1. Hospital Chief radiologist 2. Chief x-ray/Radiologic Tech 3. Hospital physicist 4. Other Radiologists and radiologists resident physician 5. Other x-ray/ rad techs

PART I Flashcards by Queenie Francisco

[..] as applied to medical radiography is organized effort of the staff to ensure that the diagnostic images produced are of high quality.

It’s purpose i to provide adequate diagnostic information with the [..] and [..]

Quality assurance

Least possible cost and least possible exposure to patient and staff

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Requirements of a QA/QC Program

Requires combined efforts of the whole radiology staff
A hospital QA/QC committee and a QA/QC team must be created to institutionalize the program

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Hospital QA/QC Team

Hospital Chief radiologist
Chief x-ray/Radiologic Tech
Hospital physicist
Other Radiologists and radiologists resident physician
Other x-ray/ rad techs

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Hospital QA/QC Committee

Chief of hospital
Administrative Officers
Chief Radiologist
Chief x-ray/rad tech
Chief physicist
Hospital maintainance engr/technician
Others

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Responsibilities of hospital QA/QC Team (DEEDKK)

Do periodic film analysis and monthly film analysis to the qaqc committee
Establish additional rad technique charts when approp
Establish additional darkroom processing charts or reuse existing ones when needed
Do periodic q test of x-ray equip and accessories
Keep a room logbook which contains all the changes/repair done to all/equip/accessories in the oom, sample images, procedures for qc tests etc.
Keep brochures and technical materials pertaining to equip and accessories

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Responsibilities of QAQC Committee [MDK]

Meet regularly to discuss from film analysis report, QC test results, other reports and problems of the x-ray dep’t/section
Decided on corrective action report to be implemented and on other matters related to the program
Keep a record of minutes of meetings

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A program of Quality Assurance monitors proper patient [..3]

Scheduling, reception and preparation

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[..] more tangible and obvious bc in this program, the radiologist is provided with optimal images produced through good equip performance and resulting in minimal radiation exposure

Quality Control

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Purpose of a Quality Control Testing Program

To maintain the quality of diagnostic images
This is done with routine monitoring and photographic and x-ray equip performance and rate proper corrective action

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Quality Management Program [components] EARR

Equipment quality control
Administrative responsibilities
Risk management
Radiation Safety Program

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Refers to the administration of policies and processes that minimize harm while optimizing, patient care and outcomes

Quality management program

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Quality management program components

Equipment quality control,
administrative responsibilities,
risk management,
radiation safety protection

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Involves evaluation of equipment performance to ensure proper image quality, as well as patient and operate safety

Equipment Quality Control

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It involves the establishment of various processes to accomplish the specific departmental risk

Administrative responsibilities

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Administrative responsibilities include (pdseec)

Procedure manuals,
data collection,
scheduling and routing of patient
education of personal
equipment acquisition,
communication with other departments

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It is this the ability to identify potential risk to patients, employees and visitors at the healthcare institution

Risk management

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It is to ensure patient exposure is kept as low as reasonably achievable.
Medical staff, department personnel, and member of the general public are protected from over exposure to ionizing radiation

Radiation safety program

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Quality control levels of testing

Level 1 non-invasive and simple
Level 2 non-invasive and complex
Level 3 invasive and complex.

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Level of testing that is performed by technologist

Level 1 non-invasive and simple

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Level of testing performed by technologies trained in quality control procedures, using more sophisticated equipment

Level 2 non-invasive and complex

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Level of testing that involves some disassembly of the equipment, normally performed by engineers or physicist

Level 3 invasive and complex

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Focuses on the process in which employees operate rather than on the employees themselves. The rationale or is that problems and variability with the process are the main cause of poor quality

Continuous quality improvement

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Continuous quality improvement concept is based on:

85/5 rule
80/20 rule
Structured problem
improving quality

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The process our system in place is the cost of problems 85% of the time and the people are personnel within the process or the cause of the problems 15% of the time

85/5 rule

80% of the problems are the result of 20% of the causes

80/20 rule

Solving processes that your statistical means to verify performances, reduce better long-term solutions than processes that are not structured

Structured problems

Improving quality is the responsibility of everyone within an organization, because all are a part of the process. People at all levels are the essence of an organization and their involvement enables their abilities to be used for the organizations benefit.

An ordered series of steps that help achieve a desired outcome group in a sequence

Process

Is a group of related processes

System

Parts of a process

Supplier, input, action, output, and customer

The first three steps, variable factors that influence the next portion of the process

Output

An individual or entity that furnishes input to a process or one provides the institution with the goods or services

Supplier

Information or knowledge necessary to achieve the desired outcome

Input

Is that means our activity used to achieve the desired outcome

Action

The action steps are sometimes referred to as [..]

workflow

Refers to the desired outcome, result, Braddock are characteristics that satisfy the customer

Output

Refers to a person, department or organization that needs or wants the desired outcome

Customer

According to [..] The customer determines the What constitutes quality

Deming

Groups of customers

Internal customers, external customers

Individuals or groups from within the organization, such as the referring physicians, hospital employees, department, and department employees

Internal customers

These are individuals or groups from outside the organization, such as patients, and their families, third-party payers and the community

External customers

[..] Should be used us performance measures to evaluate thesuccess of a process in the Healthcare environment.

Both customer satisfaction and health outcomes

The components of any process so that may affect the final output of the process

Key process variables

Five major categories of key process variables

Manpower, machines, materials, environment, policies

Refers to the personnel involved in the process

Manpower

Refers to the equipment used in the process

Machine

Refers to the type and quality of materials used in the process

Materials

Refers to the physical and psychological aspects on people involved in the process

Environment

Refers to the steps in the procedure of policy manual that have been used in the process

Policies

The most successful in helping with the problem identification in continuous quality improvement

Groups or teams of individuals who are familiar with or are using the processes

Group process used to develop a large collection of ideas without regard to their intent or validity

Brainstorming

Method that can follow a successful brainstorming session. After the initial ideas are formulated during the brainstorming session, the group members, three discussion and teamwork come to an agreement, and the most important idea to be addressed.

Consensus

Small group that focuses on a particular problem, and then hopefully derives a solution. Generally, the applicable ideas on a particular problem obtained from brainstorming are considered in the small group, which can come up to a consensus. May be responsible for obtaining additional data, such as interviewing of customers and patient surveys

Focus groups

Group of individuals to implement the solutions that we are achieved by the focus group. May or may not include members of the focus group.

Quality improvement team

Normally composed of supervisors and workers who are from the same department, or me have the same function in a similar Department Should be scheduled to meet regularly and have the specific function to identify potential problems with departmental processes, and then formulate solutions

Quality circles

A method normally used after brainstorming session to dismiss nonessential or non-realistic ideas, and concentratie on those that are realistically solve the problem

Multivoting

These teams focus on solving a complete problem, or completing an entire task, rather than focusing on any one particular step in the process

Work teams

These teams work on specific tasks and to solve particular problems, as well as root causes of faults of problems within the process. They normally function to identify, analyze and solve both quality and productivity issues.

Problem-solving teams