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Analysis of the Radiation Safety Climate in the Hybrid Angiography Suite

Completed
Conditions
Healthy Volunteers
Aortic Aneurysm, Abdominal
Interventions
Other: Assessment of radiation safety climate
Other: Data collection
Other: Assessment of radiation safety behavior
Other: Assessment of radiation safety knowledge and motivation
Registration Number
NCT04063969
Lead Sponsor
University Ghent
Brief Summary

This study aims to measure the radiation safety climate in the hybrid angiography suite using self-assessment and to investigate the relationship of radiation safety climate with their self-reported safety behaviors.

The hypothesis is that a radiation safety climate does exist and can be measured using self-assessment. Additionally, it is expected that the radiation safety climate positively influences radiation safety behaviors.

Detailed Description

Radiation safety in the hybrid angiography suite is a primordial safety component which is relevant for endovascular team members and patients. To date, many interventions which aim to improve radiation safety habits of an endovascular team focus on improving technology and team radiation safety knowledge. Safety literature has indicated that a safety climate can be identified as the shared perceptions of team members or workers about the safety in their workspace and that this safety climate is closely related to safety behaviors and outcomes. In endovascular specialties, the concept of a radiation safety climate remains unexplored. Therefore, this study aims to measure the radiation safety climate in a diverse pool of endovascular team members from different hospitals, using self-assessment questionnaires and to investigate the relationship of radiation safety climate with their self-reported safety behaviors.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
92
Inclusion Criteria
  • Vascular surgeon OR surgical trainee OR operating nurse
  • Active at one of the participating hospitals
Exclusion Criteria
  • No exclusion criteria apply to this study.

Patient group Inclusion Criteria

  • Patient undergoing elective endovascular repair of infrarenal abdominal aortic aneurysm

Exclusion criteria

  • Emergency repair (ruptured aneurysm)
  • Additional interventional procedures (iliac aneurysm, treatment of peripheral vessel disease)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Endovascular team membersAssessment of radiation safety knowledge and motivationAll vascular surgeons, surgical trainees, nurses active in the hybrid angiography suite at one of the participating centers will be invited to participate in the study. All participating team members complete an online questionnaire containing an assessment of their perceived radiation safety climate (28 items, 5 dimensions), radiation safety behaviors(2 items, 2 dimensions), radiation safety knowledge (single item) and radiation safety motivation (single item). All data will be stored pseudonymized.
Endovascular team membersAssessment of radiation safety climateAll vascular surgeons, surgical trainees, nurses active in the hybrid angiography suite at one of the participating centers will be invited to participate in the study. All participating team members complete an online questionnaire containing an assessment of their perceived radiation safety climate (28 items, 5 dimensions), radiation safety behaviors(2 items, 2 dimensions), radiation safety knowledge (single item) and radiation safety motivation (single item). All data will be stored pseudonymized.
Endovascular team membersAssessment of radiation safety behaviorAll vascular surgeons, surgical trainees, nurses active in the hybrid angiography suite at one of the participating centers will be invited to participate in the study. All participating team members complete an online questionnaire containing an assessment of their perceived radiation safety climate (28 items, 5 dimensions), radiation safety behaviors(2 items, 2 dimensions), radiation safety knowledge (single item) and radiation safety motivation (single item). All data will be stored pseudonymized.
Vascular surgical patientsData collectionIn each center, five patients undergoing primary elective endovascular repair for an infrarenal abdominal aortic aneurysm (EVAR) will be enrolled in the study. For each participating patient, a set of demographical (BMI, case difficulty, ASA-grade,etc.), procedure-related (procedure duration, contrast use, etc.) and radiation dose parameters (DAP, cumulative air kerma) will be collected and stored in a pseudonymized way. Participation in this study has no effect on the interventional procedure, or the chosen approach.
Primary Outcome Measures
NameTimeMethod
Self-assessed radiation safety climateBaseline measurement on study inclusion (Day 1)

Radiation safety climate using radiation safety climate tool

Self-assessed radiation safety behaviorBaseline measurement on study inclusion (Day 1)

Radiation safety behavior using radiation safety behavior tool

Self-assessed radiation safety knowledge and motivationBaseline measurement on study inclusion (Day 1)

Radiation safety knowledge and motivation using rating tool

Secondary Outcome Measures
NameTimeMethod
Procedural radiation doses - Dose area productRegistration during endovascular EVAR procedure - Within 1 week after patient study inclusion

Procedural dose area product (DAP)

Procedural radiation doses - cumulative air kermaRegistration during endovascular EVAR procedure - Within 1 week after patient study inclusion

Procedural cumulative air kerma (CAK)

Procedural radiation doses - fluoroscopy timeRegistration during endovascular EVAR procedure - Within 1 week after patient study inclusion

Procedural fluoroscopy time

Trial Locations

Locations (5)

Algemeen Ziekenhuis Maria Middelares

🇧🇪

Ghent, Oost Vlaanderen, Belgium

Jan Yperman Ziekenhuis

🇧🇪

Ieper, West Vlaanderen, Belgium

GZA Campus Sint Augustinus

🇧🇪

Antwerpen, Belgium

Ghent University Hospital

🇧🇪

Ghent, Oost Vlaanderen, Belgium

AZ Sint Jan Brugge

🇧🇪

Brugge, West Vlaanderen, Belgium

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