SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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Audit criteria Adequacy Comments Summary Audit process Y NI N NA 4.3.3. Examinations Summary: 4.3.3.1. Patient confidentiality and physical privacy Indicate positive findings. Policy and procedures for security and confidentiality of patient information Y NI N NA Important quality improvement initiatives would be: Policy and procedures for care of physical privacy of patients Y NI N NA — Recommendation 1; — Recommendation 2; — Etc. Handling of file notes, records, etc. Y NI N NA Privacy of waiting areas, examination rooms, etc. Y NI N NA 96
Audit criteria Adequacy Comments Summary Staff awareness of protocols Y NI N NA Compliance with policy and procedures for confidentiality Y NI N NA QUAADRIL guideline references: (Cut and paste the pertinent QUAADRIL guidelines into the summary to support the recommendations.) Compliance with policy and procedures for physical privacy Y NI N NA 4.3.3.2. Imaging techniques Protocols for various imaging examinations: plain, fluoroscopy, mammography, CT, ultrasound, MRI, PET/CT, image guided procedures, dental, etc. Y NI N NA Policy and protocols for examinations in special populations, e.g., paediatric patients Y NI N NA 97
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IAEA HumAn HEAltH SErIES no. 4 Comp
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COMPREHENSIVE CLINICAL AUDITS OF DI
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IAEA HUMAN HEALTH SERIES No. 4 COMP
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FOREWORD The application of radiati
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CONTENTS 1. INTRODUCTION . . . . .
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5.1.3. Quality assurance processes
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1. INTRODUCTION 1.1. CLINICAL AUDIT
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1.1.3. Confidentiality of audits Co
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evidence based medical research is
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As a result of the comprehensive cl
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The facility/institution is respons
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2.4.2. Review The review process wi
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2.5.1. Title page and contents page
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2.6. DISSEMINATION OF THE REPORT Th
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A QA committee should be establishe
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Lines of authority should be reflec
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—Medical support equipment such a
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(g) (h) (i) Make an assessment of t
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(c) (d) (e) (f) Examine the facilit
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(c) (d) Consider policy in regard t
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equire a written policy and procedu
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Once examination scheduling has bee
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Documentation of the details of the
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There should be a radiographer resp
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—Recorded; —Systematically eval
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4.2.1.5. Pre-procedure screening an
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(f) (g) (h) (i) (j) (k) (l) (m) (n)
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4.2.5. Report communication The aud
Page 57 and 58: —Digital image receptors (compute
Page 59 and 60: (b) (c) (d) Ensuring that appropria
Page 61 and 62: 5.1.2.2. Occupational and public ex
Page 63 and 64: (f) (g) Performance criteria for al
Page 65 and 66: Dosimetry for those subjected to ra
Page 67 and 68: 5.2.1.3. Management support The aud
Page 69 and 70: (b) (c) Discuss the facility’s po
Page 71 and 72: (g) (h) (i) Discuss with the medica
Page 73 and 74: Professionals engaging in such prog
Page 75 and 76: 6.2. THE AUDIT PROGRAMME 6.2.1. Edu
Page 77: (d) (v) Regularity of research meet
Page 80 and 81: Six months before audit Audited ins
Page 82 and 83: Day 1: Morning: All audit team memb
Page 84 and 85: Appendix III AUDIT REPORT FORMAT: S
Page 86 and 87: Appendix IV AUDIT REPORT FORMS The
Page 88 and 89: Audit criteria Adequacy Comments Su
Page 120 and 121: 5.3. AUDIT REPORT FORMS FOR TECHNIC
Page 136 and 137: 6.3. AUDIT REPORT FORMS FOR EDUCATI
Page 144 and 145: Appendix V NOTES ON PHYSICIST MEASU
Page 146 and 147: V.2.3. Other measurements The other
Page 148 and 149: [16] COMMISSION OF THE EUROPEAN COM
Page 151 and 152: Annex I APPLICATION FORM IAEA Clini
Page 153 and 154: Department Vision Statement and imm
Page 155 and 156: List of equipment Equipment type Id
Page 157 and 158: Annex II LIST OF ITEMS REQUESTED TO
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Annex III EQUIPMENT-SPECIFIC CHECKL
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Form RXR — Items to be reviewed b
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Form RXR — Items to be reviewed b
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Form FIF — Items to be reviewed b
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FORM FOR A MAMMOGRAPHY QA PROGRAMME
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Form MAM — Items to be reviewed b
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Form CTQ — Items to be reviewed b
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FORM FOR A SCREEN-FILM AND PROCESSO
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FORM FOR A COMPUTED OR DIGITAL RADI
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FORM FOR A VIEWING CONDITIONS (ANAL
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FORM FOR A QA PROGRAMME FOR HARD CO
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Form DPQ — Items to be reviewed b
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FORM FOR A QA PROGRAMME FOR ULTRASO
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FORM FOR A QA PROGRAMME FOR MRI For
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Form MRI — Items to be reviewed b
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TECHNIQUE OBSERVATION SHEET Radiogr
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Tube focus to tabletop distance d F
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K i Patient: Radiographic Calculati
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Manufacturer of phantom: __________
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P KA Patient: Fluoro 1 DETERMINATIO
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Phantom: MGD 1 CALCULATION OF INCID
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Phantom: CT1 MEASUREMENT OF C a,100
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REFERENCE TO ANNEX IV [IV-1] INTERN
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CONTRIBUTORS TO DRAFTING AND REVIEW
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Korea, Republic of KINS Inc., Infor
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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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