
Episode #4
S3E4 "One Citation, 327 Pages: The Redwood City MRI Accident”
Cal/OSHA investigated the Redwood City MRI accident that nearly killed an ICU nurse. The hospital received one citation. But the investigative file ran 327 pages—and buried inside were clues to a much bigger MRI safety story. In this episode of The Invisible Force , John Posh and Tobias Gilk dig into the Cal/OSHA investigation of the 2023 Redwood City Hospital MRI accident, in which an ICU bed was pulled into an MRI scanner, pinning and seriously injuring a nurse. The official Cal/OSHA citation focused on one hazard: the failure to keep the MRI scanner room door closed. But the agency's investigative file contained much more—employee interviews, MRI safety training materials, competency records, hospital policies, an internal incident report, and a physicist's evaluation performed just five months before the accident. Those documents raise troubling questions. Why were the hospital's Level 1 and Level 2 MRI safety training programs essentially the same? Why did the MRI technologist have pages of documented competency assessments while comparable MRI safety competency documentation for the injured ICU nurse was absent from the Cal/OSHA file? And then there's one particularly remarkable document: an MRI Safety Program Assessment Checklist completed five months before the accident that gave the hospital passing marks on every scored item. How could an MRI safety program receive a perfect assessment—and months later experience an accident that nearly killed someone? The deeper John and Tobias dig into the Cal/OSHA file, the bigger the question becomes: were the systems intended to identify MRI safety weaknesses actually capable of finding them before someone got hurt? See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info .

