PDF(Pubmed)
Abstract：
The recently implemented European Council Basic Safety Standards Directive (BSSD), 2013/59/Euratom lays down core radiation protection standards for European radiology departments, including a mandatory requirement for supporting processes of clinical audit. A repeat survey on behalf of the European Society of Radiology (ESR) was undertaken in February 2021, involving the ESR EuroSafe Imaging Star department network, to re-assess compliance with selected key BSSD requirements following an initial survey in 2018 where variable compliance was demonstrated. 61% (78/128) of eligible departments participated and overall the survey results revealed a mixed picture in terms of implementation of BSSD requirements when compared to the 2018 survey with both improvement and deterioration observed. This pattern was seen also in relation to supporting processes of regulatory audit and re-audit. Higher levels of \"skipping\" of responses were also observed in 2021. These findings were unexpected in light of the interventions in relation to audit (clinical and regulatory) and radiation protection undertaken by the ESR and other organisations in recent years, but can reasonably be explained by the onset of the COVID-19 pandemic, with consequent significant disruption of radiology services. The 2021 survey results do serve to highlight again the need for co-ordinated intervention involving relevant European bodies, organisations and governmental agencies to address the important issues raised by this survey. The European Commission clinical audit and radiation protection initiatives, QuADRANT, led by the ESR, and SAMIRA will act as important drivers for improvement in patient safety, experience and outcomes across Europe.
摘要：
最近实施的欧洲理事会基本安全标准指令（BSSD），2013/59/Euratom为欧洲放射科制定了核心辐射防护标准，包括支持临床审核过程的强制性要求。2021年2月，代表欧洲放射学会（ESR）进行了重复调查，涉及ESREuroSafeImagingStar部门网络，在2018年进行初步调查后，重新评估对选定的关键BSSD要求的遵守情况，其中证明了可变的遵守情况。61％（78/128）的合格部门参加了调查，总体而言，与2018年的调查相比，在执行BSSD要求方面存在好坏参半的情况，观察到改善和恶化。在监管审计和重新审计的支持过程中也可以看到这种模式。2021年还观察到更高水平的“跳过”响应。鉴于ESR和其他组织近年来在审计（临床和监管）和辐射防护方面采取的干预措施，这些发现是出乎意料的。但可以合理地解释为COVID-19大流行的开始，随之而来的是放射学服务的重大中断。2021年的调查结果再次凸显了相关欧洲机构参与协调干预的必要性。组织和政府机构解决本次调查提出的重要问题。欧盟委员会的临床审计和辐射防护计划，四元,由ESR领导，SAMIRA将成为改善患者安全的重要驱动因素，欧洲各地的经验和成果。
