Radiation Safety Performance is More than Simply Measuring Doses! Development of a Radiation Safety Rating Scale.

Cardiovascular and Interventional Radiology
Bart DoyenOn behalf of: PRET (Principles of Radiation protection within Endovascular Team) group

Abstract

Radiation safety performance is often evaluated using dose parameters measured by personal dosimeters and/or the C-arm, which provide limited information about teams' actual radiation safety behaviors. This study aimed to develop a rating scale to evaluate team radiation safety behaviors more accurately and investigate its reliability. A modified Delphi consensus was organized involving European vascular surgeons (VS), interventional radiologists, and interventional cardiologists. Initial items and anchors were drafted a priori and rated using five-point Likert scales. Participants could suggest additional items or adjustments. Consensus was defined as ≥ 80% agreement (rating ≥ 4) with Cronbach's alpha ≥ .80. Two VS with expertise in radiation safety evaluated 15 video-recorded endovascular repairs of infrarenal aortic aneurysms (EVAR) to assess usability, inter and intrarater reliability. Thirty-one of 46 invited specialists completed three rating rounds to generate the final rating scale. Five items underwent major adjustments. In the final round, consensus was achieved for all items (alpha = .804; agreement > 87%): 'Pre-procedural planning', 'Preparation in angiosuite/operating room', 'Shielding equipment', 'Personal protect...Continue Reading

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Citations

Mar 22, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Gilles SoenensIsabelle Van Herzeele
Apr 15, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Quirina M B de RuiterJoost A van Herwaarden

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