quality assurance program
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2021 ◽  
Vol 14 (4) ◽  
pp. 1863-1867
Author(s):  
Reda Hallab ◽  
khalida Eddaoui ◽  
Hmad Ouabi ◽  
Nouzha Ben Raïs Aouad

The quality assurance program ensures that the entire radiological system and associated equipment are functioning properly and optimally. To this end, it is essential that a quality assurance program be in place in each medical facility where ionizing radiation sources are used, to verify the proper functioning of these instruments as well as the radionuclides measured in nuclear medicine. In addition, the procedures of the quality assurance program must comply with regulatory requirements and international recommendations. The method of this study is to review the regulatory requirements adopted by different countries regarding the quality assurance program procedures as well as various recent scientific works and those published by the International Atomic Energy Agency. In addition, to compare the radiation protection requirements of the procedures of the mentioned works; exposure justification and optimization, quality control, registration system, professional training and audit system and to suggest improvements. The result of the review study, add a procedure to the quality assurance program, so that the quality assurance attempts to cover all procedures involving sources of ionizing radiation, thus ensuring compliance with the standards of radiological safety in nuclear medicine facilities.


Author(s):  
Arifah Devi Fitriani ◽  
Jamaluddin Jamaluddin ◽  
Tisa Purmanti Ginting

The quality assurance program has 3 components, namely standards, accreditation and continuous quality improvement using the management cycle in order to maintain and or improve quality. However, the weakness of the quality assurance system due to the application of standards has not become a culture for internal customers in carrying out services in accordance with service indicators set by the quality team at the time of accreditation. The purpose of the study was to analyze the performance of the Quality Team at the Binjai City Health Center in 2021. The research design used was qualitative with a descriptive approach. The research informants were 8 main informants and 2 additional informants. Data collection methods are primary, secondary and tertiary data. Data collection techniques were carried out by means of in-depth interviews and documentation. Data analysis techniques in this study are reduction, display and conclusion or verification. The results showed that education was not in accordance with the main duties and functions, lack of understanding of quality assurance, facility resources were optimal, the leadership style of the head of the puskesmas was not in accordance with the management function of the puskesmas, the team perceived that they were carrying out their duties in accordance with their main functions, the attitude of not wanting to make changes, limited human resources education, lack of continuous training, lack of teamwork, attention, two-way communication, and the absence of a post-accreditation mentoring team.


Author(s):  
Lia Nurhayati ◽  
Abdul Kadim Masaong ◽  
Hamzah B. Uno ◽  
Zulaecha Ngiu

This study aims to determine the evaluation of the academic quality assurance program at the Sultan AMAI State Islamic Institute of Gorontalo. The method used in this research is the descriptive method with the CIPP model (Context, Input, Process, Product). Data collection techniques used were observation, interviews, and documentation. The results showed a lack of alumni readiness to enter the business and professional world so that there were some alumni from one of the departments who had a long waiting period; There are still many departments/study programs that are accredited C. There is still a lack of professional staff in the field of research and community service; There is still a lack of research and community service involving students; Lack of application/transfer of technology as a result of community service with community needs; Internal service programs were still dominant; The community service partnership network has not been maximized; Not yet well-coordinated the target areas/villages; Weak monitoring and evaluation of community service programs, so that it cannot be ascertained that its implementation is in accordance with the scientific field.


2021 ◽  
Vol 91 (3) ◽  
pp. 46-54
Author(s):  
D. I. Kazlouski ◽  
A. U. Plysheuskaya

