On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction Projects

Hong-Xia Xie,1 Ming-Qing Zhang,1 Zhi-Xiang Li,1 Huai-Liang Zhao2 1Jinan Hospital, Jinan, Shandong, 250013, People’s Republic of China; 2Department of Occupational Health Evaluation, Heilongjiang Provincial second Hospital, Harbin, Heilongjiang, 150001, People’s Republic of ChinaCorrespondence: Huai-...

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Main Authors: Xie HX, Zhang MQ, Li ZX, Zhao HL
Format: Article
Language:English
Published: Dove Medical Press 2025-02-01
Series:Risk Management and Healthcare Policy
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Online Access:https://www.dovepress.com/on-site-evaluation-and-improvement-strategies-of-radiation-occupationa-peer-reviewed-fulltext-article-RMHP
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author Xie HX
Zhang MQ
Li ZX
Zhao HL
author_facet Xie HX
Zhang MQ
Li ZX
Zhao HL
author_sort Xie HX
collection DOAJ
description Hong-Xia Xie,1 Ming-Qing Zhang,1 Zhi-Xiang Li,1 Huai-Liang Zhao2 1Jinan Hospital, Jinan, Shandong, 250013, People’s Republic of China; 2Department of Occupational Health Evaluation, Heilongjiang Provincial second Hospital, Harbin, Heilongjiang, 150001, People’s Republic of ChinaCorrespondence: Huai-Liang Zhao, Email [email protected]: To evaluate the control effectiveness of medical institution construction projects, and to summarize and analyze the radiation protection management status and improvement strategies of relevant medical institutions.Methods: A total of 40 medical institutions in our city were evaluated for control effectiveness through measures such as data research, on-site investigations, equipment quality testing, and radiation health protection inspections.Results: The compliance rates of personnel configuration, verification of protective measures, and radiation protection management and emergency response were 95.0%, 67.5%, and 70.0%, respectively. Compared to earlier evaluation periods (eg, before the implementation of new DR performance testing standards, where compliance rates were below 60%), there has been a marked improvement in compliance with performance and protection testing, particularly after the introduction of updated evaluation criteria. The first-pass rates of performance testing for DSA, DR, CT, and dental equipment were 100%, 84.0%, 92.0%, and 100%, respectively. The first-pass rates of radiation protection inspection for related equipment rooms were 100%, 100%, 92.0%, and 100%, respectively. New DR performance testing standards introduced specialized testing items, such as dark noise, detector dose indication (DDI), and signal transmission characteristics (STP), which presented initial challenges due to the unavailability of pre-processing images in some manufacturers’ products. Additionally, higher monitoring values were identified at doors, door gaps, and cable penetration points in equipment rooms. Regarding radiation protection management and emergency response, issues such as overly rigid emergency response plans, insufficient personal dose management, and inadequate occupational health examinations remain, requiring systematic adjustments.Conclusion: At present, the awareness of radiation hazard prevention and control in medical institutions has been improved. Compared to earlier periods of testing and evaluation, there has been a significant improvement in the degree of compliance with performance and protection testing. Medical institutions have strengthened equipment annual inspections, quality control, and other management work, further enhancing the level of radiation protection management.Keywords: radiation health management, medical institution, construction project, radiation occupational hazard, prevention and control effectiveness, on-site evaluation, improvement strategies
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series Risk Management and Healthcare Policy
spelling doaj-art-bcf7e984bef44dd7805a4d7753f493fe2025-02-11T17:30:56ZengDove Medical PressRisk Management and Healthcare Policy1179-15942025-02-01Volume 18409417100075On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction ProjectsXie HXZhang MQLi ZXZhao HLHong-Xia Xie,1 Ming-Qing Zhang,1 Zhi-Xiang Li,1 Huai-Liang Zhao2 1Jinan Hospital, Jinan, Shandong, 250013, People’s Republic of China; 2Department of Occupational Health Evaluation, Heilongjiang Provincial second Hospital, Harbin, Heilongjiang, 150001, People’s Republic of ChinaCorrespondence: Huai-Liang Zhao, Email [email protected]: To evaluate the control effectiveness of medical institution construction projects, and to summarize and analyze the radiation protection management status and improvement strategies of relevant medical institutions.Methods: A total of 40 medical institutions in our city were evaluated for control effectiveness through measures such as data research, on-site investigations, equipment quality testing, and radiation health protection inspections.Results: The compliance rates of personnel configuration, verification of protective measures, and radiation protection management and emergency response were 95.0%, 67.5%, and 70.0%, respectively. Compared to earlier evaluation periods (eg, before the implementation of new DR performance testing standards, where compliance rates were below 60%), there has been a marked improvement in compliance with performance and protection testing, particularly after the introduction of updated evaluation criteria. The first-pass rates of performance testing for DSA, DR, CT, and dental equipment were 100%, 84.0%, 92.0%, and 100%, respectively. The first-pass rates of radiation protection inspection for related equipment rooms were 100%, 100%, 92.0%, and 100%, respectively. New DR performance testing standards introduced specialized testing items, such as dark noise, detector dose indication (DDI), and signal transmission characteristics (STP), which presented initial challenges due to the unavailability of pre-processing images in some manufacturers’ products. Additionally, higher monitoring values were identified at doors, door gaps, and cable penetration points in equipment rooms. Regarding radiation protection management and emergency response, issues such as overly rigid emergency response plans, insufficient personal dose management, and inadequate occupational health examinations remain, requiring systematic adjustments.Conclusion: At present, the awareness of radiation hazard prevention and control in medical institutions has been improved. Compared to earlier periods of testing and evaluation, there has been a significant improvement in the degree of compliance with performance and protection testing. Medical institutions have strengthened equipment annual inspections, quality control, and other management work, further enhancing the level of radiation protection management.Keywords: radiation health management, medical institution, construction project, radiation occupational hazard, prevention and control effectiveness, on-site evaluation, improvement strategieshttps://www.dovepress.com/on-site-evaluation-and-improvement-strategies-of-radiation-occupationa-peer-reviewed-fulltext-article-RMHPradiation health managementmedical institutionconstruction projectradiation occupational hazardprevention and control effectivenesson-site evaluationimprovement strategies.
spellingShingle Xie HX
Zhang MQ
Li ZX
Zhao HL
On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction Projects
Risk Management and Healthcare Policy
radiation health management
medical institution
construction project
radiation occupational hazard
prevention and control effectiveness
on-site evaluation
improvement strategies.
title On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction Projects
title_full On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction Projects
title_fullStr On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction Projects
title_full_unstemmed On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction Projects
title_short On-Site Evaluation and Improvement Strategies of Radiation Occupational Hazard Prevention and Control Effectiveness in Medical Institution Construction Projects
title_sort on site evaluation and improvement strategies of radiation occupational hazard prevention and control effectiveness in medical institution construction projects
topic radiation health management
medical institution
construction project
radiation occupational hazard
prevention and control effectiveness
on-site evaluation
improvement strategies.
url https://www.dovepress.com/on-site-evaluation-and-improvement-strategies-of-radiation-occupationa-peer-reviewed-fulltext-article-RMHP
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