大型综合医院放射防护管理探索与实践

目的通过介绍某大型综合医院在放射防护管理的思路及举措,为医疗机构放射防护管理提供工作思路和参考借鉴。方法阐述医院放射防护工作的内容及难点,介绍该院通过健全组织管理架构和规章制度、强化放射工作人员职业健康管理、加强放射诊疗设备及场所管理等方式规范并提升放射防护管理能力。结果该院通过建立上述放射防护管理模式,按时完成各项行政许可,未发生1例辐射安全事故,通过PDCA循环管理模式有效降低了从事放射诊断、核医学和介入放射学的医务人员个人剂量达到临界调查水平人次数(P<0.05)。结论放射诊疗在医学领域的广泛应用对放射安全提出了更高的要求,提升医疗机构的放射防护管理能力是保障放射诊疗安全的重要前提。

Research and Practice of Radiation Protection Management in Large Comprehensive Hospital

Objective This study introduced the experience of radiation protection management in large comprehensive hospital in order to provide ideas and references for the radiation protection management in medical institutions.Methods According to the contents and difficulties of radiation protection management in general hospitals,establishing and improving the organization structure and the management system,strengthening occupational health management of radiation workers and enhancing the dynamic management of equipments and motor rooms were presented to standardize and promote the radiation protection management in this hospital.Results By establishing the above radiation protection management mode,the hospital completed all administrative permits on time,and there was not one radiation safety accident.The Plan-Do-Check-Action(PDCA)management mode effectively reduced the number of medical staff who reached the critical investigation level in radiation diagnosis,nuclear medicine and interventional radiology(P<0.05).Conclusion The wide application of radiation diagnosis and treatment in the medical field propose a higher request for the radiation safety.Improving the ability of radiation protection management is an important prerequisite to ensure the safety of radiation diagnosis and treatment.