Journal of Nuclear Cardiology

, Volume 19, Issue 3, pp 534–550

Developing an action plan for patient radiation safety in adult cardiovascular medicine

Proceedings from the Duke University Clinical Research Institute/American College of Cardiology Foundation/American Heart Association Think Tank Held on February 28, 2011
  • Pamela S. Douglas
  • J. Jeffrey Carr
  • Manuel D. Cerqueira
  • Jennifer E. Cummings
  • Thomas C. Gerber
  • Debabrata Mukherjee
  • Allen J. Taylor
Proceedings

DOI: 10.1007/s12350-012-9545-6

Cite this article as:
Douglas, P.S., Carr, J.J., Cerqueira, M.D. et al. J. Nucl. Cardiol. (2012) 19: 534. doi:10.1007/s12350-012-9545-6

Abstract

Technological advances and increased utilization of medical testing and procedures have prompted greater attention to ensuring the patient safety of radiation use in the practice of adult cardiovascular medicine. In response, representatives from cardiovascular imaging societies, private payers, government and nongovernmental agencies, industry, medical physicists, and patient representatives met to develop goals and strategies toward this end; this report provides an overview of the discussions. This expert “think tank” reached consensus on several broad directions including: the need for broad collaboration across a large number of diverse stakeholders; clarification of the relationship between medical radiation and stochastic events; required education of ordering and providing physicians, and creation of a culture of safety; development of infrastructure to support robust dose assessment and longitudinal tracking; continued close attention to patient selection by balancing the benefit of cardiovascular testing and procedures against carefully minimized radiation exposures; collation, dissemination, and implementation of best practices; and robust education, not only across the healthcare community but also to patients, the public, and media. Finally, because patient radiation safety in cardiovascular imaging is complex, any proposed actions need to be carefully vetted (and monitored) for possible unintended consequences.

Keywords

Appropriate usemedical radiationpatient safetyquality improvement

Supplementary material

12350_2012_9545_MOESM1_ESM.docx (25 kb)
Supplementary material 1 (DOCX 25 kb)

Copyright information

© American Society of Nuclear Cardiology 2012

Authors and Affiliations

  • Pamela S. Douglas
    • 1
  • J. Jeffrey Carr
    • 2
  • Manuel D. Cerqueira
    • 3
  • Jennifer E. Cummings
    • 4
  • Thomas C. Gerber
    • 5
  • Debabrata Mukherjee
    • 6
  • Allen J. Taylor
    • 7
  1. 1.Duke University Medical CenterDurhamUSA
  2. 2.Wake Forest University Baptist Medical CenterWinston-SalemUSA
  3. 3.Cleveland Clinic FoundationClevelandUSA
  4. 4.Akron General Medical CenterAkronUSA
  5. 5.Mayo ClinicRochesterUSA
  6. 6.Texas Tech University Health Sciences CenterAmarilloUSA
  7. 7.Washington Hospital CenterWashingtonUSA