Pelatihan Proteksi dan Keselamatan Radiasi Sebagai Dasar Penguatan Kompetensi Bagi Pekerja Radiasi di RSUD KRMT Wongsonegoro Semarang

2021 ◽  
Author(s):  
Supriyati Supriyati ◽  
Keyword(s):  
Patient Safety ◽  
Ionizing Radiation ◽  
Health Workers ◽  
Radiation Hazard ◽  
Radiation Hazards ◽  
Laboratory Installation ◽  
Catheterization Laboratory ◽  
Orthopedic Surgeons ◽  
Urological Surgery ◽  
Primary Modality

Radiology installation is one of the supporting elements in a hospital whose primary function is to establish a diagnosis. Following its function, there are modalities of both ionizing and non-ionizing radiation. Understanding a primary modality that uses ionizing radiation is necessary to create patient safety. Several other health workers participate in carrying out a radiology modality using both ionizing and non-ionizing aircraft modalities. Relates to the use of radiology equipment in other installations, for example, urological surgery installations held by urological surgeons, orthopedic surgeons in central surgical facilities, neurosurgeons specializing in the use of surgical support C arms, heart and vascular specialists. Blood in the catheterization laboratory installation, as well as the supporting nurses in each of these rooms. Understanding radiation and the basics of protection to ensure the safety and security of radiation protection or radiation hazards that the use of these modalities may cause. Keywords: modality, radiation hazard

scholarly journals Assessment of Patients’ Knowledge of Radiation Exposure during Medical Imaging Procedures at Private Medical Radiography Centres in Ogun State, Nigeria

2020 ◽  
pp. 99-109
Author(s):  
Adedapo A. Adejumo ◽  
U. Enebeli, Ugo ◽  
Olaolu O. Bilewu
Keyword(s):  
Medical Imaging ◽  
Ionizing Radiation ◽  
Radiation Exposure ◽  
Health Workers ◽  
Radiation Hazard ◽  
Warning Sign ◽  
Limited Information ◽  
Public And Private ◽  
Ogun State ◽  
Radiation Awareness

Introduction: Radiological examinations are commonly requested for patients to aid clinical diagnosis. However, many doctors do not realize how much radiation dosage their patients are exposed to during radiological aim. The main objective of this study was to assess the level of knowledge of radiation exposure and safety practices among patients undergoing medical imaging in Ado-Odo Local Government Area, in Ogun State of Nigeria. Methodology: A self-administered questionnaire was used for the study. Results: More than half of the respondents 216(69.7%) were female, more than one-quarter 153(49.4) of the respondents were aged 20-29 years, More than half 186(60.0%) of the respondent are single. More than half 204(66.4%) of the respondents have heard about radiation exposure. Majority 232(74.8%) of the respondents agree that radiation hazard do come only from medical radiations. More than half 21(68.7%) of the respondents agree that they do take note of radiation warning sign, majority 236(76.1%) of the respondents agree that they know the wrong use of dose of ionizing radiation can lead to mortality, 217(70.0%) of the respondents agree that inappropriate safety measure on ionizing radiation can result into cancer Conclusion: This study notes that majority of the literature on awareness and knowledge of the effects of ionizing radiation was carried out among health workers, whereas there is limited information from patients who undergo the procedure. This accounts for the paucity of local studies to compare our results with. In future, studies could compare the radiation awareness among patients presenting at health facilities from public and private, as well as differences in awareness levels of self-presenting and prescribed patients

Radiopharmacology: Hazard or/and Benefit

1984 ◽  
Vol 23 (02) ◽  
pp. 87-91 ◽  
Author(s):  
K. Flemming
Keyword(s):  
Ionizing Radiation ◽  
Late Effects ◽  
Radiation Risk ◽  
Dose Effect ◽  
Radiation Hazard ◽  
Radiation Doses ◽  
Low Doses ◽  
Medical Radiology ◽  
Experimental Findings ◽  
In The Beginning

SummaryIn the beginning of medical radiology, only the benefit of ionizing radiation was obvious, and radiation was handled and applied generously. After late effects had become known, the radiation exposure was reduced to doses following which no such effects were found. Thus, it was assumed that one could obtain an optimal medical benefit without inducing any hazard. Later, due to experimental findings, hypotheses arose (linear dose-effect response, no time factor) which led to the opinion that even low and lowest radiation doses were relevant for the induction of late effects. A radiation fear grew, which was unintentionally strengthened by radiation protection decrees: even for low doses a radiation risk could be calculated. Therefore, it was believed that there could still exist a radiation hazard, and the radiation benefit remained in question. If, however, all presently known facts are considered, one must conclude that large radiation doses are hazardous and low doses are inefficient, whereas lowest doses have a biopositive effect. Ionizing radiation, therefore, may cause both, hazard as well as benefit. Which of the two effects prevails is determined by the level of dose.

