A Study on Safety Culture Management of Patients Taking Radioexamination_Chinese Journal of Evidence-Based Medicine

Authors：

 QIN Jian ¹ , YANG Junhua ²

1. Department of Radiation, The First People’s Hospital of Longquanyi District, Chengdu 610100, China;2. Department of Nursing, The First People’s Hospital of Longquanyi District, Chengdu 610100, China;

Corresponding author：

QIN Jian, Email: 13689051112@126.com

Keywords：

Radioexamination; Safety culture; Management countermeasure

DOI：

10.7507/1672-2531.20110061

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

As the development of medical imageology, radioexamination has become one of the main approaches of disease diagnosis. However, the society and hospital have not taken the hidden danger and harmfulness of radiation seriously. Through discussing the following eight aspects of radiation safety culture management, this paper aims to reduce the risk of radiation and ensure the safety of patients and medical staff: a) Improving the awareness of safety culture and the understanding of patients on safety culture; b) Consummating the safety management system of the radiation; c) Attaching importance to implementing the relevant laws and regulations of radiation; d) Mastering the examination indications, and especially the contraindications of radiation; e) Strengthening the clinical cooperation and exchange; f) Improving the staff’s ability to distinguish hidden danger and identify patients in high risk; g) Strengthening the nursing behavior safety management of the radiation department; and h) Strengthening the biological security management of the radiation department.

Citation： QIN Jian,YANG Junhua. A Study on Safety Culture Management of Patients Taking Radioexamination. Chinese Journal of Evidence-Based Medicine, 2011, 11(3): 354-256. doi: 10.7507/1672-2531.20110061 Copy

1.	2 Lin EC. Radiation risk from medical imaging. Mayo Clin Proc , 2010, 85(12): 1142-1146.
2.	刘必跃. 放射检查存在的安全隐患及对策探讨. 医疗卫生装备, 2008, 1(1): 76-77.
3.	Smith-Bindman R, Lipson J, Marcus R, et al . Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med , 2009, 169: 2078-2086.
4.	Kohn JT, Corrigan JM, Donaldson MS. To erris human: building a safer health System. Washington DC: National Academy Press, 2000: 1-6.
5.	Singer SJ, Gaba DM, Geppert JJ, et al . The culture of safety: results of an organization-wide survey in 15 Califomia hospitals. Quality in health Care , 2003, 12: 112-118.
6.	Colla JB, Bracken AC, Kinney LM, et al . Measuying patient safety climate: A review of Surveys. Qual Saf Health Care , 2005, 14(5): 364-366.
7.	卫生部. 放射诊疗管理规定. 中国农村医学杂志, 2006, 9(5): 3-7.
8.	Vollmar SV, Kalender WA. Reduction of dose to the female breast in thoracic CT: a comparison of standard-protocol, bismuth-shielded, partial and tube-current-modulated CT examinations. Eur Radiol , 2008, 18: 1674-1682.
9.	Leswick DA, Hunt MM, Webster ST, et al . Thyroid shields versus z-axis automatic tube current modulation for dose reduction at neck CT. Radiology , 2008, 249: 572-580.
10.	Shrimpton PC, Hillier MC, Lewis MA, et al . National survey of doses from CT in the UK: 2003. Br J Radiol , 2006, 79: 968-980.
11.	Verdun FR, Gutierrez D, Vader JP, et al . CT radiation dose in children: a survey to establish age-based diagnostic reference levels in Switzerland. Eur Radiol , 2008, 18: 1980-1986.
12.	Brisse HJ, Aubert B. CT exposure from pediatric MDCT: results from the 2007–2008 SFIPP/ISRN survey. J Radiol , 2009, 90: 207-215.
13.	谢松诚, 徐伟伟, 主编. 医疗设备管理与技术规范. 第1版. 杭州: 浙江大学出版社. 2004: 116-117.
14.	Nievelstein RA, van Dam IM, van der Molen AJ Multidetector CT in children: current concepts and dose reduction strategies. Pediatr Radiol , 2010, 40(8): 1324-1344.
15.	Shankar VR. Sedating children or radiological procedures: an intensivist’s perspective. Pediatr Radiol , 2008, 38: S213-S217.
16.	张鸣明, 文进. 参与WHO"患者为患者安全"活动, 做一个明智的患者. 中国循证医学杂志, 2006, 6(1): 3-5.
17.	Joint commission on resources, issue in human resources for hospital. Department of Joint commission resources, IL. U.S.A, 2004: 27-39.
18.	魏光楠. 基层医院放射科护理行为安全管理. 护士进修杂志, 2007, 3(6): 513-514.
19.	范洪. 医院放射科生物安全管理现状调查分析. 中国医学装备, 2010, 3(3): 36-37.
20.	Johnson CD, Krecke KN, Miranda R, et al . Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics , 2009, 29(4): 951-959。.

