{"id":776,"date":"2018-05-08T21:06:18","date_gmt":"2018-05-09T03:06:18","guid":{"rendered":"https:\/\/www.crpa-acrp-bulletin.ca\/?p=776"},"modified":"2020-02-18T20:32:52","modified_gmt":"2020-02-19T02:32:52","slug":"crpa-dose-and-image-working-group-to-improve-radiation-safety-culture-in-health-care-le-groupe-de-travail-dose-et-image-de-lacrp-pour-ameliorer-la-culture-de-radioprotection-dans-les-soins","status":"publish","type":"post","link":"https:\/\/www.crpa-acrp-bulletin.ca\/fr\/2018\/05\/08\/crpa-dose-and-image-working-group-to-improve-radiation-safety-culture-in-health-care-le-groupe-de-travail-dose-et-image-de-lacrp-pour-ameliorer-la-culture-de-radioprotection-dans-les-soins\/","title":{"rendered":"CRPA Dose and Image Working Group to Improve Radiation Safety Culture in Health Care \/ Le groupe de travail Dose et image de l\u2019ACRP pour am\u00e9liorer la culture de radioprotection dans les soins de sant\u00e9"},"content":{"rendered":"

\"\"<\/p>\n

A year has passed by since the CRPA conference in Saskatoon and the creation of the Dose and Image (D&I) working group.<\/p>\n

In Quebec, it is maple sugar season\u00a0.\u00a0.\u00a0. this natural sugar with innumerable virtues. Although there is a lot of talk these days about the dangers of refined sugar, any gourmet would tell you that maple sugar has nothing to do with refined sugar. Nonetheless, we should heed the warning of Paracelsus (sometimes called the\u00a0\u201cfather\u201d of toxicology): \u201cAll things are poison and nothing is without poison; only the dose makes a thing not a poison.\u201d<\/p>\n

Dose to patients would be very much in line with Paracelsus\u2019 saying, and the CRPA\u00a0D&I working group could be the spokesperson. CRPA represents a Canadian network of radiation protection specialists who are accustomed to collaborating with various organizations at all levels, and several CRPA members have expertise to share with regard to dose and medical imaging.<\/p>\n

We will take things one step at a time. The D&I working group will begin by contributing to the Bonn Call for Action\u00a0issued by the International Atomic Energy Agency (IAEA) and World Health Organization\u00a0(WHO) in 2012, and we will add CRPA\u2019s voice to the international choir of professional organizations concerned with this challenge. Last December, attendees at the IAEA International Conference on Radiation Protection in Medicine concluded that, in addition to the effective implementation of a regulatory framework, more training and awareness of radiation protection were necessary to better protect patients and health workers from unnecessary exposure to radiation due to medical procedures.<\/p>\n

Medical ionizing radiation is the largest source of artificial radiation for the public, and its use is increasingly going beyond the traditional medical imaging department. The number of exams continues to grow. The technology is evolving, becoming more complex. These diagnostic and intervention tools help provide better care for our patients, our families, and our friends, but, as with all things, we must know how to dose.<\/p>\n

Regarding the workers, we have progressed far beyond the era of the pioneering dentist C. Edmund Kells, who developed the dental X-ray. After 20 years of practice, he lost fingers, a hand, an arm, and eventually his life! However, there are always risks for workers from uncontrolled exposures. Work and studies are underway, standards and regulations are changing, practices need to improve, and CRPA members can help.<\/p>\n

IAEA and WHO have proposed 10 concrete actions (see related story here<\/a>), and we can help implement some of them not only in our respective institutions, but also more widely by sharing our knowledge, experiences, and questions.<\/p>\n

Numerous International Commission on Radiological Protection (ICRP) publications will inform our discussions, including the most recent ones: Occupational Radiological Protection in Interventional Procedures<\/em> (Publication\u00a0139), Ethical Foundations of the System of Radiological Protection<\/em> (Publication\u00a0138), and Diagnostic Reference Levels in Medical Imaging<\/em> (Publication\u00a0135). As CRPA members, we have free access to these publications. The working group will also be looking at experiences reported in other publications and real-life examples shared among our peers.<\/p>\n

