Quality Control, Radiation Safety and Maintenance Programs

Author(s):  
Cari Borrás
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L A Aslanyan ◽  
N T Truzyan

Abstract Background Limitations of tuberculosis (TB) diagnostic tools and measures restrict proper TB control in places with high drug-resistant TB prevalence. This study aimed to explore gaps in the primary health care (PHC) TB services in Armenia compared to international standards on Assessment of Patients (AOP). Methods We applied mixed methods to assess the AOP standards in 30 outpatient TB centers using observational and documents/medical records review's standardized checklists, in-depth interviews, and focus group discussions. Evaluation was conducted in all 10 regions of Armenia and the capital city Yerevan. Joint Commission International Standards for Ambulatory Care, International Standards for TB Care, and WHO framework, served as a guideline for this assessment. Results PHC physicians are qualified for a set of examinations to diagnose TB. Planned reassessments are conducted continuously, though defined writings for the scope and content of reassessments administered by each clinical discipline is absent. Laboratory departments provide high quality services to the TB patients with the defined timeframes for reporting the results. Laboratory and radiology services staff is qualified and experienced. The biosafety rules are compliant with local and international standards. However, the location and conditions of the laboratory departments are mostly non-compliant with the standards. Lack of modern equipment restricts maintaining proper environmental controls, including ventilation systems. Laboratory technicians have little knowledge of the organization's safety management program and its relation to the laboratory safety program. The facilities have neither formal quality control programs regulated by documents and policies nor an identified radiation safety program protocol. Conclusions On the level of AOP standards, the PHC TB services in Armenia have satisfactory performance. However, assessed standards for this function required certain improvements. Key messages In Armenia, the tuberculosis care in PHC facilities presents high level of compliance for patient assessment international standards. To fully meet the standards, facilities need to reconstructed/renovated laboratories and establish the radiology and diagnostic equipment management, quality control and radiation safety programs.


2006 ◽  
Vol 118 (4) ◽  
pp. 431-439 ◽  
Author(s):  
Sushil Sharma ◽  
Gregory Krause ◽  
Manuchair Ebadi

Author(s):  
Hamidreza Masjedi ◽  
Hamed Zamani ◽  
Saman Dalvand ◽  
Mohammad Hossein Zare

Introduction: Generally, the benefits of radiological examinations performed on individuals far outweigh their risks; however, this is not true when the radiographic system fails to work properly. Therefore, to avoid such errors, it is crucial to frequently perform Quality Control (QC) checks in an imaging facility. Material and Methods: A total of 11 highly-referred centers out of 62 radiology rooms located in Yazd province were included in this investigation, and QC tests comprising light/radiation field alignment, the accuracy of kilovoltage and exposure time, reproducibility of kilovoltage, exposure time, and output, and linearity of output against exposure time and milliamperage were performed for each equipment. The light and radiation field alignment test were carried out by a quantitative assessment of digital images of a collimator template (PTW-Freiburg, Germany). The measurements were made by a Barracuda package and a Multi-Purpose Detector (MPD). Results: In terms of the light/radiation field alignment check, unit A failed to satisfy the national regulations. Concerning the timer reproducibility, 64% of the units failed to meet the criteria. All of the devices passed the rest of the checks satisfactorily. Conclusion: This study uncovered that most of the radiology rooms in Yazd province are in an adequate situation based on the QC tests; however, more than half of the units do not satisfy the timer reproducibility criteria. Hence, more supervision needs to be directed at these systems by qualified radiation safety officers who are responsible for the protection of the population against ionization radiation.


2011 ◽  
Vol 62 (3) ◽  
pp. 255-260
Author(s):  
Slaven Jurković ◽  
Ana Diklić ◽  
Mladen Kasabašić ◽  
Đeni Radojčić ◽  
Manda Švabić ◽  
...  

Survey of Equipment Quality Control in Radiotherapy Centres in Croatia: First ResultsImplementation of advanced radiation therapy techniques in clinical practice can greatly improve tumour control and normal tissue sparing. An important part of this implementation is quality control (QC) of every part of the radiotherapy process, as it helps to detect errors and provides instant remedy. This increases the probability of successful radiation treatment and ensures patient radiation safety. Every radiotherapy quality assurance (QA) programme is based on quality control of radiotherapy equipment. The aim of our survey was to review QC practices in a number of radiotherapy centres in Croatia. As a first step, we defined a set of tests to check different parameters of linear accelerators and simulators in these centres. The tests were defined and performed according to protocols developed at two university hospitals. Test results varied largely between the centres. This calls for harmonisation of QC protocols.


2003 ◽  
Vol 118 (3) ◽  
pp. 193-196 ◽  
Author(s):  
Jeffrey W McKenna ◽  
Terry F Pechacek ◽  
Donna F Stroup

1971 ◽  
Vol 127 (1) ◽  
pp. 101-105 ◽  
Author(s):  
L. L. Weed

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