Situational photographic postings for enhancing the proper operation of infrequently utilized x-ray devices

Radiation safety surveillance activities conducted at The University of Texas Health Science Center at Houston indicated that x-ray devices were not being operated properly in settings where the device was used infrequently and where there were high demands of other job responsibilities. This situation was considered to be a possible precursor to the delivery of unnecessary dose to patients and workers and poor diagnostic image quality. To enhance the proper operation of such devices, photographic reminders customized for each use setting were created and posted in the rooms near the x-ray equipment. Each poster consisted of operators and patients exhibiting proper techniques while using appropriate protective equipment. The photographs were captured digitally and then augmented with brief informational textboxes that highlighted key aspects. Verbal feedback from the user community after reviewing these simple images has been very positive, as many operators indicated that work demands impacted their ability to thoroughly reread instrument operating manuals prior to use. Therefore, the capturing of a simple situational photograph inclusive of the persons actually using the unit can serve as a powerful reminder of the desired and safe means of collecting quality x-ray images while avoiding unnecessary radiological exposure to health care professionals and patients.