International Journal of Modern Physics and Applications
Articles Information
International Journal of Modern Physics and Applications, Vol.1, No.5, Nov. 2015, Pub. Date: Dec. 14, 2015
Practitioners’ Knowledge on Patients’ Radioprotection in Emergency and Radiology Services of Hassan II Hospital Agadir Morocco
Pages: 205-209 Views: 3514 Downloads: 976
Authors
[01] Slimane Semghouli, Department of Health Techniques, Higher Institute of Nursing Professions and Health Techniques, Agadir, Morocco.
[02] Bouchra Amaoui, Department of Radiotherapy, Regional Center of Oncology, Agadir, Morocco.
[03] Mohamed El Fahssi, Department of Health Techniques, Higher Institute of Nursing Professions and Health Techniques, Agadir, Morocco.
[04] Abdelmajid Choukri, Department of Physics, Nuclear Physics and Techniques Team, Faculty of Science, University of IbnTofail, Kenitra, Morocco.
[05] Oum Keltoum Hakam, Department of Physics, Nuclear Physics and Techniques Team, Faculty of Science, University of IbnTofail, Kenitra, Morocco.
Abstract
The objective of this study is to assess emergency department doctors’ and radiology service practitioners’ knowledge of radiation doses associated with diagnostic imaging and to describe their practices with regard to informing patients of risk.In order to accomplish this study three questionnaires were developed, the first was sent to emergency physicians, the second to the radiology technicians and the third to the radiologist physicians. These questionnaires contained several questions related to practices and practitioners' knowledge on radiation protection of patients. All practitioners of the two departments have completed the questionnaire. 40% of prescribers took into account the ratio benefit/risk related to x-rays during radiological exam prescription. Only 20% of prescribers’ explained the risk related to x-rays to the patients during radiological exam prescription. One out off four physicians has correctly estimated the effective dose received by patient during an abdomen pelvic scan compared to the dose of a standard chest x-ray radiograph in an adult. Over three-quarters of doctors (75%) underestimated the lifetime risk of fatal cancer attributable to a single computed tomography scan of the abdomen pelvic. 46% of practitioners reported that they have never received any formal training on risks to patients from radiation exposure. Practitioners in our sample had a varied knowledge of the risks from radiation exposure, but overall knowledge was reduced. The diagnostic imaging request process may need to include information on radiation doses and risks. Therefore a broader diffusion of training in radiation protection of patients could be a solution to improve the knowledge of hospital practitioners on radiation protection of patients.
Keywords
X-ray Imaging, Radiological Exam, Patient’s Protection, Dose
References
[01] Lacoste, A. C: "Increasing doses delivered to patients during medical imaging examinations. Seminar conclusions of 16 September 2010 organized by the French Nuclear Safety Authority.
[02] Summary of low dose effects on the health: Report of United Nations Scientific Committee on the effects of Atomic Radiation. Fifty seven sessions. UNSCEAR 2010 Report.
[03] Semghouli S, Amaoui B, Maamri A: Estimated radiation exposure from medical imaging for patientsof radiology service of Al Faraby Hospital, Oujda Morocco. Int J Cancer TherOncol.2015; Vol 3 Numb 3: 33.25.
[04] Brenner DJ, Doll R, Goodhead DT, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. ProcNatlAcadSci U S A. 2003; 100: 13761-6.
[05] The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103. Ann ICRP. 2007; 37: 1-332.
[06] Hart D, Wall BF. Radiation exposure of the UK populations from medical and dental X-rays examinations.British Library Document Supply CentreDSC: 9091.900(NRPB-W4) 2002; 33. https://inis.iaea.org/search/search.aspx?orig_q=RN:33029624
[07] Gervaise. A, Esparbe-Vigneau. E, Pernin. M, Naulet. T, Porton. Y, Lampierre- Combe. M: Evaluation of knowledge prescribing CT examinations on the radiation protection of patients. Elsevier Masson. Radiology Journal (2011), 92, 671-678.
[08] Einstein A J, Henzlova M J, Rajagopalan S: Estimated risk of cancer with radiation exposure from 64-slice computed tomography coronary angiography. JAMA 2007; 298: 317-323.
[09] Shiralkar S, Rennie A, Snow M, et al. Doctors’ knowledge of radiation exposure: questionnaire study. BMJ 2003; 327: 371-372.
[10] Rahhaoui, L. I. AHRAOUI: Evaluation of radiation protection measures in conventional public and private radiology services in the cities of Tangier, Tetouan, Asilah, Larache, Fez and Meknes, IUMT RENNES. 2011.
[11] Smani, J: Study of compliance with the rules radiation protection in conventional radiology segma hospitals in the region Marrakech Tensift al Haouz. INAS, Rabat, 2013.
[12] Jacob K, Vivian G, Steel JR: X-Ray dose training are we exposed to enough? ClinRadiol 2004; 59: 928-34.
[13] Rice HE, Frush DP, Harker MJ, et al. Peer assessment of pediatric surgeons for potential risks of radiation exposure from computed tomography scans. J Pediatr Surg. 2007; 42: 1157-64.
[14] Council Directive 97/43/EURATOM/ of 30 June 1997 on Health protection of individuals against the dangers of ionizing radiation in relation to medical exposure and repealing Directive 84/466/Euratom. (OJ L-180 of 9 July 1997).
[15] Protection of persons exposed to ionizing radiation for medical and forensic and amending the French Code of Public Health. Decree No. 2003-270 of 24 March 2003.
[16] Schneider, K. Special Exposures: Paediatrics.Radiation protection 102, Implementation of the “medical Exposure Directive” (97/43/Euratiom), Proceedings of the International Workshop 1998: 103-13.
[17] Acquah GF, SchiestlB, Cofie AY, Nkansah JO. Radiation dose reduction without degrading image quality during computed tomography examinations: Dosimetry and quality control study. Int J Cancer TherOncol. 2014; 2: 02039.
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.