Wilson E, Ebdon-Jackson S
Health Care (Medical) Unit 1, Department of Health, London.
Health Trends. 1994;26(3):67-9.
The first six years work of the Secretary of State for Health's Inspectorate for regulation 4 of the Ionising Radiation (Protection of Persons Undergoing Medical Examination or Treatment) Regulations 1988 is described. The regulations are colloquially known by the acronym POPUMET, and implement European Directive 84/466 EURATOM in Great Britain. This laid down basic measures for the protection of persons undergoing medical examination or treatment involving ionising radiation. The POPUMET regulations are applicable to all health care settings, public or private sector, but exclude research. Regulation 4 is intended to prevent unnecessary or excessive medical exposure to radiation. Of 68 reported incidents, 54 (79%) were relevant to regulation 4, comprising 20 (37%) incidents in radiotherapy, 21 (39%) in radiology, 11 (20%) in nuclear medicine and 2 (4%) in dental radiology. Allowing for the denominator number of NHS departments in England, the greatest frequency of incidents were reported from radiotherapy departments, followed by nuclear medicine and then radiology departments. Of the 54 incidents investigated, 42 (78%) required a site visit; 39 (72%) resulted in advice from the Inspectorate; 13 (24%) required no action following investigation and 2 (4%) were still under investigation as at 31 May 1994. No enforcement notices were issued and there were no prosecutions.
本文描述了卫生大臣视察团在执行1988年《电离辐射（保护接受医学检查或治疗的人员）条例》第4条方面的头六年工作。这些条例通常简称为POPUMET，在英国实施了欧洲指令84/466 EURATOM。该指令规定了保护接受涉及电离辐射的医学检查或治疗的人员的基本措施。POPUMET条例适用于所有公共或私营部门的医疗保健机构，但不包括研究机构。第4条旨在防止不必要或过度的医疗辐射暴露。在报告的68起事件中，54起（79%）与第4条相关，其中放射治疗领域有20起（37%），放射学领域有21起（39%），核医学领域有11起（20%），牙科放射学领域有2起（4%）。考虑到英格兰国民保健服务部门的数量，报告事件发生率最高的是放射治疗部门，其次是核医学部门，然后是放射学部门。在调查的54起事件中，42起（78%）需要进行实地考察；39起（72%）得到了视察团的建议；13起（24%）在调查后无需采取行动，截至1994年5月31日，有2起（4%）仍在调查中。没有发出执行通知，也没有进行起诉。
