Silkoset R D, Widmark A, Friberg E G
Norwegian Radiation Protection Authority, PO Box 55 N-1332, Østerås, Norway Oslo University College, Oslo, Norway
Norwegian Radiation Protection Authority, PO Box 55 N-1332, Østerås, Norway Gjøvik University College, Gjøvik, Norway.
Radiat Prot Dosimetry. 2015 Jul;165(1-4):254-8. doi: 10.1093/rpd/ncv036. Epub 2015 Mar 25.
Staff involved in interventional cardiology receive the highest occupational doses in Norway, and skin burns of patients have been reported. To identify the level of radiation protection (RP) for patients and staff, and compliance with the RP regulation, the Norwegian Radiation Protection Authority carried out inspections. The inspections were conducted (2013-14) as quality system reviews, based on document reviews, interviews, on-site inspections and observations of interventional procedures. The inspections revealed that most of the hospitals had non-compliances according to the RP regulation. Most deviations were associated with education in RP and follow-up of patients who had received high radiation doses. Lack of systematic optimisation of procedures and estimation of eye lens doses to evaluate the risk for cataracts were also common. Inspections turned out to increase the awareness of RP in cardiology and are identified as an effective tool for improving RP.
在挪威，从事介入心脏病学工作的人员接受的职业剂量最高，并且已有患者皮肤烧伤的报告。为确定患者和工作人员的辐射防护（RP）水平以及对RP法规的遵守情况，挪威辐射防护局进行了检查。这些检查在2013年至2014年期间作为质量体系审查开展，基于文件审查、访谈、现场检查以及对介入程序的观察。检查发现，大多数医院不符合RP法规。大多数偏差与RP教育以及对接受高辐射剂量患者的随访有关。缺乏对程序的系统优化以及对晶状体剂量的估算以评估白内障风险的情况也很常见。事实证明，检查提高了心脏病学领域对RP的认识，并被视为改善RP的有效工具。
