FINALS Flashcards
Test Frequency for REPEAT ANALYSIS
Semiannually (review rejected films immediately for corrective action)
Standard for REPEAT ANALYSIS
None but goal should be less than 5% repeat
rate
While it is required that a facility calculate its repeat
rate at least semiannually, the repeat analysis is what?
an ongoing process.
While it is required that a facility calculate its repeat
rate at least WHAT, the repeat analysis is an
ongoing process.
at least semiannually
Every time a film must be repeated, a review of why it was necessary to
repeat the x-ray should be conducted. The reason for the repeat should
be documented, then, HOW MANY TIMES IN A YEAR, the repeat rate is calculated.
twice a year
IN REPEAT ANALYSIS, By WHAT reviewing the documented reasons why films are repeated,
trends or frequent errors can be determined and steps can be taken to
correct the errors.
periodically
Every time a film must be repeated, a review of why it was necessary to
repeat the x-ray should be conducted. The reason for the repeat should
be documented, then, twice a year, the repeat rate is WHAT?
calculated
IN REPAET ANALYSIS, By
periodically reviewing the documented reasons why films are repeated,
WHAT can be determined and steps can be taken to
correct the errors
trends or frequent errors
IN REPEAT ANALYSIS, By
periodically reviewing the documented reasons why films are repeated,
trends or frequent errors can be determined and steps can be taken to
correct the WHAT
correct the errors
A carefully carried out repeat analysis will ensure quality radiographs by
reducing the number of clinical films that are repeated. This analysis will
help to identify ways WHAT??
- to reduce both costs (wasted film and processor
chemicals and wear on the equipment) and unnecessary radiation exposure - and inconvenience to the patient.
A carefully carried out repeat analysis will ensure WHAT that are repeated.
ensure quality radiographs by
reducing the number of clinical films that are repeated
Reasons for repeats are usually divided into three major categories:
1.EQUIPMENT including, but not limited to, inaccurate kVp, mA etc., light
field/x-ray field misalignment, darkroom fog, and processor problems.
2. PATIENT including, but not limited to, motion, breathing, jewelry or
other foreign objects, and other body parts overlapping area of interest.
3. X-RAY PERSONNEL ERROR including, but not limited to, improperly
set techniques (kVp, etc.), improper collimation, improper positioning, and
poor film handling
A carefully carried out repeat analysis will ensure quality radiographs by
reducing the number of clinical films that are repeated. This analysis will
help to identify ways to reduce both costs (wasted film and processor
chemicals and wear on the equipment) and unnecessary radiation
exposure and inconvenience to the patient. The facility should work
towards a repeat rate of less than HOW MANY PERCENT?
a repeat rate of less than five percent.
IN REPEAT ANALYSIS, In order to reduce repeats, it is necessary to know what THAT are being repeated and why.
(chest, abdomen, etc.) and projections (AP, lateral, etc.)
WHAT is important IN REPEAT ANALYSIS.
Immediate analysis is important
IN REPEAT ANALYSIS, The problems can then be addressed more
efficiently. The analysis will demonstrate the WHAT?
The analysis will demonstrate the strengths and weaknesses of the x-ray operation
IN REPEAT ANALYSIS, WHAT is a valuable QA improvement tool.
The data from the repeat analysis
IN REPEAT ANALYSIS, The data from the repeat analysis is a WHAT?
a valuable QA improvement tool.
IN REPEAT ANALYSIS,
While some are computerized, most usually consist of WHAT that are placed
on the films at the time of rejection indicating the reason.
labels
VERY IMPORTANT NOTE IN REPEAT ANALYSIS
ALL SUBSTANDARD FILMS SHOULD BE IMMEDIATELY
ANALYZED FOR THE CAUSE OF THE REPEAT AND LOGGED ON
THE REPEAT ANALYSIS FORM. THE DATA ARE USED TO
CALCULATE THE REPEAT RATE
IN REPEAT ANALYSIS,
These systems can be beneficial especially for facilities with a WHAT
a high volume
IN REPEAT ANALYSIS, WHAT is usually provided to tabulate results
A chart(s)
IN REPEAT ANALYSIS,
Repeat analysis should be designed to accurately evaluate the WHAT THAT ARE being produced by the facility.
type of radiographs
IN REPEAT ANALYSIS, Analyzing repeated films/exposures:
1. Review each exposure carefully as it is completed.
2. If any exposure needs to be repeated, the reason should be documented
WHAT?
should be documented
on the Repeat Analysis Form or what ever tracking system the facility is using
IN REPEAT ANALYSIS,
(Note! For large volume facilities like hospitals, the repeat rate may be
WHAT? However, all repeated
films must be evaluated immediately.)
