Analyzing Radiation Protection Risks in Nuclear Medicine: Cause Investigation and WSR-Based Countermeasure Evaluation.

IF 2 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Risk Management and Healthcare Policy Pub Date : 2025-02-04 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S508013

Peng Sun, Guanting Li, Yunhe Zhu

{"title":"Analyzing Radiation Protection Risks in Nuclear Medicine: Cause Investigation and WSR-Based Countermeasure Evaluation.","authors":"Peng Sun, Guanting Li, Yunhe Zhu","doi":"10.2147/RMHP.S508013","DOIUrl":null,"url":null,"abstract":"Objective: To analyze and investigate the causes of radiation protection safety risks in nuclear medicine diagnosis and treatment, formulate radiation protection safety management countermeasures, and evaluate their effectiveness.Methods: In October 2020, the Department of Nuclear Medicine at our hospital established a radiation protection safety management team, utilizing association rules to investigate and analyze the causes of radiation protection safety risks. A Wuli-Shili-Renli (WSR) system management approach was implemented, addressing physical (Wuli), procedural (Shili), and human factors (Renli) to improve technical safeguards, optimize processes, and enhance personnel awareness. A total of 1200 patients receiving diagnosis and treatment were divided into two groups. The control group (600 cases) used standard inspection-based radiation protection, while the observation group (600 cases) adopted WSR system management in addition to standard measures. Radiation protection risk control effectiveness and safety control capability scores were compared between the two groups.Results: The proportions of excessive diagnostic doses and additional radiation harm in the observation group were both lower than those in the control group (P < 0.05); the proportions of risk sources, including building environment, protective measures, dose monitoring, safety awareness, and waste disposal, in the observation group were all lower than those in the control group (P < 0.05). The observation group's scores in radiation protection theory, practical risk management skills, and radiation protection safety literacy, as well as the total score, were higher than those of the control group (P < 0.05).Conclusion: The WSR system management approach effectively reduces radiation protection safety risks, improves the diagnostic and therapeutic environment, minimizes radiation exposure to patients and staff, and enhances safety risk management levels in nuclear medicine departments.","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"329-337"},"PeriodicalIF":2.0000,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806680/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S508013","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To analyze and investigate the causes of radiation protection safety risks in nuclear medicine diagnosis and treatment, formulate radiation protection safety management countermeasures, and evaluate their effectiveness.

Methods: In October 2020, the Department of Nuclear Medicine at our hospital established a radiation protection safety management team, utilizing association rules to investigate and analyze the causes of radiation protection safety risks. A Wuli-Shili-Renli (WSR) system management approach was implemented, addressing physical (Wuli), procedural (Shili), and human factors (Renli) to improve technical safeguards, optimize processes, and enhance personnel awareness. A total of 1200 patients receiving diagnosis and treatment were divided into two groups. The control group (600 cases) used standard inspection-based radiation protection, while the observation group (600 cases) adopted WSR system management in addition to standard measures. Radiation protection risk control effectiveness and safety control capability scores were compared between the two groups.

Results: The proportions of excessive diagnostic doses and additional radiation harm in the observation group were both lower than those in the control group (P < 0.05); the proportions of risk sources, including building environment, protective measures, dose monitoring, safety awareness, and waste disposal, in the observation group were all lower than those in the control group (P < 0.05). The observation group's scores in radiation protection theory, practical risk management skills, and radiation protection safety literacy, as well as the total score, were higher than those of the control group (P < 0.05).

Conclusion: The WSR system management approach effectively reduces radiation protection safety risks, improves the diagnostic and therapeutic environment, minimizes radiation exposure to patients and staff, and enhances safety risk management levels in nuclear medicine departments.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

核医学辐射防护风险分析：原因调查及基于wsr的对策评价。

目的：分析调查核医学诊疗中辐射防护安全风险产生的原因，制定辐射防护安全管理对策，并评价其有效性。方法：2020年10月，我院核医学科成立辐射防护安全管理小组，运用关联规则对辐射防护安全风险原因进行调查分析。实施“五力-十力-人力”（WSR）系统管理方法，解决物理因素（Wuli）、程序因素（Shili）和人为因素（Renli），以改进技术保障，优化流程，提高人员意识。将1200例接受诊断和治疗的患者分为两组。对照组（600例）采用标准检查为主的辐射防护，观察组（600例）在标准措施的基础上采用WSR体系管理。比较两组放射防护风险控制效果和安全控制能力得分。结果：观察组患者诊断剂量超标和附加辐射危害比例均低于对照组（P < 0.05）；观察组在建筑环境、防护措施、剂量监测、安全意识、废物处理等风险源方面的比例均低于对照组（P < 0.05）。观察组患者辐射防护理论、实际风险管理技能、辐射防护安全素养得分及总分均高于对照组（P < 0.05）。结论：WSR系统管理方法有效降低了辐射防护安全风险，改善了诊疗环境，最大限度地减少了患者和工作人员的辐射暴露，提高了核医学科室的安全风险管理水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.