1. 2 Lin EC. Radiation risk from medical imaging. Mayo Clin Proc , 2010, 85(12): 1142-1146.
2. 刘必跃. 放射检查存在的安全隐患及对策探讨. 医疗卫生装备, 2008, 1(1): 76-77.
3. Smith-Bindman R, Lipson J, Marcus R, et al . Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med , 2009, 169: 2078-2086.
4. Kohn JT, Corrigan JM, Donaldson MS. To erris human: building a safer health System. Washington DC: National Academy Press, 2000: 1-6.
5. Singer SJ, Gaba DM, Geppert JJ, et al . The culture of safety: results of an organization-wide survey in 15 Califomia hospitals. Quality in health Care , 2003, 12: 112-118.
6. Colla JB, Bracken AC, Kinney LM, et al . Measuying patient safety climate: A review of Surveys. Qual Saf Health Care , 2005, 14(5): 364-366.
7. 卫生部. 放射诊疗管理规定. 中国农村医学杂志, 2006, 9(5): 3-7.
8. Vollmar SV, Kalender WA. Reduction of dose to the female breast in thoracic CT: a comparison of standard-protocol, bismuth-shielded, partial and tube-current-modulated CT examinations. Eur Radiol , 2008, 18: 1674-1682.
9. Leswick DA, Hunt MM, Webster ST, et al . Thyroid shields versus z-axis automatic tube current modulation for dose reduction at neck CT. Radiology , 2008, 249: 572-580.
10. Shrimpton PC, Hillier MC, Lewis MA, et al . National survey of doses from CT in the UK: 2003. Br J Radiol , 2006, 79: 968-980.
11. Verdun FR, Gutierrez D, Vader JP, et al . CT radiation dose in children: a survey to establish age-based diagnostic reference levels in Switzerland. Eur Radiol , 2008, 18: 1980-1986.
12. Brisse HJ, Aubert B. CT exposure from pediatric MDCT: results from the 2007–2008 SFIPP/ISRN survey. J Radiol , 2009, 90: 207-215.
13. 谢松诚, 徐伟伟, 主编. 医疗设备管理与技术规范. 第1版. 杭州: 浙江大学出版社. 2004: 116-117.
14. Nievelstein RA, van Dam IM, van der Molen AJ Multidetector CT in children: current concepts and dose reduction strategies. Pediatr Radiol , 2010, 40(8): 1324-1344.
15. Shankar VR. Sedating children or radiological procedures: an intensivist’s perspective. Pediatr Radiol , 2008, 38: S213-S217.
16. 张鸣明, 文进. 参与WHO"患者为患者安全"活动, 做一个明智的患者. 中国循证医学杂志, 2006, 6(1): 3-5.
17. Joint commission on resources, issue in human resources for hospital. Department of Joint commission resources, IL. U.S.A, 2004: 27-39.
18. 魏光楠. 基层医院放射科护理行为安全管理. 护士进修杂志, 2007, 3(6): 513-514.
19. 范洪. 医院放射科生物安全管理现状调查分析. 中国医学装备, 2010, 3(3): 36-37.
20. Johnson CD, Krecke KN, Miranda R, et al . Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics , 2009, 29(4): 951-959。.

Previous Article
Evidence-Based Diagnosis and Treatment for a Patient with Thyriod Carcinoma Showing Thymus-like Differentiation

Chinese Journal of Evidence-Based Medicine

A Study on Safety Culture Management of Patients Taking Radioexamination

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content