在患有慢性便秘的儿童中减少腹部辐射暴露
Bennet C Chun1, Margarita Chmil1,2, Lynne Ruess1,2,3
1From the Department of Radiology, Nationwide Children's Hospital, Columbus, Ohio.
Pediatric quality & safety
|October 2, 2023
概括
通过技术人员教育,减少针对儿科便秘的反复腹部X射线 (AXR),使辐射暴露率从27%降至13.5%. 儿科成像实践的这种改进是持续的.
科学领域:
- 儿科放射学 儿科放射学
- 提高医疗保健的质量 改善医疗保健的质量
- 医学成像技术 医学成像技术
背景情况:
- 儿科慢性便秘管理通常涉及连续腹部放射 (AXR).
- 标准实践有时会导致每次AXR暴露多次,从而增加辐射剂量.
- 一项质量改善计划的目标是减少这些重复暴露.
研究的目的:
- 为了减少多次曝光的频率在腹部X射线图对于儿科便秘.
- 在接受AXR的儿科患者中减少累积辐射暴露.
- 到2022年12月,实现和维持AXR考试中>1次暴露率低于10%的目标.
主要方法:
- 一个质量改进项目跟踪了从2020年1月到2023年5月的>1次暴露的AXR检查.
- 干预措施包括结构化沟通,技术人员的教育模块,以及对放射科医生和技术人员的反.
- 使用统计过程控制图表来监测随时间变化的变化.
主要成果:
- >1次暴露的AXR检查的频率从基线27%下降到干预后13.5%.
- 这种减少是通过有针对性的教育和沟通策略实现的.
- 改善的利率在干预期间表现出可持续性.
结论:
- 教育和沟通干预措施有效地减少了慢性便秘儿童的反复腹部放射.
- 多次暴露的频率显著下降,降低了辐射暴露.
- 观察到持续改善,并计划进行持续培训和加强政策.
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