Exploring Diagnostic Radiographers’ Experiences and Decision-Making in Optimizing Patient Safety during Advanced Clinical Procedures

Abstract

Background: Diagnostic radiographers play a key role in maintaining patient safety during advanced clinical imaging procedures such as CT, MRI, trauma imaging, and contrast-enhanced examinations. Their decision-making processes influence radiation dose optimisation, patient positioning, infection control, and procedural safety. Understanding their experiences and clinical decision-making processes is essential for improving patient safety and informing evidence-based practice in advanced imaging. Methods: A systematic review of qualitative, quantitative and mixed-methods studies was conducted using databases including PubMed, Scopus, ScienceDirect, and CINAHL. Studies published between 2015 and 2026 focusing on diagnostic radiographers’ experiences, perceptions, and decision-making processes related to optimizing patient safety in advanced clinical procedures were included. Data was analyzed using thematic synthesis. Results: Eighteen relevant studies were identified. Four main themes emerged: clinical judgement and professional experience, radiation dose optimization, organizational barriers and multidisciplinary collaboration, and patient safety. Conclusion: Diagnostic radiographers play a vital role in ensuring patient safety. Their clinical decisions influence radiation exposure, patient comfort, and diagnostic quality. Strengthening evidence-based practice in advanced clinical procedures is an essential step toward enhancing patient safety in radiology practice.