title: Improving Radiation Awareness and Feeling of Personal Security of Non-Radiological Medical Staff by Implementing a Traffic Light System in Computed Tomography.
abstract: OBJECTIVE
  Non-radiological medical professionals often need to remain in the scanning room during computed tomography (CT) examinations to supervise patients in critical condition. Independent of protective devices, their position significantly influences the radiation dose they receive. The purpose of this study was to assess if a traffic light system indicating areas of different radiation exposure improves non-radiological medical staff's radiation awareness and feeling of personal security.
  
  
  METHODS
  Phantom measurements were performed to define areas of different dose rates and colored stickers were applied on the floor according to a traffic light system: green = lowest, orange = intermediate, and red = highest possible radiation exposure. Non-radiological medical professionals with different years of working experience evaluated the system using a structured questionnaire. Kruskal-Wallis and Spearman's correlation test were applied for statistical analysis.
  
  
  RESULTS
  Fifty-six subjects (30 physicians, 26 nursing staff) took part in this prospective study. Overall rating of the system was very good, and almost all professionals tried to stand in the green stickers during the scan. The system significantly increased radiation awareness and feeling of personal protection particularly in staff with ≤ 5 years of working experience (p < 0.05). The majority of non-radiological medical professionals stated that staying in the green stickers and patient care would be compatible. Knowledge of radiation protection was poor in all groups, especially among entry-level employees (p < 0.05).
  
  
  CONCLUSIONS
  A traffic light system in the CT scanning room indicating areas with lowest, intermediate, and highest possible radiation exposure is much appreciated. It increases radiation awareness, improves the sense of personal radiation protection, and may support endeavors to lower occupational radiation exposure, although the best radiation protection always is to re-main outside the CT room during the scan.
  
  
  CONCLUSIONS
  • A traffic light system indicating areas with different radiation exposure within the computed tomography scanner room is much appreciated by non-radiological medical staff. • The traffic light system increases non-radiological medical staff's radiation awareness and feeling of personal protection. • Knowledge on radiation protection was poor in non-radiological medical staff, especially in those with few working experience.
authors.affiliation: Department of Radiology and Nuclear Medicine, Stadtspital Triemli, Zurich, Switzerland.
authors.forename: C
authors.initials: C
authors.lastname: Heilmaier
authors.affiliation: Department of Radiology and Nuclear Medicine, Stadtspital Triemli, Zurich, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Mayor
authors.affiliation: Department of Radiology and Nuclear Medicine, Stadtspital Triemli, Zurich, Switzerland.
authors.forename: N
authors.initials: N
authors.lastname: Zuber
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Stadtspital Triemli, Zurich, Switzerland.
authors.forename: P
authors.initials: P
authors.lastname: Fodor
authors.affiliation: Department of Radiology and Nuclear Medicine, Stadtspital Triemli, Zurich, Switzerland.
authors.forename: D
authors.initials: D
authors.lastname: Weishaupt
mesh_terms: D001364:Awareness; D005858:Germany; D007722:Health Knowledge, Attitudes, Practice; D008123:Location Directories and Signs; D008503:Medical Staff; D008511:Medicine; D016273:Occupational Exposure / Q000032:analysis / Q000145:classification / Q000517:prevention & control; D016272:Occupational Health; D000069079:Radiation Exposure / Q000032:analysis / Q000145:classification / Q000517:prevention & control; D011834:Radiation Monitoring / Q000379:methods*; D011835:Radiation Protection; D017751:Safety Management / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*