Utilization of a Radiation Safety Time-Out Reduces Radiation Exposure During Electrophysiology Procedures.
check list
fluoroscopy
procedure
radiation
time-out
Journal
JACC. Clinical electrophysiology
ISSN: 2405-5018
Titre abrégé: JACC Clin Electrophysiol
Pays: United States
ID NLM: 101656995
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
21
09
2018
revised:
30
11
2018
accepted:
03
12
2018
entrez:
25
5
2019
pubmed:
28
5
2019
medline:
15
9
2020
Statut:
ppublish
Résumé
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∙cm A 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.
Sections du résumé
OBJECTIVES
This study sought to determine whether a radiation safety time-out reduces radiation exposure in electrophysiology procedures.
BACKGROUND
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.
METHODS
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.
RESULTS
A total of 1,040 patient cases were included. The median dose area product prior to time-out was 18.7 Gy∙cm
CONCLUSIONS
A 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.
Identifiants
pubmed: 31122386
pii: S2405-500X(18)30980-0
doi: 10.1016/j.jacep.2018.12.002
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
626-634Informations de copyright
Copyright © 2019 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.