Although medical radiation has provided substantial benefits to patients, its use in medicine is significantly increasing, urging greater awareness and stricter safety measures.  In 2012 the International Atomic Energy Agency and the World Health Organization launched an initiative titled the “Bonn Call For Action,” (BCA) which outlines ten major strategies for promoting radiation protection. While rules, guidelines, and regulations are laid out, ensuring they are adhered too is essential in creating a radiation-safe experience for each individual.

	In the last 6 years, the extent to which the BCA priorities have been, or may be, implemented has not been widely studied. This study analyzed 19 National Organizations and 41 Provincial organizations that were affiliated with radiation use in medicine, in order to observe diligence in implementing BCA recommendations to evaluate how proficient Canada is - on both a national and provincial level - in strengthening patient radiation safety. All national and provincial organizations involved with medical imaging were identified using an environmental scan and their goals, values, missions, and resources were assessed

	Of the 19 National Organizations and 41 Provincial Organizations that were identified, it was evident that no organization was meeting all of the 10 BCA recommendations. Only 10% of National Organizations follow more than 5 of the 10 BCA recommendations while less than 50% of Provincial Organizations were implementing the actions at all.

	There is a need for a cohesive, national initiative to ensure that patients across Canada are safe when exposed to radiation in medicine.  As a result, Canada Safe Imaging has been formed as a national organization that brings together many stakeholders to strengthen, and provide contextualized guidelines and tools, for medical radiation protection. Although results have not been replicated outside the original setting, and the initiative's relatively recent implementation makes it difficult to examine improvements at this time, it is imperative that there is a governing body that focuses on establishing safe imaging practices across all organizations. Future studies aim to evaluate the organizations' improvements in knowledge translation and adoption of and sustained adherence to good radiation safety practice and standards across Canada.

Canada Safe Imaging: A Unified effort for Patient Radiation Safety