A 5-Year Retrospective Analysis of Ionizing Radiation Dose to Hybrid Operating Room Personnel in Saudi Arabia

Almalki, M.; Alashban, Yazeed; Shubayr, Nasser

doi:10.1093/rpd/ncab110

Radiation Protection Dosimetry

2021

DOI: 10.1093/rpd/ncab110

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A 5-Year Retrospective Analysis of Ionizing Radiation Dose to Hybrid Operating Room Personnel in Saudi Arabia

M. Almalki

Yazeed Alashban

Nasser Shubayr

Abstract: The annual average effective dose (ED) for operating room personnel (ORP) in Saudi Arabia was estimated from the period of 2015–2019 using thermoluminescent dosemeters. A retrospective analysis was conducted on annual EDs for 7530 ORP working across 52 hospitals. These workers were only exposed to radiation in the operating room. The annual average ED over the period of 5 years was found to be 0.59 mSv with no incidence of a dose above the annual dose limit of 20 mSv. The maximum annual ED reported was 15 mSv … Show more

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2024

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Cited by 3 publications

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Occupational ionizing radiation exposure monitoring in several medical departments

Alomairy

2022

Radioprotection

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Occupational ionizing radiation doses for medical radiation workers (MRWs) from different medical departments in a major specialized hospital in Saudi Arabia were measured and analyzed to establish a baseline for the annual mean effective dose (AMED) for MRWs. A statistical analysis of dose records was conducted on effective doses for 355 MRWs in the following medical departments. The overall AMED for all MRWs reported in this study was 1.60 mSv. The AMEDs in each medical department were 1.17 mSv in diagnostic radiology, 1.61 mSv in interventional radiology, 2.72 mSv in nuclear medicine, 1.59 mSv in radiation therapy, 1.32 mSv in operation room, 1.06 mSv in dentistry, and 1.54 mSv in others. A one-way ANOVA test indicated statistically significant differences between the departments’ workers (P = 0.001). The study reveals that the workers in the nuclear medicine department received the highest AMED among the other workers. The results reveal that no single occupational dose has exceeded the annual dose limit of 20 mSv. However, to avoid unwanted radiation exposures, it is still required to control the workplace and manage MRWs, particularly for workers in NM, who were found to get more dose than MRWs in other medical departments.

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Occupational ionizing radiation exposure monitoring in several medical departments

Alomairy

2022

Radioprotection

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Annual whole-body occupational radiation exposure in the medical and industrial fields in Saudi Arabia

Shubayr¹

2023

Radioprotection

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The monitoring of radiation workers’ (RWs) occupational doses resulting from working in different applications is essential to comply with the recommended dose limit (20 mSv) and to establish a reference level for the annual occupational dose. In this study, the thermoluminescent dosimeter (TLD) records of 58,156 RWs in the medical and industrial fields were collected and analysed to assess the annual occupational dose—in terms of mean annual effective dose (AMED). The RWs in the medical field included workers in diagnostic radiology (DR), nuclear medicine (NM), radiotherapy (RT), dentistry (Dent.), interventional radiology (IR), and operating rooms (OR). The RWs in the industrial field included road industry workers who used nuclear moisture density gauges (PCRI), workers in the phosphate mining industry (PMI), and workers in cyclotron facilities (CF). The AMED ± SD was 0.88 ± 0.56 mSv for DR, 1.22 ± 1.01 mSv for NM, 0.73 ± 0.49 mSv for RT, 0.78 ± 0.48 mSv for Dent., 0.89 ± 0.57 mSv for IR, 0.59 ± 0.45 mSv for OR, 0.80 ± 0.46 mSv for PCRI, 0.66 ± 0.45 mSv for PMI, and 1.60 ± 1.46 mSv for CF. The results showed significant differences in the AMEDs among the workers (p = 0.001). The highest AMEDs in the medical and industrial fields were those of NM and CF workers, respectively. However, the AMEDs for the RWs in both fields were below the annual recommended occupational dose limit and 72% were below the public dose limit (1 mSv).

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Operating room radiation safety measures: Awareness, compliance, and perceived risks among nurses and other healthcare workers

Shubayr

2024

International Nursing Review

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AimThis study evaluates and compares nurses’ and other healthcare workers’ awareness of and compliance with radiation protection measures in operating rooms and their perceived susceptibility to occupational illness due to radiation exposure.BackgroundCompliance with radiation safety measures minimises occupational radiation exposure risks. Understanding the role of perceived susceptibility to occupational illness in motivating compliance and awareness can enhance safety interventions.MethodsUsing a questionnaire‐based cross‐sectional observational design, this study targeted nurses, physicians, and radiologic technologists working in Saudi Arabian operating rooms. The survey measured awareness of and compliance with radiation protection measures and perceived susceptibility to occupational illness. The STROBE checklist was followed to ensure methodological rigour.ResultsNurses demonstrated the lowest awareness and compliance, and the highest perceived susceptibility to occupational illnesses compared to other healthcare professionals. There was a moderate positive correlation between increased awareness of safety measures and compliance, but a weaker correlation between adherence and perceived risk.DiscussionNurses’ compliance and awareness did not align with their risk perceptions, suggesting a cognitive‐behavioural gap in which stronger risk perceptions among nurses do not lead to proactive protective behaviours. This discrepancy may be attributed to the demanding nature of nursing duties, which often overshadow strict adherence to safety protocols.ConclusionThe study identified significant disparities in radiation safety practices, with nurses demonstrating less awareness and compliance but higher risk perceptions than other healthcare professionals. Interventions are needed to bridge the gap between perceived risk and actual safety behaviours.Implications for nursing and health policyRole‐specific training programmes and continuous education are needed to enhance radiation safety practices among nurses. Policies must support these educational efforts, ensuring that nurses can balance patient care responsibilities with radiation protection measures.

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A 5-Year Retrospective Analysis of Ionizing Radiation Dose to Hybrid Operating Room Personnel in Saudi Arabia

Cited by 3 publications

References 18 publications

Occupational ionizing radiation exposure monitoring in several medical departments

Occupational ionizing radiation exposure monitoring in several medical departments

Annual whole-body occupational radiation exposure in the medical and industrial fields in Saudi Arabia

Operating room radiation safety measures: Awareness, compliance, and perceived risks among nurses and other healthcare workers

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