SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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Annex I APPLICATION FORM <strong>IAEA</strong> Clinical Audit Application Form Contact information Institution requesting the audit Name Address Country Institution contact person Name Position Telephone Fax email Facility (department) to be audited and to coordinate the process Head of Department Name Telephone Fax email 139
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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
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Professionals engaging in such prog
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6.2. THE AUDIT PROGRAMME 6.2.1. Edu
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(d) (v) Regularity of research meet
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Six months before audit Audited ins
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Day 1: Morning: All audit team memb
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Appendix III AUDIT REPORT FORMAT: S
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Appendix IV AUDIT REPORT FORMS The
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Audit criteria Adequacy Comments Su
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Page 100 and 101: 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 152 and 153: Other department to be involved in
Page 154 and 155: Annual number of procedures by moda
Page 156 and 157: MRI PET/CT Image guided procedures
Page 158 and 159: II-1.4. Calibration of instrumentat
Page 160 and 161: FORM FOR A RADIOGRAPHIC X RAY FACIL
Page 162 and 163: Form RXR — Items to be reviewed b
Page 164 and 165: FORM FOR A FLUOROSCOPIC AND/OR INTE
Page 166 and 167: Form FIF — Items to be reviewed b
Page 168 and 169: Form MAM — Items to be reviewed b
Page 170 and 171: FORM FOR A COMPUTED TOMOGRAPHY QA P
Page 172 and 173: Form CTQ — Items to be reviewed b
Page 174 and 175: Form SFP — Items to be reviewed b
Page 176 and 177: Form CDR — Items to be reviewed b
Page 178 and 179: FORM FOR A VIEWING CONDITIONS (DIGI
Page 180 and 181: FORM FOR A QA PROGRAMME FOR DENTAL
Page 182 and 183: Form DPQ — Items to be reviewed b
Page 184 and 185: Form UQP — Items to be reviewed b
Page 186 and 187: Form MRI — Items to be reviewed b
Page 188 and 189: Annex IV WORKSHEET FORMS FOR PHYSIC
Page 190 and 191: DETERMINATION OF INCIDENT AIR KERMA
Page 192 and 193: K i Patient: Radiographic Calculati
Page 194 and 195: Phantom: Fluoro 1 DETERMINATION OF
Page 196 and 197: 4. Dosimeter reading and calculatio
Page 198 and 199: P KA Patient: Fluoro 2 3. KAP readi
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Phantom: MGD 2 3. Mean glandular do
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3. CT air kerma index C a,100 Phant
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Annex V CONTENTS OF THE ATTACHED CD
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No. 21, July 2006 Where to order IA
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Currently there is great interest i
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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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