may be calculated by using a statistically significant sample
IN REPEAT ANALYSIS,
CORRECTIVE ACTION:
The percentage of repeats should guide the facility to focus their efforts to
those areas needing the most attention. For example, films that are too light
or too dark may be due to WHAT? that
require repair or re-calibration, or technique charts may need updating. All
corrective actions need to be documented.
processing problems or equipment problems
IN REPEAT ANALYSIS, Analyzing repeated films/exposures:
3. The results of these reviews should be tabulated periodically. For large
facilities, HOW MANY TIME OF analysis is needed;
frequent (perhaps weekly) analysis is needed
IN REPEAT ANALYSIS, Calculating the repeat rate:
1. At the beginning of the analysis period, record the WHAT?. If additional film is received during the analysis
period, be sure to record the additional film on the form. For facilities
with digital or computed radiography, be sure to include ALL exposures
in analysis.
record the number of sheets of unused film in the facility
IN REPEAT ANALYSIS,
Records: Maintain record of repeat analysis for HOW MANY YEARS
for 1 year
IN REPEAT ANALYSIS, Example: If the facility has students, the repeats from students should be evaluated WHAT from the other x-ray personnel.
independently
IN REPEAT ANALYSIS,
3. The results of these reviews should be WHAT?. For large
facilities, frequent (perhaps weekly) analysis is needed; smaller facilities will
usually have fewer repeated films, so less frequent analysis is needed.
tabulated periodically
IN REPEAT ANALYSIS, Analyzing repeated films/exposures:
3. The results of these reviews should be tabulated periodically. For large
facilities, frequent (perhaps weekly) analysis is needed; smaller facilities will
usually have WHAT?
have fewer repeated films, so less frequent analysis is needed.
IN REPEAT ANALYSIS, Calculating the repeat rate:
1. At the beginning of the analysis period, record the number of sheets of
unused film in the facility. If additional film is received during the analysis
period, be sure WHAT?. For facilities with digital or computed radiography, be sure to include ALL exposures
in analysis.
be sure to record the additional film on the form.
Test Frequency FOR ARTIFACT EVALUATION
Examine every film for artifacts, in-depth evaluation
semiannually
Standard FOR ARTIFACT EVALUATION
No significant artifacts
IN ARTIFACT EVALUATION,
- While gross artifacts, especially those WHAT will be immediately noticed; small
artifacts that do not detract from the diagnostic quality of the films may
be missed.
in the area of interest (such as in the lung field of a chest x-ray)
IN ARTIFACT EVALUATION,
* All films should be WHAT? as they are produced
should be examined for artifacts
IN ARTIFACT EVALUATION,
- If an artifact is noted on any film, WHAT and
correct it
immediately investigate the cause
IN ARTIFACT EVALUATION,
- It will also prevent small repairs from becoming larger and more costly
repairs. Conduct A WHAT?
an in-depth analysis semiannually.
IN ARTIFACT EVALUATION,
Both an immediate artifact detection process and an in depth evaluation
semi-annually is necessary due to WHAT?
the nature of medicine
IN ARTIFACT EVALUATION,
- While WHAT, especially those in the area of interest (such as in the lung field of a chest x-ray) will be immediately noticed; small
artifacts that do not detract from the diagnostic quality of the films may
be missed.
gross artifacts
IN ARTIFACT EVALUATION,
- While gross artifacts, especially those in the area of interest (such as in
the lung field of a chest x-ray) will be immediately noticed; small artifacts that do not detract from the diagnostic quality of the films may
be WHAT?
may be missed.
IN ARTIFACT EVALUATION,
WHAT are marks on the film that do not contribute to or may
decrease the diagnostic value of the film.
Artifacts
IN ARTIFACT EVALUATION, Artifacts are marks on the film that WHAT?
that do not contribute to or may decrease the diagnostic value of the film
IN ARTIFACT EVALUATION,
* They may in fact cause a misdiagnosis by either WHAT. Artifacts must be kept to a minimum.
by either masking or imitating
pathology
IN ARTIFACT EVALUATION,
* They may in fact cause a WHAT by either masking or imitating
pathology. Artifacts must be kept to a minimum.
cause a misdiagnosis
IN Some Common Artifacts And Their Causes, what is Crescent shaped mark resulting from
bending the film while loading or unloading film
Crinkle marks (Finger nail)
IN ARTIFACT EVALUATION,
* As most artifacts are the result of WHAT in the
darkroom or processor problems, they can be easily minimized through
a good quality assurance program.
improper film handling
Artifacts fall into four categories:
- Darkroom problems, including film handling, darkroom cleanliness
and darkroom fog. - Processor problems, including dirty rollers, light leaks, improper
drying. - Patient caused artifacts, including clothing, jewelry, hair mousse.
- Cassette and screen problems, including warping, cracking,
discoloration and dirt or dust