Patient dose monitoring systems: A new way of managing patient dose and quality in the radiology department
Patient dose monitoring systems: A new way of managing patient dose and quality in the radiology department
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DOI：
10.1016/j.ejmp.2017.06.013
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发表时间：
2017-12-01
影响因子：
3.4
通讯作者：
Fitousi, N.
中科院分区：
文献类型：
--
作者：
Fitousi, N.
目的：由于即将出台的欧洲指令（2013/59/EURATOM）以及国际指南和法规中对患者安全的日益关注，医疗成像部门引入了患者剂量监测系统，也称为剂量管理系统（DMS）。本文重点介绍了DMS的要求、优点和必要的实施步骤。方法：DMS的实施可以被视为一个漫长但有价值的过程：用户必须为其应用选择合适的系统，准备数据收集，验证，执行配置，并开始将结果用于质量改进项目。结果：最先进的DMS提高了服务质量，确保了患者安全，并优化了部门的效率。收益是多方面的：最初的目标是根据诊断参考水平进行合规监测。在更高的级别上，用户可以获得其监督下的设备或中心的性能概览。错误识别、警报生成和工作流分析是额外的好处。它还可以通过个性化剂量测定实现更以患者为中心的方法。皮肤剂量，特定尺寸的剂量估计和器官剂量可以计算和评价person.Conclusion：DMS是一个强大的工具，提高放射科的质量和病人护理必不可少。它可以根据医学物理学家，放射科医生，技术人员的需求进行配置，甚至用于医院的管理。所有卫生专业人员和利益攸关方之间的合作、投入产出验证和结果交流是目的地管理系统实施过程中的关键点。(C)2017年意大利医学协会。由爱思唯尔有限公司出版。保留所有权利。
Purpose: Due to the upcoming European Directive (2013/59/EURATOM) and the increased focus on patient safety in international guidelines and regulations, Patient Dose Monitoring Systems, also called Dose Management Systems (DMS), are introduced in medical imaging departments. This article focusses on the requirements for a DMS, its benefits and the necessary implementation steps.Method: The implementation of a DMS can be perceived as a lengthy, yet worthy, procedure: users have to select the appropriate system for their applications, prepare data collection, validate, perform configuration, and start using the results in quality improvement projects.Results: A state of the art DMS improves the quality of service, ensures patient safety and optimizes the efficiency of the department. The gain is multifaceted: the initial goal is compliance monitoring against diagnostic reference levels. At a higher level, the user gets an overview of the performance of the devices or centers that are under his supervision. Error identification, generation of alerts and workflow analysis are additional benefits. It can also enable a more patient-centric approach with personalized dosimetry. Skin dose, size-specific dose estimates and organ doses can be calculated and evaluated per patient.Conclusion: A DMS is a powerful tool and essential for improved quality and patient care in a radiology department. It can be configured to the needs of medical physicists, radiologists, technologists, even for the management of the hospital. Collaboration between all health professionals and stakeholders, input-output validation and communication of findings are key points in the process of a DMS implementation. (C) 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.