Radiation Safety Knowledge and Practice in Urology Theaters: A Collaborative Multicenter Survey

Ong, Kelly; Warren, Hannah; Nalagatla, Sarika; Kmiotek, Elizabeth; Obasi, Chekwas; Shanmugathas, Nimlan; Beech, Helen; Chan, Luke Huiming; Colemeadow, Josie; Ibrahim, Ibrahim; Waqar, Muhammad; Lane, Jenni; Rehman, Omer Farooq; Makanjuola, Jonathan

doi:10.1089/end.2020.0955

Cited by 7 publications

(3 citation statements)

References 17 publications

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“…Compliance with radiation safety practises is essential for theatre environments with accreditation maintained by Ionising Radiation Safety Committees through radiation safety officers and compliance audits. However, amongst healthcare professionals literature has determined that both knowledge and compliance are substandard with 44.1% lacking formal training in a UK survey 28 including urology consultants, registrars, nurses, anaesthetics and radiographers. Furthermore, consultants were more likely to use dosimeters compared with registrars with up to 70% reporting never used one 29 .…”

Section: Discussionmentioning

confidence: 99%

Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator

et al. 2023

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ObjectivesTo review radiation exposure during emergency ureteric stent insertion to identify differences based on operator experience, specialty operator and stone characteristics.Patients and methodsA retrospective audit over 10 years was performed for patients who underwent emergency stent insertion for urolithiasis with intraoperative fluoroscopy. Outcomes measured included operator experience, radiation exposure (mGy), dose area product (Gy/cm2), fluoroscopy time, stone characteristics and patient BMI. Analysis was performed in IBM SPSS Version 28. p < 0.05 was considered statistically significant.ResultsFour hundred ten patients were identified, with a median age of 57 years, 64.6% male and a median BMI of 30. Urolithiasis was left‐sided in 50.8%, with a median size of 7 mm and predominantly proximal (49%) followed by mid (34.5%) and distal (12.1%) location. Median radiation exposure was 12.6 mGy, 2.94 Gy/cm2 and fluoroscopy time 44.5 s, with no significant difference between consultants and registrars. No significant association between radiation exposure for subgroups of stone location, gender, size, laterality or specialty registrar (general surgery vs. urology).ConclusionNo significant difference in radiation exposure was identified between registrars and consultants or between subspecialty registrars. We suggest formal radiation safety education for all health professionals involved with intra‐operative fluoroscopy and personal dosimeters.

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Section: Discussionmentioning

confidence: 99%

Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator

et al. 2023

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“…The application of ionizing radiation is essential in disease diagnosis and management. Recently, the healthcare setting has increased the usage of computed tomography and X-ray scans [ 1 ]. Every year, over 3.6 billion X-ray exams, thirty-seven million nuclear medications, and seven and a half million radiation treatments are done all over the world [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Radiation safety compliance awareness among healthcare workers exposed to ionizing radiation

Allam,

Algany,

Khider

2024

BMC Nurs

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Background In recent years, there has been a marked growth in the use of ionizing radiation in medical imaging for both diagnosis and therapy, which in turn has led to increased radiation exposure among healthcare workers. Aim The purpose of this study was to assess the level of safety compliance awareness among healthcare workers exposed to ionizing radiation. Research design A descriptive cross-sectional design was used for this investigation. Setting This study was conducted online, using social media sites such as WhatsApp, Instagram, and Facebook. Subjects A purposive sample of 384 Egyptian healthcare workers was enrolled in the current study. Tool A safety compliance awareness questionnaire was used in this study to collect pertinent data. Results The result of this study showed that 65.4% and 64.1% of the studied sample chose the correct answers that mammography and CT scans involve the use of x-rays. However, 64.3% and 67.2% of the studied sample chose the wrong answers, saying that MRI and Ultrasound involve the use of X-rays. Moreover, 47.14%, 43.5%, and 57% of the studied sample never used a dosimeter, did not follow dosimeter controls, and did not wear a lead collar. Conclusion Most of the healthcare workers studied had poor knowledge about radiation exposure safety. Moreover, most of the healthcare workers in the current study demonstrated inadequate practice compliance concerning radiation protection procedures. Recommendation Should encourage hospital training programs to include radiation safety topics in their training plans for healthcare workers.

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“…Accordingly, there are recommendations to educate patients about their exposure to radiation [12]. Studies already address radiation exposure during endourological procedures for urologic staff and their awareness [13]. In addition, factors influencing risk for higher radiation exposure during endourological therapy were identified [14].…”

Section: Introductionmentioning

confidence: 99%

Personalized Prediction of Patient Radiation Exposure for Therapy of Urolithiasis: An Application and Comparison of Six Machine Learning Algorithms

Huettenbrink

Hitzl

Distler

et al. 2023

JPM

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The prediction of radiation exposure is an important tool for the choice of therapy modality and becomes, as a component of patient-informed consent, increasingly important for both surgeon and patient. The final goal is the implementation of a trained and tested machine learning model in a real-time computer system allowing the surgeon and patient to better assess patient’s personal radiation risk. In summary, 995 patients with ureterorenoscopy over a period from May 2016 to December 2019 were included. According to the suggestions based on actual literature evidence, dose area product (DAP) was categorized into ‘low doses’ ≤ 2.8 Gy·cm2 and ‘high doses’ > 2.8 Gy·cm2 for ureterorenoscopy (URS). To forecast the level of radiation exposure during treatment, six different machine learning models were trained, and 10-fold crossvalidated and their model performances evaluated in training and independent test samples. The negative predictive value for low DAP during ureterorenoscopy was 94% (95% CI: 92–96%). Factors influencing the radiation exposure were: age (p = 0.0002), gender (p = 0.011), weight (p < 0.0001), stone size (p < 0.000001), surgeon experience (p = 0.039), number of stones (p = 0.0007), stone density (p = 0.023), use of flexible endoscope (p < 0.0001) and preoperative stone position (p < 0.00001). The machine learning algorithm identified a subgroup of patients of 81% of the total sample, for which highly accurate predictions (94%) were possible allowing the surgeon to assess patient’s personal radiation risk. Patients without prediction (19%), the medical expert can make decisions as usual. Next step will be the implementation of the trained model in real-time computer systems for clinical decision processes in daily practice.

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Radiation Safety Knowledge and Practice in Urology Theaters: A Collaborative Multicenter Survey

Cited by 7 publications

References 17 publications

Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator

Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator

Radiation safety compliance awareness among healthcare workers exposed to ionizing radiation

Personalized Prediction of Patient Radiation Exposure for Therapy of Urolithiasis: An Application and Comparison of Six Machine Learning Algorithms

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