Immobilization Devices between Routine and Quality Assurance

1998 ◽  
Vol 84 (2) ◽  
pp. 104-106
Author(s):  
Cesare Polico ◽  
Giovanni Pavanato ◽  
Carlo Capirci ◽  
Giovanni Mandoliti
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Head And Neck ◽  
Radiation Treatment ◽  
Pelvic Radiation ◽  
Treatment Errors ◽  
Target Volumes ◽  
High Doses ◽  
Radiation Treatments ◽  
The Impact

Aims and background To evaluate the impact of immobilization devices in reducing treatment errors and delivering high doses to limited target volumes. The clear advantages are matched with quality control necessity. Methods The Authors examine two fundamental aspects of the topic:1) the immobilization of head and neck and the relative implications in reducing the skin-sparing at the build-up region; 2) the rationale and management of quality assurance procedures in the immobilization devices utilization, with a particular reference to pelvic radiation treatment. Conclusions The immobilization devices utilization certainly leads to an optimization in the execution of radiation treatments. Nevertheless, in the choice for their routine use, the Authors suggest to follow some “conceptual rules” with the aim of successfully matching each of the discussed aspects connected with their utilization.

scholarly journals Radiotherapy related skin toxicity (RAREST-02): A reminder app developed to reduce radiation dermatitis in patients with head-and-neck cancer

2019 ◽  
Author(s):  
Dirk Rades ◽  
Carlos Narvaez ◽  
Claudia Dömer ◽  
Stefan Janssen ◽  
Denise Olbrich ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Oral Mucositis ◽  
Standard Care ◽  
Radiation Treatment ◽  
Radiation Dermatitis ◽  
Full Analysis ◽  
Grade 3 ◽  
The Impact

Abstract Background: Radiotherapy of head-and-neck cancer can be associated with significant toxicities including dermatitis and oral mucositis. Severe toxicities may require interruptions of the radiation treatment associated with impairment of the patients’ prognoses. This study will investigate whether the addition of a reminder app to standard care can reduce dermatitis and oral mucositis rates during radiotherapy in these patients. Methods: This randomized trial compares standard care supported by a reminder app (Arm A) to standard care alone (Arm B) with respect to grade ≥2 radiation dermatitis and oral mucositis at 60Gy of radiotherapy, the minimum planned dose for patients receiving definitive or adjuvant radiotherapy for locally advanced head-and-neck cancer. Moreover, radiation-induced dermatitis and oral mucositis grade ≥3 at 60Gy and both grade ≥2 and grade ≥3 at the end of radiation treatment (EOT) will be evaluated, as well as quality of life and pain. According to sample size calculations, 80 patients are required per arm within the full analysis set. Taking into account that 5% of patients will not qualify for full analysis set, 168 patients should be randomized. The impact of the reminder app will be considered clinically relevant, if the rates of grade ≥2 radiation dermatitis (primary endpoint) and oral mucositis (secondary endpoint) can be reduced by 20%. Discussion: If the addition of a reminder app to standard care will lead to a significant reduction of radiation dermatitis and oral mucositis, it could become a helpful tool for head-and-neck cancer patients during radiotherapy. Trial registration: clinicaltrials.gov (NCT04110977; URL: https://clinicaltrials.gov/show/NCT04110977). Registered on 27th of September, 2019. First patient is planned to be included in December 2019.

Supplier Quality Assurance Systems: A Study in the Nuclear Industry

1988 ◽  
Vol 202 (4) ◽  
pp. 205-212 ◽  
Author(s):  
A J Singer ◽  
G F Churchill ◽  
B G Dale
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Cost Effectiveness ◽  
High Risk ◽  
Professional Competence ◽  
Quality System ◽  
Nuclear Industry ◽  
The Cost ◽  
The Impact ◽  
Stringent Quality

This paper reports the results of a study which investigated the impact of quality assurance on 13 suppliers to the nuclear industry. The purpose of the study was to determine the benefits and problems of applying quality assurance in the supply of high risk plant items and material for nuclear installations. The paper discusses the problems facing the industry including: multiple audits and inspections, the irritation with having to contend with two quality system standards (namely BS 5750 and BS 5882) and the cost effectiveness of the more stringent quality system and quality control surveillance requirements imposed by the nuclear industry. It is also pointed out that companies supplying non-nuclear industrial customers were dissatisfied with the qualifications, experience and professional competence of some auditors and many inspectors.

scholarly journals Impact of Recipient Vein Selection on Venous Patency and Free Flap Survival in 652 Head and Neck Reconstructions

2019 ◽  
Vol 36 (02) ◽  
pp. 073-081 ◽  
Author(s):  
Jong Woo Choi ◽  
Young Chul Kim ◽  
Dong Neok Jeon ◽  
Woo Shik Jeong ◽  
Kyung S. Koh ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Radiation Treatment ◽  
Free Flaps ◽  
Venous System ◽  
Venous Congestion ◽  
Patient Factors ◽  
Flap Survival ◽  
History Of ◽  
The Impact