To launch the D&I working group, our first activity will be a workshop during the 2018 CRPA\u00a0conference. Please join us!<\/p><\/div><\/div>\n

\n

Une ann\u00e9e s\u2019est \u00e9coul\u00e9e depuis le congr\u00e8s de l\u2019ACRP de Saskatoon et la formation d\u2019un groupe de travail Dose et image (D et I).<\/p>\n

Au Qu\u00e9bec, c\u2019est le temps des sucres et les \u00e9rables laissent couler leur sucre naturel \u00ab\u00a0aux mille vertus\u00a0\u00bb. M\u00eame s\u2019il y a beaucoup \u00e0 dire de nos jours sur les dangers du sucre raffin\u00e9, n\u2019importe quel gastronome vous dira que le sucre d\u2019\u00e9rable n\u2019a rien \u00e0 voir avec le sucre raffin\u00e9. Cependant, nous devons tenir compte de l\u2019avertissement de Paracelse (connu aussi comme le p\u00e8re de la toxicologie)\u00a0: \u00ab\u00a0Tout est poison et rien n\u2019est sans poison; la dose seule fait que quelque chose n\u2019est pas un poison\u00a0\u00bb.<\/p>\n

La dose aux patients pourrait tr\u00e8s bien suivre cette citation, et le groupe de travail D et I de l\u2019ACRP pourrait en \u00eatre le porte-parole. L\u2019ACRP repr\u00e9sente un r\u00e9seau canadien de sp\u00e9cialistes en radioprotection, des sp\u00e9cialistes habitu\u00e9s \u00e0 collaborer avec diverses organisations \u00e0 tous les niveaux, et plusieurs membres de l\u2019ACRP ont de l\u2019expertise \u00e0 partager en termes de dose et d\u2019imagerie m\u00e9dicale.<\/p>\n

Petit \u00e0 petit, le groupe de travail D et I pourra contribuer \u00e0 l\u2019Appel \u00e0 l\u2019action de Bonn (en anglais) lanc\u00e9 en 2012 par l\u2019Agence internationale de l\u2019\u00e9nergie atomique (AIEA) et l\u2019Organisation mondiale de la sant\u00e9 (OMS), puis ajouter sa voix \u00e0 une chorale qui commence \u00e0 s\u2019organiser. \u00c0 ce sujet, en d\u00e9cembre dernier, les participants \u00e0 la Conf\u00e9rence internationale de l\u2019AIEA sur la protection radiologique en m\u00e9decine (en anglais) ont conclu que, malgr\u00e9 l\u2019implantation efficace d\u2019un cadre r\u00e9glementaire, il faudra plus de formations et de sensibilisation \u00e0 la radioprotection pour mieux prot\u00e9ger les patients et les travailleurs de la sant\u00e9 des expositions inutiles aux rayonnements caus\u00e9es par les proc\u00e9dures m\u00e9dicales.<\/p>\n

Pour le public, les rayonnements ionisants du domaine m\u00e9dical sont la plus grande source de rayonnement artificiel, et leur utilisation sort de plus en plus des d\u00e9partements d\u2019imagerie m\u00e9dicale traditionnels. Le nombre d\u2019examens m\u00e9dicaux ne cesse de cro\u00eetre. La technologie \u00e9volue, se complexifie. Ces outils de diagnostic et d\u2019intervention permettent d\u2019offrir de meilleurs soins \u00e0 nos patients, \u00e0 nos familles, \u00e0 nos amis, mais comme pour toute chose, il faut savoir doser.<\/p>\n

