Skip to Main Content
 

Global Search Box

 
 
 
 

Files

File List


Johnson Paul DissHBMPGJ April122018.pdf (2.39 MB)

ETD Abstract Container

Abstract Header

EVALUATION OF FLUOROSCOPY RADIATION WORKER EXPOSURE AT A LARGE MEDICAL CENTER: IMPLICATIONS FOR UTILIZING GRAPHICAL FEEDBACK INFORMATION FOR IMPROVING OCCUPATIONAL SAFETY

Johnson, Paul G
http://orcid.org/0000-0001-9744-5775
http://rave.ohiolink.edu/etdc/view?acc_num=kent1523631347981258

Abstract Details

2018, PHD, Kent State University, College of Public Health.
2018, PHD, Kent State University, College of Public Health. Abstract Recent studies have shown that workers who perform fluoroscopically guided interventional (FGI) procedures have an increased risk for developing cancer, cataracts, skin lesions and orthopedic illnesses. The purpose of this pilot study was to evaluate the potential effects of utilizing a personnel radiation dose tracking system, with “graphical feedback” information on FGI worker behavior. Methods: Eight months of FGI worker radiation dose data (mrem/procedure) prior to and after implementation of the GDD tool were used in this study. A 44 item questionnaire was developed and administered electronically to physician and non-physician fluoroscopic equipment operators. Descriptive statistics and repeated measures ANOVA was utilized. Results: After data cleaning, 39 operators (67% physicians and 33% non-physicians) were used for the analyses. Analysis was performed utilizing the operator responses to the survey statement, “The GDD email is an important reminder to use appropriate safety practices”. Significant decreases in mean operator doses were indicated. In addition, the results indicate that those who are likely to have no barriers to using personal protective equipment have a lower dose compared to operators who indicated they have barriers. Conclusion: Results of this pilot study have shown use of the GDD tool may be associated with a decrease in operator dose. Implications for instituting this approach as organizational policy include: 1) it meets the Centers for Medicare and Medicaid requirements for educating workers as to their dose over various time frames as well as their cumulative exposure through work and 2) meets state rules that require registrants to maintain worker exposures as low as reasonably achievable. In addition, it assists management personnel in identifying individuals that have consistently higher doses than expected. If poor practice is determined (e.g., using higher machine settings, inappropriate protocol use or not using appropriate PPE) and continues after additional training or consultation is provided, corrective action can be addressed as part of the individuals performance review. Poor safety practices not only put the operator at higher risk for health issues but also nearby support staff. Committee Sonia Alemagno (Committee Chair) John Hoorenbeek (Committee Member) Peggy Stephens (Committee Member)
Sonia Alemagno, PHD (Committee Chair)
John Hoorenbeek, PHD (Committee Member)
Peggy Stephens, PHD (Committee Member)
120 p.
Public Health; Radiation
medical worker radiation safety; fluoroscopically guided interventional procedure; occupational safety; theory based health policy

Recommended Citations

Citations

  • Johnson, P. G. (2018). EVALUATION OF FLUOROSCOPY RADIATION WORKER EXPOSURE AT A LARGE MEDICAL CENTER: IMPLICATIONS FOR UTILIZING GRAPHICAL FEEDBACK INFORMATION FOR IMPROVING OCCUPATIONAL SAFETY [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1523631347981258

    APA Style (7th edition)

  • Johnson, Paul. EVALUATION OF FLUOROSCOPY RADIATION WORKER EXPOSURE AT A LARGE MEDICAL CENTER: IMPLICATIONS FOR UTILIZING GRAPHICAL FEEDBACK INFORMATION FOR IMPROVING OCCUPATIONAL SAFETY. 2018. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1523631347981258.

    MLA Style (8th edition)

  • Johnson, Paul. "EVALUATION OF FLUOROSCOPY RADIATION WORKER EXPOSURE AT A LARGE MEDICAL CENTER: IMPLICATIONS FOR UTILIZING GRAPHICAL FEEDBACK INFORMATION FOR IMPROVING OCCUPATIONAL SAFETY." Doctoral dissertation, Kent State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1523631347981258

    Chicago Manual of Style (17th edition)

kent1523631347981258
462
© 2018, all rights reserved.
This open access ETD is published by Kent State University and OhioLINK.