Purpose: Analysis and comparison of existing reconstruction methods of the ring applicator, as well as the development of reconstruction method that is closest to the actual source path in dosimetric planning using brachytherapy. Material and methods: Evaluation of reconstruction methods was carried out on the basis of CT images, which were used for dosimetric planning of patient treatment. The obtained data on the positioning of the radiation source using X-ray images were transferred to CT images using matrix transformation methods. A method of reconstruction along the source path is proposed, in which the minimum discrepancies in the location of the source positions in comparison with the coordinates of the actual source positions were obtained. For comparison, the reconstruction of the applicator was performed by three different methods: the method using the manufacturer’s applicator libraries, along the source path, and the method proposed above. Results: The results were assessed using a dose-volume histogram. Dose characteristics were selected based on the recommended ICRU Report 89. To assess the presence of the effect of the reconstruction method on the dose characteristics, the Friedman criterion was used. The differences between the doses for different reconstruction methods turned out to be significant (the critical value of the significance level was considered p=0.05). The maximum deviations of the median values of the parameters of the dose-volume histogram were 7.8 % for the “lib” method, 8.6 % for the tracking method, and 7.9 % for the track_new method. We calculated the median values of the deviations of the source positions obtained using the previously described reconstruction methods from the actual stopping positions of the source found experimentally. Conclusion: The use of the proposed reconstruction method track_new increases the accuracy of determining the positions of the stop of the radiation source in the applicator and, as a consequence, the accuracy of dose delivery on the brachytherapy apparatus in comparison with the manual tracking method. The methods used in this study can be used when putting the applicators into clinical use as part of a radiotherapy quality assurance program. The obtained results will be useful to medical physicists if it is necessary to choose a technique for carrying out the reconstruction of the applicator in accordance with the available capabilities and imaging methods and, as a result, will increase the accuracy of dosimetric planning and dose delivery on brachytherapy afterloaders.


2021 ◽  
Vol 11 (20) ◽  
pp. 9749
Author(s):  
Ibrahim I. Suliman ◽  
Abdelmoneim Sulieman ◽  
Essam Mattar

Acceptance testing and commission are essential elements of the quality assurance program for imaging equipment. We present the results of a performance evaluation of Flat Panel-Based Cardiovascular Fluoroscopy X-ray Systems as a part of acceptance testing and commissioning. Measurements were obtained using a calibrated dose rate meter, patient equivalent phantoms, and Leeds image quality test tools. The results were compared with the manufacturer and European acceptability criteria. The entrance surface air kerma (ESAK) rate ranged from 8.0 to 12.0 mGy min−1 in the continuous mode and from 0.01 to 0.04 mGy fr−1 in the pulsed mode of operation. Detector-input air kerma rates ranged from 0.29 to 0.39 mGy min−1 in continuous mode and from 0.02 to 0.07 µGy fr−1 in pulsed mode. Fluoroscopy device half-value layer (HVL) ranged from 2.5 to 3.0 mm Al, and the low resolution ranged from 0.9 to 1.3%. The spatial resolution limit was double that of the image intensifier (2.4 to 3.6) lp/mm. Flat-panel fluoroscopy demonstrated superior image quality and dose performance as compared to conventional image intensifier-based fluoroscopy. The quality assurance measurements presented are essential in the rapid evaluation of the imaging system for acceptance testing and commissioning.


2021 ◽  
Author(s):  
Kadam Sanjay Ramrao ◽  
Srinivasan Kannan

Abstract Background:Maharashtra State Quality Assurance Program was evolved and pilot project was launched in 2006-07. In 2011 as Phase three it was launched in Beed district.Objectives:Objectives of the present study are to assess client’s perception on quality and satisfaction of healthcare at PHCs and their correlates and job satisfaction among health personnel.Methods:Cross sectional study was conducted among randomly selected 20 PHCs from Beed district.Data collected from 400 new clients of outpatient department of PHCs. From clients, demographics, socioeconomic status, perception on quality of outpatient care and their satisfaction were collected using structured questionnaire. From the health personnel data on socio-demographic details, and job satisfaction were collected. Univariate, bivariate, and multivariate analyses were performed.Results:In total 50 % of clients perceived better quality and 53% of them were satisfied with the services of PHCs. The factors found to be significantly associated with perception of better quality of services and client satisfaction were sex, education, occupation, perception on provider’s attitude, examination time and opted due to financial reasons. About 57% health personnel satisfied with job. All dissatisfied were medical officers.Conclusion:The study found only around half of them is satisfied with services. Findings suggest infrastructure and drug alone will not improve the satisfaction, but the state need to improve the human aspects of services with more interaction and thorough examination of the clients. To improve services working conditions will have to be improved for health personnel.


2021 ◽  
Author(s):  
Charles A. Barber ◽  
Carolyn Q. Burdette ◽  
Hugh V. Hayes ◽  
Monique E. Johnson ◽  
Shaun P. Kotoski ◽  
...  

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