Vorkommnisse im Bereich der Nuklearmedizin – Erfahrungen einer Multi-Center-Studie

Borowski, Markus; Hartmann, Josefin; Czech, Norbert; Kluge, G; Wasser, G; Pirl, Lukas

doi:10.1055/s-0040-1708216

Cited by 1 publication

(4 citation statements)

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“…A guideline 23 was developed as part of the research project for the systematic treatment of threshold violations 20 21 which is available as a free download for interested parties. This can be consulted to plan the facility-specific process starting with detection, through recording and documentation, to assessment and further handling of incidents.…”

Section: Resultsmentioning

confidence: 99%

“…Zur systematischen Behandlung von IntS-Überschreitungen bzw. gesetzlichen Vorkommnissen wurde als Teil des Forschungsvorhabens 20 21 ein Leitfaden 23 entwickelt, der für Interessierte zum freien Download zur Verfügung steht. Dieser kann zu Rate gezogen werden, um den einrichtungsspezifischen Prozess von der Erkennung, über die Erfassung und Dokumentation, bis hin zur Bewertung und weiteren Bearbeitung von Vorkommnissen zu planen.…”

Section: Ergebnisseunclassified

“…The CIRSrad 22 software was developed for incidents in radiology and nuclear medicine and tested as part of a multicenter study in the course of the departmental research projects initiated by the German Federal Office for Radiation Protection (BfS) “Operational handling of (significant) incidents in medical applications of ionizing radiation in X-ray diagnostics and interventional radiology and practical testing of the reporting criteria” 20 and “Operational handling of (significant) incidents in medical applications of radioactive substances in nuclear medicine and practical testing of the reporting criteria” 21 . Intervention thresholds were defined for the clinical trial, most of which were below the legal criteria of reportable incidents according to the Radiation Protection Ordinance in force since December 31, 2018.…”

Section: Introductionmentioning

confidence: 99%

“…Im Rahmen der vom Bundesamt für Strahlenschutz (BfS) initiierten Ressortforschungsvorhaben „Betrieblicher Umgang mit (bedeutsamen) Vorkommnissen bei medizinischen Anwendungen ionisierender Strahlung in der Röntgendiagnostik und interventionellen Radiologie und praktische Erprobung der Meldekriterien“ 20 und „Betrieblicher Umgang mit (bedeutsamen) Vorkommnissen bei medizinischen Anwendungen radioaktiver Stoffe in der Nuklearmedizin und praktische Erprobung der Meldekriterien“ 21 wurde die Software CIRSrad 22 für Vorkommnisse in der Radiologie und Nuklearmedizin entwickelt und im Rahmen einer Multi-Center-Studie erprobt. Für die klinische Erprobung wurden Interventionsschwellen (IntS) definiert, die größtenteils unterhalb der seit 31.12.2018 geltenden gesetzlichen Kriterien meldepflichtiger Vorkommnisse nach StrlSchV lagen.…”

Section: Introductionunclassified

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Handling of Incidents in the Clinical Application of Ionizing Radiation in Diagnostic and Interventional Radiology – a Multi-center Study

Müller

Singer

Stamm

et al. 2021

Rofo

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Purpose According to the German legislation and regulation of radiation protection, i. e. Strahlenschutzgesetz und Strahlenschutzverordnung (StrlSchG and StrlSchV), which came into force on 31st December 2018, significant unintended or accidential exposures have to be reported to the competent authority. Furthermore, facilities have to implement measures to prevent and to recognize unintended or accidental exposures as well as to reduce their consequences. We developed a process to register incidents and tested its application in the framework of a multi-center-study. Materials and Methods Over a period of 12 months, 16 institutions for x-ray diagnostics and interventions, documented their incidents. Documentation of the incidents was conducted using the software CIRSrad, which was developed, released for testing purposes and implemented in the frame of the study. Reporting criteria of the project were selected to be more sensitive compared to the legal criteria specifying “significant incidents”. Reported incidents were evaluated after four, eight, and twelve months. Finally, all participating institutions were interviewed on their experience with the software and the correlated effort. Results The rate of reported incidents varied between institutions as well as between modalities. The majority of incidents were reported in conventional x-ray imaging, followed by computed tomography and therapeutic interventions. Incidents were attributed to several different causes, amongst others to the technical setup and patient positioning (19 %) and patient movement or insufficient cooperativeness of the patient (18 %). Most incidents were below corresponding thresholds stated in StrlSchV. The workload for documenting the incidents was rated as appropriate. Conclusion It is possible to monitor and handle incidents complient with legal requirements with an acceptable effort. The number of reported incidents can be increased by frequent trainings on the detection and the processing workflow, on the software and legal regulation as well as by a transparent error handling within the institution. Key Points: Citation Format

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Section: Resultsmentioning

confidence: 99%

Section: Ergebnisseunclassified

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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