Introduction: Excessive radiation dose may be inadvertently delivered by radiology personnel during radiological procedures. Objectives: This is an action research aimed to improve radiological personnel's performance and awareness on proper fluoroscopy technique and radiation dose delivery through the establishment of multimodal transformation strategies. Methodology: The study involved three phases: Phase I (Pre-intervention) involved a mixed-method analysis to determine the prevalence of excessive radiation exposure during fluoroscopy and to assess the level of knowledge, awareness and practice among radiological personnel on proper fluoroscopy technique. The qualitative part involved a single interview session with 12 personnel on their opinion and regular practice with regards to fluoroscopy procedure. Results were thematically analyzed. The quantitative part involved distribution of questionnaires assessing the knowledge, awareness and practice to 33 staff; Phase II (Intervention) were carried out through regular monitoring and teaching sessions, followed by Phase III (Post-intervention) where re- assessment of knowledge, awareness and practice were performed. Results: We found that the prevalence of excessive radiation dose delivery was 23% prior to intervention, contributed by the lack of knowledge and training. Data analysis following our interventional program showed improvement in clinical radiation dose delivery (10% vs. 23%), and improvement in the scores for the knowledge (p<0.001), awareness (p=0.025) and practice (p<0.001) during fluoroscopy procedure. Discussion / Conclusion: Our findings highlight the importance of preserving the safety of medical imaging in providing optimal service delivery. We would recommend our interventional program to be replicated at other healthcare centres to allow better patient outcome. [Disclaimer: Abstract text might vary slightly from what is displayed in the e-poster]

This poster was submitted to the 14th National Conference for Clinical Research (NCCR) on August 18-20 2021. https://nccrconference.com.my/