Vom Jason, Williams Imelda
Faculty of Medicine, Nursing and Health Sciences, Department of Medical Imaging and Radiation Sciences (DMIRS), Monash University, Clayton, Australia.
J Med Radiat Sci. 2017 Sep;64(3):212-219. doi: 10.1002/jmrs.211. Epub 2017 Feb 11.
Justification of radiographic examinations is the practice of evaluating requested radiological examinations to assess for clinical merit and appropriateness based on clinical notes and patient information. This implies that justification in radiography requires the evaluation of requested examinations, the justification of exposures being applied and determining whether patients fit the recommended criteria for the procedure. Medico-legal requirements by the professional registration body, the Medical Radiation Practice Board of Australia (MRPBA), identify justification as an advocated and obligatory practice for radiographers. Yet, justification remains an inconsistent practice implemented amongst Australian radiographers. This review aims to identify associated barriers inhibiting the consistent practice of justification and the hesitance by radiographers in practicing justification responsibilities. It also recommends a change in workplace culture which encourages radiographers to accept a more autonomous role that cultivates critical thinking, reflection and research-informed decision making as justification will ultimately benefit patients.
放射检查的正当性证明是指根据临床记录和患者信息，对所要求的放射学检查进行评估，以判断其临床价值和适宜性的实践。这意味着放射学中的正当性证明需要对所要求的检查进行评估，对所采用的照射进行正当性证明，并确定患者是否符合该检查的推荐标准。澳大利亚专业注册机构——医学放射实践委员会（MRPBA）的法医学要求，将正当性证明确定为放射技师提倡并必须履行的实践。然而，正当性证明在澳大利亚放射技师中仍然是一种执行不一致的实践。本综述旨在确定阻碍正当性证明一致实践的相关障碍以及放射技师在履行正当性证明职责时的犹豫态度。它还建议改变工作场所文化，鼓励放射技师接受更自主的角色，培养批判性思维、反思能力和基于研究的决策能力，因为正当性证明最终将使患者受益。
