Exploring radiographers’ practice and decision-making relating to infection prevention and control in the CT environment: An observation study in a simulated environment - 13/06/25
, Suzanne Hill, BAppSci a, Sarah Lewis, PhD, BAppSci a, b, Dania Abu Awwad, PhD, BAppSci aResumen |
Background |
Contrast media use is high in computed tomography (CT). This study aimed to explore radiographers’ decision-making process when using contrast media injectors in the CT environment, with a focus on infection prevention and control (IPC).
Methods |
A qualitative study using observation within a think-aloud methodology in a simulated environment was undertaken. Participants performed all the steps to undertake a contrast-enhanced CT scan, while verbalizing their actions and process.
Results |
CT radiographers (n=20) participated in this study. Variations were observed across all stages of CT scanning. Gloves were used by a large proportion of participants while connecting the patient (n=16, 80%), followed by disconnecting from the patient (n=18, 90%).
Discussion |
To the best of our knowledge, this is the first study to map steps and explore radiographers’ decision-making relating to contrast-enhanced CT procedures. Justification of practice centered around patient care and self-protection factors, using routine IPC practice and awareness of IPC risks.
Conclusions |
There was inconsistency between participants in terms of workflow and order of steps setting up a patient in CT, along with variations in IPC practices. The lack of universal guidelines specific to IPC in CT has manifested as variations in practice across CT departments.
El texto completo de este artículo está disponible en PDF.Highlights |
• | Radiographers demonstrated inconsistent workflow and IPC practice when setting up a patient in a simulated CT environment. |
• | Justification of practice centred around patient care and self-protection factors, using routine IPC practice and awareness of IPC risks. |
• | Participants discussed IPC practice variation as a ‘normal’ part of practice in medical imaging. |
Key Words : Computed tomography, Think-aloud methods, Contrast injector
Esquema
| Conflicts of interest: None to report. |
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| Funding/support: This research was commissioned by funding from Imaxeon PTY LTD (Australia). Grant holders: Professor Lewis and Dr Jimenez. The views expressed in this publication are those of the authors and not necessarily those of Imaxeon PTY LTD (Australia). The funding body was not involved in interpretation of data or writing of the paper. |
Vol 53 - N° 7
P. 760-766 - juillet 2025 Regresar al número
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