Fluoroscopy

The 2009 National Council on Radiation Protection and Measurements, Report No. 160 — Ionizing Radiation Exposure of the Population of the United States — announced that medical exposure to patients had become one of the largest sources of radiation exposure to Americans, nearly equaling the exposure from background sources. Fluoroscopy is the third largest source of medical radiation exposure behind computed tomography and nuclear medicine.

The fluoroscopy articles presented here cover a broad array of topics including principles of radiation safety for patients and the teams performing these procedures, dose monitoring, teamwork, organizational culture, checklists and other tools from the process improvement perspective.

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Protocols/Techniques

 

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Safety Culture/Environment

 
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    Safety Culture

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    Attempts to measure the safety culture should examine the organization’s attitudes, behaviors and available evidence to assess the patient safety radiation safety cultures.

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    Checklists

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    This section provides a list of tasks promoting radiation-safety items during fluoroscopy. The checklist is divided into pre-procedure, intra-procedure and post-procedure items.

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    Event Reporting

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    Patient injuries from fluoroscopic procedures should be reported in the same manner as other harmful events.

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Monitoring and Management

 

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Patient/Procedure Interface

 

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Personnel/Teamwork

 
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    Fluoroscopy Training, Credentialing and Privileging

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    Training of physicians and ancillary personnel who use fluoroscopic equipment is essential in preventing or minimizing both deterministic effects and stochastic risks.

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    Team Performance

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    Radiation safety during fluoroscopic procedures depends on an extensive network of people working together as a team. High-performing teams greatly exceed the capabilities of individuals, no matter their skill, intelligence or dedication.

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Equipment

 

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Avoiding Ionizing Radiation - Alternative Imaging Methods

 

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