A Systematic Review of the Efficiency of Radiation Protection Training in Raising Awareness of Medical Staff Working in Catheterisation Laboratory

Abstract

The purpose of this study is to conduct a systematic review of the efficiency of radiation protection (RP) training in minimising the radiation dose to both medical staff and patients.The literature search for the relevant articles was performed using five different databases which included Scopus, ScienceDirect, PubMed, Medline and ProQuest. The search covered English language publications in the period between 2000 and 2014. The search was also limited to peer-reviewed articles on human subjects and reporting patient doses, staff doses or both before and after RP training. The dose reductions were compared using percentage calculations. Ten articles met the inclusion criteria and were included in the study. Seven of these studies showed the value of the RP training by measuring the patient dose and the fluoroscopy time (FT) pre-and post-training , whereas the remaining two of the three studies focused on the occupational doses only and one reported patient and staff doses as well as the FT. After receiving training, a reduction was found in patient doses and FT with a mean and standard deviation of 49% ± 0.15 and 12% ± 0.15, respectively. Additionally, the analysis displayed an occupational dose reduction by a mean and standard deviation of 72% ± 0.14 after receiving training. This review shows the necessity and efficacy of RP training in order to provide a safer environment when utilising the fluoroscopic image-guided machines by medical staff working in the catheterisation laboratory.

Awareness assessment of radiation protection, dose levels and complications of radiation exposure in imaging procedures among radiology residents, undergraduate radiology students, radiologists and technicians.

“…This result was contrary to the results obtained from the study of (26)(27)(28). based on our study and con rmation of studies Briggs-kamara et al and Ria et al, it was found that patients' awareness was de cient (18,19,26,29,30), It should be noted that in our study, most radiation students and staff thought they were well aware and did not need to undergo training. However, in studies Masoumi et al and Rostamzadeh et al, it was found that training reduces radiation risks and increases radiation awareness (27,31).…”

Radiation Protection in an Interventional Laboratory: A Comparative Study of Australian and Saudi Arabian Hospitals

“…Recent studies have shown that cardiologists formally trained in RP are more aware of radiation safety than those who are untrained (17,18) . A recent systematic review showed that RP training can efficiently raise the awareness of medical staff working in a catheterization laboratory and reduce their exposure to radiation doses (19) . The International Commission on Radiological Protection (ICRP) indicates that interventional procedures are mainly operator dependent with slight variances in techniques and roles existing among centers.…”

Radiation safety education and compliance with safety procedures—The Korea Nurses’ Health Study

“…Previous research has reported that radiation safety education improved compliance with radiation safety procedures in medical staff who participated in interventional procedures, reducing their exposure to radiation (Alahmari & Sun, ; Sheyn et al., ), and that nurses’ knowledge of and attitudes towards radiation safety can be enhanced through safety education (Dauer, Kelvin, Horan, & Germain, ).…”

“…Previous research has reported that radiation safety education improved compliance with radiation safety procedures in medical staff who participated in interventional procedures, reducing their exposure to radiation (Alahmari & Sun, 2015;Sheyn et al, 2008), and that nurses' knowledge of and attitudes towards radiation safety can be enhanced through safety education (Dauer, Kelvin, Horan, & Germain, 2006). Therefore, the ICRP and other concerned academic institutions recommend safety education for medical workers to control radiation safely (Chen, 2014;ICRP, 2009;Miller et al, 2010).…”