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—Recorded;<br />

—Systematically evaluated;<br />

—Acted upon.<br />

Critical incidents (e.g. sentinel events such as a wrong sided interventional<br />

procedure) should, in addition, be reported to the institution and the regulatory<br />

authorities.<br />

Lessons learned from analysis of these events should be documented,<br />

communicated and used for quality improvement.<br />

4.1.8. Retention of records and images<br />

All records and images from imaging examinations should be retained for a<br />

period in accordance with local/national regulatory requirements.<br />

The radiology facility should have documented policies and procedures on<br />

retention of records and images.<br />

Retained material should be clearly identifiable, stored securely and<br />

accessible. A process should be in place for the tracking of records and image files.<br />

The radiology facility should audit compliance with its retention policies<br />

and procedures.<br />

4.2. THE AUDIT PROGRAMME<br />

4.2.1. Referral of the patient for examination<br />

4.2.1.1. Appropriateness of examination/justification<br />

The audit team should:<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

Check for documented guidelines in regard to any screening examinations,<br />

both those that are part of and those that are not part of an approved health<br />

screening programme;<br />

Check for documented referral guidelines in regard to examination<br />

selection/justification, and reference to pregnant, breastfeeding and<br />

paediatric patients;<br />

Identify radiological medical practitioners (or delegates) involved in<br />

reviewing examination requests;<br />

Check facility processes to contact referring medical practitioners as<br />

required;<br />

37

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