Neurosurgical laser ablation and MR thermometry: Risks of multisite workflow pattern

Neurosurgical laser ablation is a relatively new but rapidly growing application of stereotactic neurosurgery that allows neurosurgeons to treat many previously untreatable conditions with the added benefit of shorter hospitalizations and recovery times. The vast majority of these procedures, howeve...

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Bibliographic Details
Published in:Journal of healthcare risk management 2017-04, Vol.36 (4), p.7-18
Main Authors: Larson, Paul S., Vadivelu, Sudhakar, Azmi‐Ghadimi, Hooman, Nichols, Amy, Fauerbach, Loretta, Johnson, Helen Boehm
Format: Article
Language:English
Subjects:
Lasers
NMR
Nuclear magnetic resonance
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Summary:Neurosurgical laser ablation is a relatively new but rapidly growing application of stereotactic neurosurgery that allows neurosurgeons to treat many previously untreatable conditions with the added benefit of shorter hospitalizations and recovery times. The vast majority of these procedures, however, are performed using a multisite workflow pattern involving transport of the patient between the operating room (OR), the computed tomography (CT) suite, and the magnetic resonance imaging (MRI) suite, often necessitating patient transfer through public pathways and requiring multiple trips if laser fiber placement is not accurate. There are significant risks posed to the patient with this practice and no existing guidelines addressing it. This article serves to identify those risks and present recommendations for safety optimization and risk reduction for those health care facilities using a multisite workflow pattern.
ISSN:1074-4797
2040-0861
DOI:10.1002/jhrm.21258