[Intl_DxMedPhys] TJC and NQF update to Sentinel Events List

[Christina Brunnquell]

Wow, this is a really big change. Thanks for the heads up, Travis. Of
course we work hard to minimize such events but in comparison to my mental
benchmark of sentinel events (15 Gy PSD, which yes I know is no longer a
SE, but it's still my mental benchmark), these events are substantially
more common. I'm interested in a gut check on other MR safety folks'
thoughts/impressions, feel free to respond directly.
Christina

On Tue, Jan 27, 2026 at 9:17 AM Travis Greene via
Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu> wrote:

> Colleagues, I came across this information in a social media post
> regarding MRI safety. The Joint Commission and National Quality Forum have
> released their January 2026 report, "Aligning Patient Safety Event
> Reporting: 2025 Updates to Sentinel
>
> Colleagues,
>
>
>
> I came across this information in a social media post regarding MRI safety.
>
>
>
> The Joint Commission and National Quality Forum have released their
> January 2026 report, "Aligning Patient Safety Event Reporting: 2025 Updates
> to Sentinel Events and Serious Reportable Events".  The 2025 NQF SRE list
> now has 28 events in four categories, with 23 updated/modified from the
> 2011 list and several new additions.
>
>
>
> TJC will adopt the updated SRE list into its SE list effective January 1,
> 2027, giving accredited organizations time to prepare. Reporting remains
> voluntary, but TJC expects accredited organizations to identify these
> events, perform root cause analysis, and implement improvements to prevent
> recurrence.  Of interest to us, SRE 5 and SRE 6 relate to MRI Safety.
>
>
>
>    - *SRE 5:* Introduction of an unapproved, unscreened, or
>    inappropriately approved device, implant, or object into an MRI Zone IV.
>    - *SRE 6: *Patient harm associated with an MRI-related thermal injury.
>
>
>
> For complete details, please see the attached report.  (2025 SE & SRE
> Report
> <https://urldefense.com/v3/__https://digitalassets.jointcommission.org/api/public/content/b4e8988066e74717ae9801edb2bfb9de?v=e0ff96a2__;!!KGKeukY!yHalqw2LntpjV0KyVuGkrIx9M19ApDNRf5WlfG9-YA39tx-gQrdMBS6DPaj_N0q48x8QVbdsH77WPg9EGUrrrebIsyENjjPVL27onA$>
> )
>
>
>
> Travis
>
>
>
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