Penanganan Issu Terkait Keselamatan Pasien di Rumah Sakit

2020 ◽  
Author(s):  
Kristin Natal Riang Gea
Keyword(s):  
Patient Safety ◽  
Health Workers ◽  
Sampling Technique ◽  
Good Health ◽  
Bivariate Analysis ◽  
P Value ◽  
Patient Identification ◽  
Cross Sectional ◽  
The Right ◽  
The Relationship

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers

Questions Safety of Ultrasound

PEDIATRICS ◽  
1976 ◽  
Vol 57 (1) ◽  
pp. 162-163
Author(s):  
Peter C. Scheidt
Keyword(s):  
Adverse Effects ◽  
American Academy ◽  
Electromagnetic Radiation ◽  
Diagnostic Ultrasound ◽  
Acoustic Energy ◽  
Radiation Hazard ◽  
Radiation Hazards ◽  
American Academy Of Pediatrics

In the report on ultrasonography in children, the Committee on Radiology of the American Academy of Pediatrics states flatly that, "There is no radiation hazard."1 Technically this is correct since ultrasound is acoustic energy and not electromagnetic radiation. However, this dismissal of possible radiation hazards gives an impression of established safety, which appears to be unwarranted by existing research. To date, with the levels of energy currently used for diagnostic ultrasound there are no known adverse effects in humans; but there are reasons to believe that it is too early to conclude that the use of diagnostic ultrasound is free of hazards, particularly with regard to the exposure of the fetus and infant.

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN PATIENT SAFETY TERHADAP KEPATUHAN PERAWAT DALAM PENERAPAN SURGICAL SAFETY CHECKLIST DI RUANG PRE OPERASI INSTALASI KAMAR OPERASI RSD MANGUSADA BADUNG

2021 ◽  
Vol 16 (2) ◽  
pp. 352-357
Author(s):  
Putu Ayu Mega Agnihortry ◽  
I Made Dwie Pradnya Susila ◽  
A.A. Ngurah Nara Kusuma
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Health Workers ◽  
P Value ◽  
Cross Sectional ◽  
Operation Room ◽  
Significance Level ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Safety Knowledge

Patient safety has now become a global issue and a critical component of hospital quality management. One of the components in patient safety that must be carried out in the operating room is the application of the surgical safety checklist. Adherence in implementing the surgical safety checklist is influenced by several factors such as the knowledge of patient safety that nurses have. This study aims to determine the relationship between the level of patient safety knowledge and the compliance of nurses in implementing the surgical safety checklist in the Pre-Operation Room, the Operation Room, RSD Mangusada Badung. This study used a quantitative observational method with a cross sectional design. The sample was all nurses in the operating room installation room RSD Mangusada Badung who were selected by a total sampling of 41 people. The research was conducted from 01-31 October 2020. The results of data analysis using the rho Spearman nonparametric statistical test at a significance level of ? 0.05, the p value was 0.000 <0.05. This shows that there is a significant relationship between the level of patient safety knowledge on nurses' compliance in implementing the surgical safety checklist in the Pre-Operation Room for the Operation Room, RSD Mangusada Badung. It is hoped that health workers, especially nurses in the operating room, can increase knowledge about patient safety and be more obedient in implementing the surgical safety checklist.

scholarly journals Development of a patient safety culture scale for maternal and child health institutions in China: a cross-sectional validation study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e025607
Author(s):  
Yuanyuan Wang ◽  
Hui Han ◽  
Liqian Qiu ◽  
Chaojie Liu ◽  
Yan Wang ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Workers ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Confirmatory Factor ◽  
Test Retest Reliability

ObjectiveThis study aimed to develop a patient safety culture (PSC) scale for maternal and child healthcare (MCH) institutions in China.MethodsA theoretical framework of PSC for MCH institutions was proposed through in-depth interviews with MCH workers and patients and Delphi expert consultations. The reliability and validity of the PSC scale were tested in a cross-sectional survey of 1256 MCH workers from 14 MCH institutions in Zhejiang province of China. The study sample was randomly split into half for exploratory and confirmatory factor analyses, respectively. Test–retest reliability was assessed through a repeated survey of 63 voluntary participants 2 weeks apart.ResultsThe exploratory factor analysis extracted 10 components: patient engagement in patient safety (six items), managerial response to patient safety risks (four items), perceived management support (five items), staff empowerment (four items), staffing and workloads (four items), reporting of adverse events (three items), defensive medical practice (three items), work commitment (three items), training (two items) and transfer and handoff (three items). A good model fit was found in the confirmatory factor analysis: χ2/df=1.822, standardised root mean residual=0.048, root mean square error of approximation=0.038, comparative fit index=0.921, Tucker-Lewis index=0.907. The PSC scale had a Cronbach’s α coefficient of 0.89 (0.59–0.90 for dimensional scales) and a test–retest reliability of 0.81 (0.63–0.87 for dimensional reliability), respectively. The intracluster correlation coefficients confirmed a hierarchical nature of the data: individual health workers nested within MCH institutions.ConclusionThe PSC scale for MCH institutions has acceptable reliability and validity. Further studies are needed to establish benchmarking in a national representative sample through a multilevel modelling approach.

