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SURVEY OF KEY RADIATION SAFETY PRACTICES IN INTERVENTIONAL RADIOLOGY: AN IRISH AND ENGLISH STUDY.

L O'Hora1, M L Ryan2, L Rainford2

  • 1CHO Area 1, Donegal.

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|September 25, 2018
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Summary
This summary is machine-generated.

Patient radiation safety in interventional radiology (IR) requires improvement. Many departments show poor compliance with best practices for patient consent, dose monitoring, and follow-up, indicating a need for enhanced radiation safety protocols.

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Area of Science:

  • Medical Imaging
  • Radiology
  • Radiation Safety

Background:

  • Interventional radiology (IR) is advancing, posing risks of high patient radiation doses.
  • Effective radiation safety practices are crucial throughout IR procedures.
  • Current practices require evaluation to ensure patient safety.

Purpose of the Study:

  • To assess current radiation safety practices in fixed IR departments in Ireland and England.
  • To identify gaps in patient consent, dose monitoring, and follow-up procedures.
  • To highlight areas for improvement in clinical practice and patient communication.

Main Methods:

  • A questionnaire-based survey was distributed to fixed IR departments.
  • The survey focused on pre-procedure consent, dose monitoring, and post-procedure patient management.
  • Data were collected from departments across Ireland and England.

Main Results:

  • Only 11% of pre-procedure consent discussions included all radiation effects.
  • The Kerma air reference (Kar) skin dose surrogate is under-reported.
  • Only 39% of departments informed patients upon reaching substantial radiation dose levels.
  • Poor compliance with established best practice guidance was observed.

Conclusions:

  • Significant concerns exist regarding patient communication, dose quantification, and dose management in IR.
  • There is a clear need for improved adherence to radiation safety guidelines.
  • Enhanced protocols are necessary to ensure optimal patient safety in interventional radiology.