Implement low-dose fluoroscopy protocols across all PCI procedures.

Utilize automated radiation dose tracking software to monitor exposure in real time and ensure compliance.

Conduct routine competency-based training for interventional cardiologists on ALARA principles and imaging optimization.

Conduct structured case reviews for procedures exceeding 60 minutes of fluoroscopy to identify preventable factors.

Emphasize pre-procedural planning to reduce unnecessary imaging and procedural duration.

Promote staged procedures for complex cases rather than prolonged single-session interventions.

Use structured debriefs after extended procedures to identify technical or workflow improvement opportunities.

Set institutional benchmarks for maximum acceptable fluoroscopy time and track adherence.

Implement real-time decision-support prompts in the EMR when fluoroscopy time exceeds thresholds.