Increased mitochondrial DNA4977-bp deletion in catheterization laboratory workers with long-term low-dose exposure to ionizing radiation

2019 ◽  
Vol 26 (9) ◽  
pp. 976-984 ◽  
Author(s):  
Andrea Borghini ◽  
Cecilia Vecoli ◽  
Emanuela Piccaluga ◽  
Giulio Guagliumi ◽  
Eugenio Picano ◽  
...  
Keyword(s):  
Ionizing Radiation ◽  
Risk Score ◽  
Nuclear Dna ◽  
High Volume ◽  
Multiple Regression Model ◽  
Mtdna Copy Number ◽  
Radiological Risk ◽  
High Exposure ◽  
Catheterization Laboratory ◽  
Mtdna Mutations

Aims Ionizing radiation may lead to mitochondrial DNA (mtDNA) mutations and changes in mtDNA content in cells, major driving mechanisms for carcinogenesis, vascular aging and neurodegeneration. The aim of this study was to investigate the possible induction of common mitochondrial deletion (mtDNA4977) and mtDNA copy number (mtDNA-CN) changes in peripheral blood of personnel working in high-volume cardiac catheterization laboratories (Cath Labs). Methods A group of 147 Cath Lab workers (median individual effective dose = 16.8 mSv, for the 41 with lifetime dosimetric record) and 74 unexposed individuals were evaluated. The occupational radiological risk score was computed for each subject on the basis of the length of employment, individual caseload and proximity to the radiation source. mtDNA4977 deletion and mtDNA-CN were assessed by using quantitative real-time polymerase chain reaction. Results Increased levels of mtDNA4977 deletion were observed in high-exposure Cath Lab workers compared with unexposed individuals ( p < 0.0001). Conversely, mtDNA-CN was significantly greater in the low-exposure workers ( p = 0.003). Occupational radiological risk score was positively correlated with mtDNA4977 deletion (Spearman's r = 0.172, p = 0.03) and inversely correlated with mtDNA-CN (Spearman's r = –0.202, p = 0.01). In multiple regression model, occupational radiological risk score emerged as significant predictor of high levels of mtDNA4977 deletion (ß coefficient = 0.236, p = 0.04). Conclusion mtDNA4977 deletion is significantly high in Cath Lab personnel. Beyond the well-recognized nuclear DNA, mtDNA damage might deserve attention as a pathogenetic molecular pathway and a potential therapeutic target of ionizing radiation damage.

scholarly journals Culture of Blame—An Ongoing Burden for Doctors and Patient Safety

2019 ◽  
Vol 16 (23) ◽  
pp. 4826 ◽  
Author(s):  
Ognjen Brborović ◽  
Hana Brborović ◽  
Iskra Alexandra Nola ◽  
Milan Milošević
Keyword(s):  
Patient Safety ◽  
Healthcare Workers ◽  
Health Workers ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Single Item ◽  
Shortage Of Doctors ◽  
The Impact

Introduction: Every procedure in healthcare carries a certain degree of inherent unsafety resulting from problems in practice, which might lead to a healthcare adverse event (HAE). It is very important, and even mandatory, to report HAE. The point of HAE reporting is not to blame the person, but to learn from the HAE in order to prevent future HAEs. Study question: Our aim was to examine the prevalence and the impact of culture of blame on health workers’ health. Methods: A cross-sectional study on healthcare workers at two Croatian hospitals was conducted using the Hospital Survey on Patient Safety Culture (PSC). Results: The majority of PSC dimensions in both hospitals were high. Among the dimensions, Hospital Handoffs and Transitions and Overall Perceptions of Safety had the highest values. The Nonpunitive Response to Error dimension had low values, indicating the ongoing culture of blame. The Staffing dimension had low values, indicating the ongoing shortage of doctors and nurses. Discussion: We found inconsistencies between a single-item measure and PSC dimensions. It was expected that Frequency of Events Reported (PSC dimension) relates to Number of Events Reported (single-item measure). However, in our study, the relations between these pairs of measures were different between hospitals. Our results indicate the ongoing culture of blame. Healthcare workers do not report HAE because they fear they will be punished by management or by law.

Sign in / Sign up

Export Citation Format

Share Document