P-482 ASSESSMENT OF RADIOLOGICAL RISK IN THE OPERATING ROOM OF A UNIVERSITY HOSPITAL IN SFAX

• Published in: Occupational medicine (Oxford) Vol. 74; no. Supplement_1
• Main Authors: Haddar, Aicha, Sellami, Imen, Ghrab, Mohamed Anis, Masmoudi, Mohamed Larbi, Hammami, Kaouthar Jmal, Hajjaji, Mounira
• Format: Journal Article
• Language: English
• Published: 05.07.2024
• ISSN: 0962-7480; 1471-8405
• DOI: 10.1093/occmed/kqae023.1224

Abstract Introduction Radiological risk (RR) is a critical concern in operating rooms (ORs), necessitating comprehensive evaluation and management within healthcare institutions. This study aimed to assess RR in the ORs and offer insights into healthcare workers (HCWs) perceptions and practices. Methods This cross-sectional study was conducted at Sfax University Hospital. RR was evaluated using a checklist. Additionally, a self-administered questionnaire was distributed among HCWs, collecting demographic, professional, and RR-related data, including perceptions, knowledge, attitudes, and practices regarding radiological protection. Results On-site assessments revealed that half of the examined ORs routinely employed ionizing radiation (IR), with consistent radiological safety shortcomings. These inadequacies encompassed absence of zoning and signage, insufficient protective equipment, lack of dosimetric and medical worker surveillance. We involved 92 participants, with 42.4% being medical and 57.6% paramedical personnel. Notably, 84.8% reported exposure to IR. Participants’ self-assessed RR knowledge averaged 1.5 (IQ [0;3]). The overall average knowledge score was 8.7/20, significantly associated with profession, gender, and inversely correlated with age and seniority. About 62% of workers expressed concerns about RR. The average RR perception score was 7 ±2.8 on a 0-10 scale. During intraoperative radiography, 44.5% retreated from radiation, while 21.7% wore lead aprons. Discussion The study identified alarming shortcomings in radiological safety practices within the ORs. HCWs’ low self-assessment scores regarding their knowledge of RR underscore the need for improved training. Conclusion Effective RR prevention demands comprehensive measures from the outset, encompassing organizational, technical, and medical protection aspects. It is imperative to cultivate a knowledgeable, well-trained, and informed workforce capable of mitigating RR.