Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA.
Radiographics. 2013 Jan-Feb;33(1):245-61. doi: 10.1148/rg.331125174.
Employees in a radiology department are exposed to multiple risks, including injuries due to radiation exposure, poor ergonomics, or repetitive stress; those caused by wearing lead aprons or moving heavy equipment for portable studies; and needle sticks resulting in exposure to body fluids. Strategies to mitigate or prevent such risks include ergonomics initiatives for radiologists and technologists, appointment of a radiation safety officer to ensure compliance with radiation dose guidelines and policies, and use of equipment that prevents exposure to body fluids. In addition, there are regulations and guidelines from various government bodies on occupational radiation dose limits, handling of isotopes and chemotherapy agents, contact with patients with airborne infections, and needle stick injuries. A comprehensive staff safety program was developed for a clinical radiology department to provide a framework for staff injury prevention. The important parts of a staff safety program are observational safety audits and walkabouts and a safety reporting tool for employees. Faculty education about workplace environmental risks and their consequences, compliance with policies and guidelines on environmental safety, and development of a culture that encourages surveillance, reporting, and prompt action will go a long way toward improving overall safety for all workers in a radiology department.
放射科员工面临多种风险，包括因辐射暴露、人体工程学不佳或重复性压力而受伤；因穿戴铅围裙或移动便携式研究用的重型设备而受伤；以及因针具刺伤而接触体液。减轻或预防这些风险的策略包括为放射科医生和技术人员实施人体工程学举措，任命放射安全官员以确保遵守辐射剂量指南和政策，以及使用可防止接触体液的设备。此外，各个政府机构都有关于职业辐射剂量限制、同位素和化疗药物的处理、与空气传播感染患者的接触以及针具刺伤的规定和指南。为临床放射科制定了一项全面的员工安全计划，为员工预防伤害提供了框架。员工安全计划的重要部分包括观察性安全审核和巡视以及员工安全报告工具。对工作场所环境风险及其后果进行教职员工教育，遵守环境安全政策和指南，以及培养鼓励监督、报告和及时采取行动的文化，将大大有助于提高放射科所有工作人员的整体安全水平。
