How to manage accidental and unintended exposure in radiology: an ESR white paper

How to manage accidental and unintended exposure in radiology: an ESR white paper
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DOI:
10.1186/s13244-019-0691-0
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发表时间:
2019-02-21
影响因子:
4.7
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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自2018年2月起,第2013/59/EURATOM(EU-BSS)号指令要求所有欧盟成员国实施记录和分析所有意外或非预期医疗暴露的系统(第63条)。2018年5月,在包括所有欧盟成员国(MS)在内的ESR成员国中进行的ESR问卷调查显示,EU-BSS的转换情况非常不一致且不令人满意。一些MS只是翻译了指令的这一部分,其他MS使用有效剂量作为报告标准,其他MS使用来自模态的物理剂量参数。这份白色文件将帮助国家科学组织向其国家监管机构和当局提供有关如何提供简单实用的指令实施的建议。ESR建议重大事件的通知和报告标准基于物理量和单位,而不是有效剂量或基于文本的标准,如显著差异(EU-BSS,第4(99)条)。
Since February 2018, the Directive 2013/59/EURATOM (EU-BSS) requires all EU member states to implement a system for recording and analysis of all accidental or unintended medical exposures (Article 63). An ESR questionnaire in May 2018 among ESR member countries including all EU member states (MS) revealed a very heterogeneous and unsatisfactory situation in transposition of the EU-BSS. Some MS just translated this part of the directive, others used effective dose as reporting criteria and others used physical dose parameters from the modalities. This white paper will help national scientific organisations advice their national regulators and authorities on how to provide a simple and practicable implementation of the directive. ESR recommends notification and reporting criteria for significant events based on physical quantities and units and not on effective dose or text-based criteria like significantly different (EU-BSS, Article 4 (99)).