Utilization of a Radiation Safety Time-Out Reduces Radiation Exposure During Electrophysiology Procedures
| Autor: | Barbara Cartolano, Anthony Aizer, Austin V. Cheng, Steven Wagner, Jessica K. Qiu, Patrick B. Wu, Douglas Holmes, Larry A. Chinitz, Chirag R. Barbhaiya, Scott Bernstein, David S. Park |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors 030204 cardiovascular system & hematology Radiation Radiation Dosage 03 medical and health sciences 0302 clinical medicine parasitic diseases Medicine Fluoroscopy Humans Medical physics 030212 general & internal medicine Prospective Studies Aged Aged 80 and over medicine.diagnostic_test business.industry Radiation Exposure Radiation exposure Electrophysiology Female Patient Safety business Electrophysiologic Techniques Cardiac human activities Check List |
| Zdroj: | JACC. Clinical electrophysiology. 5(5) |
| ISSN: | 2405-5018 |
| Popis: | This study sought to determine whether a radiation safety time-out reduces radiation exposure in electrophysiology procedures.Time-outs are integral to improving quality and safety. The authors hypothesized that a radiation safety time-out would reduce radiation exposure levels for patients and the health care team members.The study was performed at the New York University Langone Health Electrophysiology Lab. Baseline data were collected for 6 months prior to the time-out. On implementation of the time-out, data were collected prospectively with analyses to be performed every 3 months. The primary endpoint was dose area product. The secondary endpoints included reference point dose, fluoroscopy time, use of additional shielding, and use of alternative imaging such as intracardiac and intravascular ultrasound.A total of 1,040 patient cases were included. The median dose area product prior to time-out was 18.7 Gy∙cmA radiation safety time-out significantly reduces radiation exposure in electrophysiology procedures. Electrophysiology laboratories, as well as other areas of cardiovascular medicine using fluoroscopy, should strongly consider the use of radiation safety time-outs to reduce radiation exposure and improve safety. |
| Databáze: | OpenAIRE |
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