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Radiation in Medicine

Radiation in Medicine
Author: Committee for Review and Evaluation of the Medical Use Program of the Nuclear Regulatory Commission
Publisher: National Academies Press
Total Pages: 322
Release: 1996-04-08
Genre: Medical
ISBN: 0309588758

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Does radiation medicine need more regulation or simply better-coordinated regulation? This book addresses this and other questions of critical importance to public health and safety. The issues involved are high on the nation's agenda: the impact of radiation on public safety, the balance between federal and state authority, and the cost-benefit ratio of regulation. Although incidents of misadministration are rare, a case in Pennsylvania resulting in the death of a patient and the inadvertent exposure of others to a high dose of radiation drew attention to issues concerning the regulation of ionizing radiation in medicine and the need to examine current regulatory practices. Written at the request from the Nuclear Regulatory Commission (NRC), Radiation in Medicine reviews the regulation of ionizing radiation in medicine, focusing on the NRC's Medical Use Program, which governs the use of reactor-generated byproduct materials. The committee recommends immediate action on enforcement and provides longer term proposals for reform of the regulatory system. The volume covers Sources of radiation and their use in medicine. Levels of risk to patients, workers, and the public. Current roles of the Nuclear Regulatory Commission, other federal agencies, and states. Criticisms from the regulated community. The committee explores alternative regulatory structures for radiation medicine and explains the rationale for the option it recommends in this volume. Based on extensive research, input from the regulated community, and the collaborative efforts of experts from a range of disciplines, Radiation in Medicine will be an important resource for federal and state policymakers and regulators, health professionals involved in radiation treatment, developers and producers of radiation equipment, insurance providers, and concerned laypersons.


Structural Shielding Design for Medical X-ray Imaging Facilities

Structural Shielding Design for Medical X-ray Imaging Facilities
Author: National Council on Radiation Protection and Measurements
Publisher: NCRP
Total Pages: 205
Release: 2004
Genre: Medical
ISBN: 0929600835

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Report No. 147 (2004) presents recommendations and technical information related to the design and installation of structural shielding for facilities that use x rays for medical imaging. The purpose of structural shielding is to limit radiation exposure to employees and members of the public. The information supersedes the recommendations that address such facilities in NCRP Report No. 49, Structural Shielding Design and Evaluation for Medical Use of X Rays and Gamma Rays of Energies Up to 10 MeV, which was issued in September 1976. NCRP Report No. 147 includes a discussion of the various factors to be considered in the selection of appropriate shielding materials and in the calculation of barrier thicknesses. The Report presents the fundamentals of radiation shielding, discusses shielding design goals for controlled and uncontrolled areas in or near x-ray imaging facilities and defines the relationship of these goals to the NCRP effective dose limits for radiation workers and members of the public. The Report includes a detailed discussion of the recommended shielding design methodology for x-ray imaging facilities and provides an extensive collection of shielding data and sample shielding calculations for various types of x-ray imaging facilities. The Report is mainly intended for those individuals who specialize in radiation protection. However, it will also be of interest to architects, hospital administrators and related professionals concerned with the planning of new facilities that use x rays for medical imaging.


Research Awards Index

Research Awards Index
Author:
Publisher:
Total Pages: 1230
Release: 1980
Genre: Medicine
ISBN:

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Radiological Health Bulletin

Radiological Health Bulletin
Author:
Publisher:
Total Pages: 8
Release: 1982
Genre: Medical radiology
ISBN:

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BRH Bulletin

BRH Bulletin
Author:
Publisher:
Total Pages: 8
Release: 1979
Genre: Medical radiology
ISBN:

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Improving Diagnosis in Health Care

Improving Diagnosis in Health Care
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 473
Release: 2015-12-29
Genre: Medical
ISBN: 0309377722

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Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.