Background This study was conducted to evaluate the impact of choosing a particular recipient venous system on venous patency and flap survival in 652 head and neck free flap reconstructions. Methods A retrospective review was performed. Patient factors investigated included: age, sex, type of flap, tumor location, history of radiation, presence of previous neck dissection, tumor stage, and any underlying disease. Data related with recipient vein including the number of anastomosis, the repair technique, the type of recipient vein, and the configuration of selected venous system were examined. The impact of patient factors and parameters related with recipient vein on the venous patency and flap survival were analyzed using bivariate and multivariate analyses. Results Of 652 free flaps, 36 flaps (5.5%) were re-explored due to venous congestion and 28 flaps (77.8%) were salvaged. The overall survival rate of total free flaps was 98.8%. The type of recipient venous system was found to be an insignificant factor with respect to venous congestion and flap survival in multivariate analysis. A history of radiation treatments was the only factor associated with a higher risk of venous compromise (odds ratio [OR] = 13.138, p < 0.001) and a lower rate of flap survival (OR = 20.182, p = 0.002). Conclusion The selection of recipient venous systems has no impact on venous patency and flap survival. History of radiation treatment was the only factor associated with venous congestion and flap failure. Since no single method can ensure a successful reconstructive result, selecting the optimal recipient vein should be based on individual patient factors and the surgeon's experience.

Quality Control, Quality Assurance, and Business Continuity Plan in PACS

2010 ◽  
pp. 123-138
Author(s):  
Carrison K.S. Tong ◽  
Eric T.T. Wong
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Real World ◽  
Business Continuity ◽  
System Operation ◽  
Critical Part ◽  
And Performance ◽  
The Impact ◽  
Avoidable Risk ◽  
Pacs System

As PACS gains widespread use, the importance of Quality Control (QC), Quality Assurance (QA), and Business Continuity Plan (BCP) in PACS is rising. The purpose of QC/QA is to measure the quality and performance of a PACS for minimizing the chance of getting any avoidable risk. However, in the real world, there is still some risk in any complicated system. Therefore, BCP is used to reduce the impact and downtime of hospital PACS system operation due to changes or failures in the company operation procedure. The purpose of BCP is to make sure that the critical part of PACS system operation is not affected by critical failure or disaster.

scholarly journals The Impact of Clinical Trial Quality Assurance on Outcome in Head and Neck Radiotherapy Treatment

2019 ◽  
Vol 9 ◽  
Author(s):  
Haoyu Zhong ◽  
Kuo Men ◽  
Jiazhou Wang ◽  
Johan van Soest ◽  
David Rosenthal ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Quality Assurance ◽  
Head And Neck ◽  
Trial Quality ◽  
The Impact ◽  
Head And Neck Radiotherapy ◽  
Radiotherapy Treatment

scholarly journals The Impact of Radiation Treatment Time on Survival in Patients With Head and Neck Cancer

2016 ◽  
Vol 96 (5) ◽  
pp. 967-975 ◽  
Author(s):  
Talha Shaikh ◽  
Elizabeth A. Handorf ◽  
Colin T. Murphy ◽  
Ranee Mehra ◽  
John A. Ridge ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Radiation Treatment ◽  
Treatment Time ◽  
Radiation Treatment Time ◽  
The Impact

scholarly journals The Impact of Process Quality and Quality Control on Organizational Competitiveness at 5-star hotels in Dubai

2021 ◽  
Vol 1 (1) ◽  
pp. 54-68
Author(s):  
Ali Alzoubi
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Research Study ◽  
Hotel Industry ◽  
Process Quality ◽  
Perfect Competition ◽  
The Impact ◽  
Practical Field

Hotel industry is seeing many challenges because of the market challenges due to perfect competition market. Among these challenges quality assurance and quality control has significant impact because these factors determine the competitiveness level of the organization. In this research study we explained the hotel industry in the light of process quality and quality control. Interview was arranged and data was collected for interpretation. Results stated that process quality and quality control has significant impact on attaining competitiveness in hotel industry. This study can contribute a lot not just in theoretical field but also in practical field where the hotels can evaluate their own performance and the lacking in their own strategies.

scholarly journals The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program

Head & Neck ◽  
2019 ◽  
Vol 41 (3) ◽  
pp. 606-614 ◽  
Author(s):  
Douglas J. Van Daele ◽  
Susan E. Langmore ◽  
Gintas P. Krisciunas ◽  
Cathy L. Lazarus ◽  
Barbara R. Pauloski ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Radiation Treatment ◽  
Swallowing Therapy ◽  
Therapy Program ◽  
The Impact
Sign in / Sign up

Export Citation Format

Share Document