Safety Guidelines

SIR DISCLAIMER

A primary goal of the Society of Interventional Radiology is ensuring high-quality outcomes and patient safety in vascular and interventional radiology. The clinical practice guidelines of the Society of Interventional Radiology attempt to define practice principles that generally should assist in producing high quality medical care. These guidelines are voluntary and are not rules. A physician may deviate from these guidelines, as necessitated by the individual patient and available resources. These practice guidelines should not be deemed inclusive of all proper methods of care or exclusive of other methods of care that are reasonably directed towards the same result. Other sources of information may be used in conjunction with these principles to produce a process leading to high quality medical care. The ultimate judgment regarding the conduct of any specific procedure or course of management must be made by the physician, who should consider all circumstances relevant to the individual clinical situation. Adherence to the SIR Quality Improvement Program will not assure a successful outcome in every situation. It is prudent to document the rationale for any deviation from the suggested practice guidelines in the department policies and procedure manual or in the patient’s medical record.

1. Quality Improvement Guidelines for Recording Patient Radiation Dose in the Medical Record
Donald L. Miller, MD, Stephen Balter, PhD, Louis K. Wagner, PhD, John F. Cardella, MD, Timothy W.I. Clark, MD, MSc, Calvin D. Neithamer, Jr, MD, Marc S. Schwartzberg, MD, Timothy L. Swan, MD, Richard B. Towbin, MD, Kenneth S. Rholl, MD, and David Sacks, MD, for the SIR Standards of Practice Committee
J Vasc Interv Radiol 2009; 20:S200–S207

2. Quality Improvement Guidelines for Preventing Wrong Site, Wrong Procedure, and Wrong Person Errors: Application of the Joint Commission "Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery" to the Practice of Interventional Radiology
John F. Angle, MD, Albert A. Nemcek, Jr, MD, Alan M. Cohen, MD, Donald L. Miller, MD, Clement J. Grassi, MD, Horacio R. D'Agostino, MD, Arshad Ahmed Khan, MD, Sanjoy Kundu, MD, Robert B. Osnis, MD, Dheeraj K. Rajan, MD, Marc S. Schwartzberg, MD, Timothy L. Swan, MD, Suresh Vedantham, MD, Michael J. Wallace, MD, and John F. Cardella, MD, for the SIR Standards Division
J Vasc Interv Radiol 2008; 19:1145-1151.

3. Recommendations for the Implementation of Joint Commission Guidelines for Labeling Medications
John D. Statler, MD, Richard B. Towbin, MD, Joseph A. Ronsivalle, DO, Anne Oteham, RN, BSN, Donald L. Miller, MD, Clement J. Grassi, MD, Daniel B. Brown, MD, Horacio R. D'Agostino, MD, Arshad Ahmed Khan, MD, Sanjoy Kundu, MD, Anne C. Roberts, MD, Cindy Kaiser Saiter, NP, Marc S. Schwartzberg, MD, Suresh Vedantham, MD, Michael J. Wallace, MD, and John F. Cardella, MD, for the SIR Standards of Practice Committee
J Vasc Interv Radiol 2009; 20:S251-S255.

4. Guidelines for Patient Radiation Dose Management
Michael S. Stecker, MD, Stephen Balter, PhD, Richard B. Towbin, MD, Donald L. Miller, MD, Eliseo Vańó, PhD, Gabriel Bartal, MD, J. Fritz Angle, MD, Christine P. Chao, MD, Alan M. Cohen, MD, Robert G. Dixon, MD, Kathleen Gross, MSN, RN-BC, CRN, George G. Hartnell, MD, Beth Schueler, PhD, John D. Statler, MD, Thierry de Bačre, MD, and John F. Cardella, MD, for the SIR Safety and Health Committee and the CIRSE Standards of Practice Committee
J Vasc Interv Radiol 2009; 20:S263–S273

5. Interventional Fluoroscopy: Reducing Radiation Risks for Patients and Staff
Donald L. Miller, MD
J Vasc Interv Radiol 2009; 20:S274

6. Occupational Health Hazards in the Interventional Laboratory: Time for a Safer Environment
Lloyd W. Klein, MD, Donald L. Miller, MD, Stephen Balter, PhD, Warren Laskey, MD, David Haines, MD, Alexander Norbash, MD, Matthew A. Mauro, MD, and James A. Goldstein, MD, on behalf of the members of the Joint Inter-Society Task Force on Occupational Hazards in the Interventional Laboratory
J Vasc Interv Radiol 2009; 20:147-153

7. Occupational Radiation Protection in Interventional Radiology: A Joint Guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology
Donald L. Miller, MD, Eliseo Vano, PhD, Gabriel Bartal, MD, Stephen Balter, PhD, Robert Dixon, MD, Renato Padovani, PhD, Beth Schueler, PhD, John F. Cardella, MD, and Thierry de Baere, MD
J Vasc Interv Radiol 2010; 21:607-615

8. Quality Improvement Guidelines for Recording Patient Radiation Dose in the Medical Record for Fluoroscopically Guided Procedures
Donald L. Miller, MD, Stephen Balter, PhD, Robert G. Dixon, MD, Boris Nikolic, MD, MBA, Gabriel Bartal, MD, John F. Cardella, MD, Lawrence T. Dauer, PhD, and Michael S. Stecker, MD, for the Society of Interventional Radiology Standards of Practice Committee
J Vasc Interv Radiol 2012; 23:11-18

9. Radiation Management for Interventions Using Fluoroscopic or Computed Tomographic Guidance during Pregnancy: A Joint Guideline of the Society of Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe with Endorsement by the Canadian Interventional Radiology Association
Lawrence T. Dauer, PhD, CHP, Raymond H. Thornton, MD, Donald L. Miller, MD, John Damilakis, PhD, Robert G. Dixon, MD, M. Victoria Marx, MD, Beth A. Schueler, PhD, Eliseo Vano, PhD, Aradhana Venkatesan, MD, Gabriel Bartal, MD, Dimitrios Tsetis, MD, PhD, and John F. Cardella, MD, for the Society of Interventional Radiology Safety and Health Committee and the Cardiovascular and Interventional Radiology Society of Europe Standards of Practice Committee
J Vasc Interv Radiol 2012; 23:19-32