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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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(f)<br />

(g)<br />

Performance criteria for all the tests, ideally both remedial and suspension<br />

levels;<br />

The corrective actions necessary when the performance criteria are not met:<br />

—The type of corrective action,<br />

—The time-frame for corrective action,<br />

—Verification that corrective action has been effective.<br />

The records of QC test results and corrective actions taken should be readily<br />

available.<br />

5.1.3.4. Equipment replacement policy<br />

Equipment that is old, obsolete or poorly maintained may fail to give the<br />

required image quality for effective diagnosis, give excessive doses to patients or<br />

be dangerous as an electrical or mechanical hazard.<br />

Severely defective equipment must be put out of service. If only a limited<br />

number of components of the equipment are defective, the equipment may be<br />

allowed to operate in a limited capacity, provided that the overall performance of<br />

the equipment is not impaired. Equipment with minor defects may be used for a<br />

limited period until repair is possible, as long as its use does not significantly<br />

degrade image quality or create a significant hazard to patients or staff.<br />

A policy should exist for the timely repair and/or replacement of defective<br />

equipment.<br />

5.1.4. Optimization in clinical practice<br />

Optimization of image quality and patient dose is a dynamic process that<br />

aims to give sufficient diagnostic image quality with minimum doses to patients.<br />

Optimization involves inputs from the radiological medical practitioner,<br />

radiographer and medical physicist. The procedure used for examination<br />

optimization should be documented.<br />

While all imaging examinations should be optimized, the following require<br />

special attention:<br />

—Computed tomography examinations;<br />

—Screening programmes (e.g. mammography);<br />

—Interventional or procedural examinations;<br />

—Examinations involving infants or children;<br />

—Examinations involving pregnant patients;<br />

—Volunteers for research (if applicable).<br />

51

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