Rehani M M
Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA Ex-International Atomic Energy Agency, Vienna, Austria
Radiat Prot Dosimetry. 2015 Jul;165(1-4):50-2. doi: 10.1093/rpd/ncv026. Epub 2015 Mar 19.
This paper reviews the developments in tracking of patient exposures and dose after the earlier paper published in the same journal in 2011. A global survey in which 76 countries responded indicated strong interest in programme and another survey among referring physicians showed vast majority (71.7 %) of physicians expressing that awareness of previous history of CT scans would always or mostly lead them to a better decision on referring patients for CT scans. A sizable number of countries have system of assigning permanent ID to individuals and nearly half of them use this ID in medical records. This can easily permit tracking of exposures. Templates for tracking at different levels of health care have been provided, and experience from a country where tracking is routinely practised has been published.
本文回顾了自2011年在同一期刊上发表早期论文之后,在患者暴露和剂量追踪方面的进展。一项有76个国家回应的全球调查表明,对该项目兴趣浓厚;另一项针对转诊医生的调查显示,绝大多数(71.7%)医生表示,了解患者之前的CT扫描病史总能或大多能帮助他们在转诊患者进行CT扫描时做出更好的决策。相当多的国家有为个人分配永久身份识别码的系统,其中近一半在医疗记录中使用该识别码。这能够轻松实现对暴露情况的追踪。文中提供了不同医疗保健层面的追踪模板,并且还发表了一个常规开展追踪工作的国家的经验。