医疗辐射科学中的工作场所暴力:系统性审查
1Curtin Medical School, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia.
Radiography (London, England : 1995)
|January 10, 2024
概括
工作场所暴力 (WPV) 在医学辐射科学 (MRS) 中非常普遍,严重影响诊断放射和放射治疗从业者. 实施WPV政策和改进报告对医疗保健安全至关重要.
科学领域:
- 医学辐射科学 医学辐射科学
- 医疗保健管理的管理
- 职业健康和安全问题 职业健康和安全问题
背景情况:
- 工作场所暴力 (WPV) 是医疗保健机构内公认的全球健康问题.
- 在针对WPV的系统审查中,在医学辐射科学 (MRS) 中存在一个显著的差距.
- 了解MRS中WPV患病率和风险因素对于从业人员的安全和护理质量至关重要.
研究的目的:
- 在医学辐射科学 (MRS) 中系统地审查工作场所暴力 (WPV) 的流行情况.
- 确定和分析与MRS从业者中WPV相关的关键风险因素.
主要方法:
- 在主要的电子学术数据库 (PubMed,Scopus等) 中进行了全面的文献搜索. ) 的情况.
- 包括在过去10年内发表的文章,遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 使用报告的绝对数字来综合流行数据和风险因素,以计算用于比较分析的百分比.
主要成果:
- 报告了高WPV患病率:69.2-100% (整个职业生涯) 和46.1-83.0% (过去12个月) 的诊断放射.
- 放射治疗显示63.0-84.0% (整个职业生涯) 的患病率;医疗超声波 (57.6%在过去12个月) 和核医学 (46.8%在过去6个月) 也报告了显著的比例.
- 确定的风险因素包括患者中毒,工作人员压力,从业者脆弱性 (女性,年轻,经验较少),特定的工作区域 (治疗室,ED),长时间等待,夜班和安全不足.
结论:
- 诊断放射和辐射疗法具有极高的WPV风险,受到许多已确定的因素的影响.
- 这些发现需要谨慎解释,因为在审查的研究中可能存在非响应偏差.
- 显然需要强大的WPV政策,执法和在临床环境中加强报告机制.
相关概念视频
Biological Effects of Radiation
15.5K
All radioactive nuclides emit high-energy particles or electromagnetic waves. When this radiation encounters living cells, it can cause heating, break chemical bonds, or ionize molecules. The most serious biological damage results when these radioactive emissions fragment or ionize molecules. For example, α and β particles emitted from nuclear decay reactions possess much higher energies than ordinary chemical bond energies. When these particles strike and penetrate matter, they...
15.5K
Radiological Investigation II: MRI and Ventilation Perfusion Scan
122
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
122
Positron Emission Tomography
4.2K
Positron emission tomography (PET) is a medical imaging technique involving radiopharmaceuticals — substances that emit short-lived radiation. Although the first PET scanner was introduced in 1961, it took 15 more years before radiopharmaceuticals were combined with the technique and revolutionized its potential.
One of the main requirements of a PET scan is a positron-emitting radioisotope, which is produced in a cyclotron and then attached to a substance used by the part of the body...
One of the main requirements of a PET scan is a positron-emitting radioisotope, which is produced in a cyclotron and then attached to a substance used by the part of the body...
4.2K
Radiological Investigation I: X-ray and CT
241
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
241
X-ray Imaging
5.5K
German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with...
5.5K
Dual Nature of Electromagnetic (EM) Radiation
2.0K
Electromagnetic (EM) radiation consists of electric and magnetic field components oscillating in planes perpendicular to each other and mutually perpendicular to radiation propagation through space. EM radiation can be classified as a wave, characterized by the properties of waves such as wavelength (denoted as λ) and frequency (represented by ν).
Wavelength is the distance between two consecutive peaks (the highest point) or troughs (the lowest point) in the wave. Frequency is the...
Wavelength is the distance between two consecutive peaks (the highest point) or troughs (the lowest point) in the wave. Frequency is the...
2.0K


