SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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Audit criteria Adequacy Comments Summary 5.3.2. Radiation protection and safety Summary: 5.3.2.1. Medical exposure Indicate positive findings. Are risk assessment and management policies consistent with legal requirements or relevant guidelines Are typical patient dose levels from common examinations estimated and compared with relevant dose reference levels (DRLs) Y NI N NA Y NI N NA Important quality improvement initiatives would be: — Recommendation 1; — Recommendation 2; — Etc. Are optimization policies consistent with legal requirements or relevant guidelines Y NI N NA Is the facility policy for pregnancy suitable Y NI N NA Is signage for pregnancy adequate Y NI N NA QUAADRIL guideline references: (Cut and paste the pertinent QUAADRIL guidelines into the summary to support the recommendations.) 112
Audit criteria Adequacy Comments Summary Is verification of pregnancy status suitable Y NI N NA Are staff aware of policy for pregnant patients Y NI N NA Are policies for comforters and carers in hazardous areas consistent with legal requirements or relevant guidelines Y NI N NA Are charts or procedures available for adjustment of X ray parameters appropriate for paediatric patients Y NI N NA Are policies for adverse patient dose incidents consistent with legal requirements or relevant guidelines Y NI N NA 113
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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
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—Digital image receptors (compute
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(b) (c) (d) Ensuring that appropria
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5.1.2.2. Occupational and public ex
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(f) (g) Performance criteria for al
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Dosimetry for those subjected to ra
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5.2.1.3. Management support The aud
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(b) (c) Discuss the facility’s po
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(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
Page 159 and 160: Annex III EQUIPMENT-SPECIFIC CHECKL
Page 161 and 162: Form RXR — Items to be reviewed b
Page 163 and 164: Form RXR — Items to be reviewed b
Page 165 and 166: Form FIF — Items to be reviewed b
Page 167 and 168: FORM FOR A MAMMOGRAPHY QA PROGRAMME
Page 169 and 170: Form MAM — Items to be reviewed b
Page 171 and 172: Form CTQ — Items to be reviewed b
Page 173 and 174: 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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