属探测器。
沙特阿拉伯的大多数MRI科室已表明符合ACR的大多数MRI安全建议；尽管如此，仍有两个主要项目可能无法达到指南要求：MRSO和定期MRI安全培训项目。考虑到本研究的局限性，强烈建议指定MRSO并实施年度MRI安全培训，以改善患者和医护人员的MRI安全措施。