En ce qui concerne les travailleurs, nous sommes bien loin de l\u2019\u00e9poque du dentiste C. Edmund Kells, qui a fini par perdre des doigts, une main, un bras, puis sa vie apr\u00e8s 20 ans de pratique! Toutefois, pour nos travailleurs, il existe toujours des risques provenant d\u2019expositions non contr\u00f4l\u00e9es. Des travaux et des \u00e9tudes sont en cours, les normes et r\u00e8glements changent, les pratiques doivent s\u2019am\u00e9liorer et les membres de l\u2019ACRP peuvent contribuer.<\/p>\n

L\u2019AIEA et l\u2019OMS ont propos\u00e9 10 actions concr\u00e8tes (voir l\u2019article ici<\/a>) et nous pouvons en r\u00e9aliser quelques-unes, non seulement dans nos institutions respectives, mais aussi plus largement en partageant nos connaissances, nos exp\u00e9riences et nos questionnements.<\/p>\n

Pour soutenir nos \u00e9changes, il y a les nombreuses publications de la Commission internationale de protection radiologique (CIPR), dont les plus r\u00e9centes\u00a0: Occupational Radiological Protection in Interventional Procedures<\/em> (Publication\u00a0139), Ethical Foundations of the System of Radiological Protection<\/em> (Publication\u00a0138) et Diagnostic Reference Levels in Medical Imaging<\/em> (Publication\u00a0135). \u00c0 titre de membre de l\u2019ACRP, nous avons acc\u00e8s \u00e0 ces documents. Le groupe de travail \u00e9valuera aussi l\u2019exp\u00e9rience relat\u00e9e dans d\u2019autres publications, de m\u00eame que des exemples de faits v\u00e9cus partag\u00e9s par nos pairs.<\/p>\n

Pour lancer le groupe de travail D et I, une premi\u00e8re activit\u00e9 est pr\u00e9vue, soit un atelier pendant le congr\u00e8s\u00a02018 de l\u2019ACRP. Joignez-vous \u00e0 nous!<\/p>\n<\/div><\/div><\/div>

<\/div>\n
\n

\"\"Manon Rouleau<\/h2>\n

Manon Rouleau is a perfecting and passionate professional and a pioneer in radiation protection of patients in Quebec. She strives to improve knowledge and practices in the radiation protection industry. She has 25 years of experience in radiation protection, including more than 15 years in medical imaging. She was the interim director of the Public Health Laboratory of Quebec and is currently vice-president, operations and quality control, at Radioprotection Inc. She has been involved with CRPA for 20 years.<\/p>\n

Manon Rouleau est une professionnelle rigoureuse et passionn\u00e9e ainsi qu\u2019une pionni\u00e8re dans la radioprotection des patients au Qu\u00e9bec. Ses objectifs : contribuer \u00e0 l\u2019am\u00e9lioration des connaissances et des pratiques en radioprotection. Elle compte 25 ans d\u2019exp\u00e9rience en radioprotection, dont plus de 15 ans en imagerie m\u00e9dicale. Elle a \u00e9t\u00e9 directrice par int\u00e9rim du Centre d\u2019expertise clinique en radioprotection du Qu\u00e9bec et est actuellement vice-pr\u00e9sidente, op\u00e9ration et contr\u00f4le de qualit\u00e9 chez Radioprotection Inc. Elle s\u2019implique \u00e0 l\u2019ACRP depuis 20 ans.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

A year has passed by since the CRPA conference in Saskatoon and the creation of the Dose and Image working group. \/ Une ann\u00e9e s\u2019est \u00e9coul\u00e9e depuis le congr\u00e8s de l\u2019ACRP de Saskatoon et la formation d\u2019un groupe de travail Dose et image.<\/p>\n","protected":false},"author":26,"featured_media":779,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[3,2],"tags":[],"class_list":["post-776","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-features"],"yoast_head":"\nCRPA Dose and Image Working Group to Improve Radiation Safety Culture in Health Care \/ Le groupe de travail Dose et image de l\u2019ACRP pour am\u00e9liorer la culture de radioprotection dans les soins de sant\u00e9 - CRPA-ACRP Bulletin<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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