While patient health and safety are priorities for any healthcare organization, the industry has spotlighted radiation dose hazards for healthcare staff in recent years, encouraging more stringent radiation program management. Several advocacy organizations are speaking out against the hazards of too much radiation, including Image Wisely and Image Gently in the U.S., and now the EuroSafe Imaging Call to Action in the EU. Additionally, numerous international guidance documents have been developed, such as ICRP 105 (Radiation Protection in Medicine), which is a positive sign that the industry is moving in the right direction. The latest to join the initiative is the EU industry regulation and upcoming European Commission standards that will closely mirror the 2015 U.S. Joint Commission rules on patient dose, with expanded requirements for clinical decision support. While all of these coalitions are promising, structured radiation safety programs are needed to ensure patient exam ordering is justified and dose levels are optimized.
As more hospitals begin to focus on patient dose they need to design and implement a process for this new data into their existing radiation safety programs. However, understanding your radiation dose data is only the beginning. The first step to improving any process is to understand what you have and where it came from. Most healthcare providers have not historically used patient radiation dose information in any meaningful way as a quality benchmarking tool. As the transition unfolds, organizations will increasingly require enhanced interoperability and IT integration of both staff and patient dose data to accurately capture, track and measure information to assess quality long term.
The time is now for manufacturers, regulators and healthcare providers to work together to develop and implement cost-effective, realistic and meaningful programs to monitor radiation dose. As an expert in imaging informatics, Philips has found that while hospitals want to comply with the new standards introduced by the Joint and European Commissions, support is still needed to develop and sustain these programs. Establishing partnerships that can offer overarching support – including education on best practices and how to best manage dose data, as well as technical support in performance quality for improved dose optimization – will become critical for the future success of radiation safety programs. Philips’ philosophy for effective radiation safety programs revolves around the following key principles:
The future of radiology needs effective radiation safety programs – this reality is not going away. However, if implemented strategically, the road ahead will be a quality journey for organizations to address challenges through constant evolution and improvement. By following best practices, building strong partnerships, and investing in the right solutions, healthcare organizations can position themselves not only as compliant with industry regulation, but as pioneers in safer diagnostic imaging.
Radiation Safety and the Growing Importance of Hospital IT Interoperability
The Road Ahead: The Future of Radiology Needs Radiation Safety Programs
Turning tools into solutions: radiation dose management in 2016 - Philips
New Joint Commissions Radiation Dose Standards: What They Mean and How to Tackle Them
The Radiation Dose Dilemma: Risk, Rewards and the Real Story
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