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A fluoroscopic credentialing/safety program at a large research hospital.

Frank P Castronovo1

  • 1Health Physics and Radiopharmacology, Brigham and Women's Hospital, Boston, MA 02115, USA. fcastronovo@partners.org

Health Physics
|April 8, 2004
PubMed
Summary

Brigham and Women's Hospital enhanced radiation safety by expanding its fluoroscopic safety course to include formal credentialing. This initiative addresses FDA concerns about potential skin injuries from fluoroscopic procedures.

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Area of Science:

  • Medical Physics
  • Radiology
  • Healthcare Quality Management

Background:

  • Brigham and Women's Hospital operates a large fluoroscopy service alongside a comprehensive quality management program.
  • The U.S. Food and Drug Administration (FDA) issued a Public Health Advisory in 1994 to prevent skin injuries from fluoroscopically guided procedures.
  • Concerns over radiation exposure necessitated enhanced safety protocols.

Purpose of the Study:

  • To describe the development and implementation of a formal credentialing and safety program for fluoroscopy at Brigham and Women's Hospital.
  • To enhance patient and personnel safety by managing excessive radiation doses.
  • To respond to regulatory advisories concerning fluoroscopic procedures.

Main Methods:

  • Expansion of an existing fluoroscopic safety course.

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  • Introduction of a formal credentialing and safety requirement for fluoroscopy personnel.
  • Implementation of a robust quality management program.

    • Main Results:

    • The Radiation Safety Committee mandated a more formal credentialing process.
    • The program aims to mitigate risks associated with fluoroscopic procedures.
    • Specific program parameters were established to ensure safety.

    Conclusions:

    • The hospital proactively enhanced its radiation safety measures for fluoroscopy.
    • The credentialing program serves as a key component of the quality management strategy.
    • These measures are designed to protect patients and staff from radiation risks.