SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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Annex V CONTENTS OF THE ATTACHED CD Comprehensive Clinical Audits of Diagnostic Radiology Practices: A Tool for Quality Improvement Audit report template Audit report forms Audit application form List of items requested to be available on-site Equipment-specific checklist forms Worksheet forms for physics procedures 192
CONTRIBUTORS TO DRAFTING AND REVIEW Abdullah, B. Butler, P. Christofides, S. Ebdon-Jackson, S. Faulkner, K. Järvinen, H. Le Heron, J. McLean, I.D. Pentecost, M. Rickard, M. Slack, K. Thomson, K. University of Malaya, Malaysia American College of Radiology, United States of America European Federation of Organisations for Medical Physics Health Protection Agency, United Kingdom Newcastle General Hospital, United Kingdom Finnish Centre for Radiation and Nuclear Safety (STUK), Finland International Atomic Energy Agency International Atomic Energy Agency American College of Radiology, United States of America Sydney Breast Clinic, Australia Health Protection Agency, United Kingdom Asian–Oceanian Society of Radiology Consultants Meetings Vienna, Austria: 23–27 April 2007, 10–14 December 2007, 31 March–11 May 2008, 3–7 November 2008 193
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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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5.3. AUDIT REPORT FORMS FOR TECHNIC
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6.3. AUDIT REPORT FORMS FOR EDUCATI
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Appendix V NOTES ON PHYSICIST MEASU
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V.2.3. Other measurements The other
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[16] COMMISSION OF THE EUROPEAN COM
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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
Page 175 and 176: FORM FOR A COMPUTED OR DIGITAL RADI
Page 177 and 178: FORM FOR A VIEWING CONDITIONS (ANAL
Page 179 and 180: FORM FOR A QA PROGRAMME FOR HARD CO
Page 181 and 182: Form DPQ — Items to be reviewed b
Page 183 and 184: FORM FOR A QA PROGRAMME FOR ULTRASO
Page 185 and 186: FORM FOR A QA PROGRAMME FOR MRI For
Page 187 and 188: Form MRI — Items to be reviewed b
Page 189 and 190: TECHNIQUE OBSERVATION SHEET Radiogr
Page 191 and 192: Tube focus to tabletop distance d F
Page 193 and 194: K i Patient: Radiographic Calculati
Page 195 and 196: Manufacturer of phantom: __________
Page 197 and 198: P KA Patient: Fluoro 1 DETERMINATIO
Page 199 and 200: Phantom: MGD 1 CALCULATION OF INCID
Page 201 and 202: Phantom: CT1 MEASUREMENT OF C a,100
Page 203: REFERENCE TO ANNEX IV [IV-1] INTERN
Page 208 and 209: Korea, Republic of KINS Inc., Infor
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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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