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Recommendations for radiographers and radiation therapists drawn from an analysis of errors on Australian Radiation Incident Registers
INTRODUCTION: The Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) collect reported incidents for inclusion in the Australian Radiation Incident Register (ARIR), a database of radiation incident reports that occur within Australia. While the information on previous radiation incid...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587651/ https://www.ncbi.nlm.nih.gov/pubmed/28054474 http://dx.doi.org/10.1002/jmrs.206 |
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author | Denham, Gary Page, Nicole |
author_facet | Denham, Gary Page, Nicole |
author_sort | Denham, Gary |
collection | PubMed |
description | INTRODUCTION: The Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) collect reported incidents for inclusion in the Australian Radiation Incident Register (ARIR), a database of radiation incident reports that occur within Australia. While the information on previous radiation incidents is available, there is little information on the lessons that can be learned from those past incidents to help prevent the same errors reoccurring. The aims of the study were to investigate what radiation incident registers are publicly available in Australia and to utilise the information contained within the ARIR and any other state or territory radiation protection authority registers to make recommendations for radiographers and radiation therapists to prevent future adverse events. METHODS: A search was conducted to locate what radiation incident registers within Australia were available to the public. All adverse events from 2003 to 2014 were compiled into a spreadsheet for analysis. An error‐type classification taxonomy was used to classify the adverse events. Conclusions were drawn from the determined causes to make recommendations to change work practices in an attempt to prevent similar adverse events reoccurring. RESULTS: Incident registers were located from New South Wales, South Australia, Tasmania, Victoria and Western Australia. Radiography represented 76% (243) of the adverse events. A vast majority of the incidents were a failure to comply with time‐out protocols (77%, 248). CONCLUSION: There are several radiation adverse event registers publicly available to utilise in Australia. All departments need to adopt and strictly adhere to time‐out protocols. This in conjunction with the other recommendations in this article has the potential to dramatically reduce radiation adverse events. |
format | Online Article Text |
id | pubmed-5587651 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-55876512017-09-13 Recommendations for radiographers and radiation therapists drawn from an analysis of errors on Australian Radiation Incident Registers Denham, Gary Page, Nicole J Med Radiat Sci Original Articles INTRODUCTION: The Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) collect reported incidents for inclusion in the Australian Radiation Incident Register (ARIR), a database of radiation incident reports that occur within Australia. While the information on previous radiation incidents is available, there is little information on the lessons that can be learned from those past incidents to help prevent the same errors reoccurring. The aims of the study were to investigate what radiation incident registers are publicly available in Australia and to utilise the information contained within the ARIR and any other state or territory radiation protection authority registers to make recommendations for radiographers and radiation therapists to prevent future adverse events. METHODS: A search was conducted to locate what radiation incident registers within Australia were available to the public. All adverse events from 2003 to 2014 were compiled into a spreadsheet for analysis. An error‐type classification taxonomy was used to classify the adverse events. Conclusions were drawn from the determined causes to make recommendations to change work practices in an attempt to prevent similar adverse events reoccurring. RESULTS: Incident registers were located from New South Wales, South Australia, Tasmania, Victoria and Western Australia. Radiography represented 76% (243) of the adverse events. A vast majority of the incidents were a failure to comply with time‐out protocols (77%, 248). CONCLUSION: There are several radiation adverse event registers publicly available to utilise in Australia. All departments need to adopt and strictly adhere to time‐out protocols. This in conjunction with the other recommendations in this article has the potential to dramatically reduce radiation adverse events. John Wiley and Sons Inc. 2017-01-05 2017-09 /pmc/articles/PMC5587651/ /pubmed/28054474 http://dx.doi.org/10.1002/jmrs.206 Text en © 2017 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Denham, Gary Page, Nicole Recommendations for radiographers and radiation therapists drawn from an analysis of errors on Australian Radiation Incident Registers |
title | Recommendations for radiographers and radiation therapists drawn from an analysis of errors on Australian Radiation Incident Registers |
title_full | Recommendations for radiographers and radiation therapists drawn from an analysis of errors on Australian Radiation Incident Registers |
title_fullStr | Recommendations for radiographers and radiation therapists drawn from an analysis of errors on Australian Radiation Incident Registers |
title_full_unstemmed | Recommendations for radiographers and radiation therapists drawn from an analysis of errors on Australian Radiation Incident Registers |
title_short | Recommendations for radiographers and radiation therapists drawn from an analysis of errors on Australian Radiation Incident Registers |
title_sort | recommendations for radiographers and radiation therapists drawn from an analysis of errors on australian radiation incident registers |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587651/ https://www.ncbi.nlm.nih.gov/pubmed/28054474 http://dx.doi.org/10.1002/jmrs.206 |
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