Reporting overexposures and unintended exposures in diagnostic procedures
Reporting overexposures and unintended exposures in diagnostic procedures
Legislation requires the reporting to regulatory authorities of incidents in which patients have been exposed to ionizing radiation to an extent "much greater than that intended". The authorities have published guidance on what is considered to meet this requirement. However, there is still some confusion regarding, particularly, the necessity to report some unintended doses. It is believed that there is a disproportionate amount of resource spent investigating some unintended exposures because all such exposures will have an effective overexposure factor of infinity, irrespective of the magnitude of the dose and the associated risk. This paper proposes changing the definitions of "overexposure" and "unintended exposure" and the adoption of a reporting process based upon risk assessment. All records and data would be collected and, if required, reported, but investigation of individual incidents would take place only for incidents carrying a greater risk than 1 in 10,000
report, exposure, humans, risk, legislation & jurisprudence, radiation monitoring, practice guidelines as topic, medical errors, risk management, radiation dosage, risk assessment
866-869
Clewer, P.R.
21076856-1cd7-4611-9a9f-6afce8ac9b38
Jackson, P.C.
75f47bcd-381c-4344-b7f8-6992a7090752
2006
Clewer, P.R.
21076856-1cd7-4611-9a9f-6afce8ac9b38
Jackson, P.C.
75f47bcd-381c-4344-b7f8-6992a7090752
Clewer, P.R. and Jackson, P.C.
(2006)
Reporting overexposures and unintended exposures in diagnostic procedures.
British Journal of Radiology, 79 (947), .
(doi:10.1259/bjr/68149575).
Abstract
Legislation requires the reporting to regulatory authorities of incidents in which patients have been exposed to ionizing radiation to an extent "much greater than that intended". The authorities have published guidance on what is considered to meet this requirement. However, there is still some confusion regarding, particularly, the necessity to report some unintended doses. It is believed that there is a disproportionate amount of resource spent investigating some unintended exposures because all such exposures will have an effective overexposure factor of infinity, irrespective of the magnitude of the dose and the associated risk. This paper proposes changing the definitions of "overexposure" and "unintended exposure" and the adoption of a reporting process based upon risk assessment. All records and data would be collected and, if required, reported, but investigation of individual incidents would take place only for incidents carrying a greater risk than 1 in 10,000
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Published date: 2006
Keywords:
report, exposure, humans, risk, legislation & jurisprudence, radiation monitoring, practice guidelines as topic, medical errors, risk management, radiation dosage, risk assessment
Identifiers
Local EPrints ID: 61002
URI: http://eprints.soton.ac.uk/id/eprint/61002
ISSN: 0007-1285
PURE UUID: 64165721-6aba-42c4-bcb2-b7a198641863
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Date deposited: 08 Sep 2008
Last modified: 15 Mar 2024 11:21
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Author:
P.R. Clewer
Author:
P.C. Jackson
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