QAQC Flashcards
What are the two areas of activity designed to ensure the best possible diagnosis?
Quality Assurance and Quality Control
According to which standards shall registrants and licensees establish a comprehensive QA program for medical exposures?
International Basic Safety Standards (IBSS) in 2014
What does The Joint Commission (TJC) promote?
The Ten-Step Monitoring and Evaluation Process
What is the organized effort of a facility to ensure high standards of quality?
Quality Assurance
In QA, who is principally responsible for attention from the imaging team?
radiologist and the imaging service management.
What is designed to ensure that the radiologist is provided with an optimal image?
QC
Was the report of diagnosis promptly prepared, distributed, and filed for subsequent evaluation?
QA
What are the three steps of an acceptable QC program?
Acceptance Testing, Routine Performance Monitoring, Maintenance
What is the organized effort by staff in radiology to ensure high-quality diagnostic images?
Quality Assurance
Who principally requires team effort in QC?
medical physicist.
What does QC deal with?
instrumentation and equipment.
What monitors proper scheduling, reception, and preparation?
QA
What begins with imaging systems and continues with routine evaluation?
QC
What does Quality Assurance deal with?
people
What is performed at the installation of the equipment to check performance?
Acceptance Testing
What are examples of Routine Performance Testing?
Different timetables (daily, monthly, annually) can be used depending on the nature of the test.
Safety system tests (emergency stop), X-ray tube performance (nominal kV), Image quality tests (resolution, artifacts), Display performance, Dosimetry
What is done daily by Radtech?
System inspection, physical inspection, secondary erasure of IP
What involves image interpretation?
QA
What concludes with a dedicated analysis of each image?
QC
What provides baseline values for image quality and radiation dose?
Commissioning testing
What is maintenance that is a planned program of parts replacement?
Preventive
What is verification of displayed image and phantom image quality control testing done weekly by?
Radtech
What maintenance is due to a failure in the system?
Non-scheduled
What is Outcome Analysis?
QA
What evaluates image quality and patient dose, acceptance tests to re-establish baseline value?
Semi-annually/ Annually by Medical Physicist
What maintenance is performed on a routine basis?
Scheduled
What is done monthly by Radtech?
Inspect and clean IR, review image rejection rate, and QC review of ‘Out of tolerance’ issues
What is done semiannually/annually by Medical Physicist?
Review of PT exposure trends, retake activity, QC records, service history
What does adherence to policies and procedures refer to?
QA
What involves periodic testing and maintenance of performance throughout its lifespan?
QC
What is the estimation of radiation dose to patients, workers, and public?
QA
What is the determination and follow-up of imaging protocols?
QC
What is a proactive strategy in QA?
QA
What is the training of workers related to?
QA
What is a reactive strategy in QC?
QC
What is process-oriented in QA?
QA
What is a managing tool in QA?
QA
What does QC detect?
Defects
What is the acceptance and commission of a radiographic device?
QC
What does QA prevent?
defects
What is a corrective tool in QC?
QC
What is product-oriented in QC?
QC
What is everyone’s responsibility in QA?
QA
What is the testing team’s responsibility in QC?
QC
What are things to consider when planning and establishing a QA/QC program?
Commitment and support of radiology personnel to sustain the program, Establishment of standards of image quality, Conduct of film analysis every month, Establishment of standard darkroom techniques and conduct darkroom QC checks, Conduct of preventive maintenance and quality control checks, Establishment of standard protocols in performing different examination, Establishment of a radiation safety program, Conduct of continuous education and training
Who are in the hospital QA/QC team?
Hospital Chief Radiologist, Chief Radiologic Technologist, Medical Physicist, Other Radiologists and Radiology Resident Physicians, Other Radiologic Technologists
Who are in the hospital QA/QC committee?
Chief of Hospital, Administrative Officer, Chief Radiologist, Chief Radiologic Technologist, Chief Physicist, Hospital Maintenance Engineer / Technician, Others
What are the responsibilities of a hospital QA/QC team?
Do periodic film analysis and monthly film analysis report to the QA/QC committee, Establish additional radiographic technique charts when needed, or revise existing technique charts when appropriate, Establish additional darkroom processing charts or revise existing ones when necessary, Do periodic quality control test of x-ray equipment and accessories, and darkroom equipment and accessories, Keep a room logbook which contains all the test data on equipment and accessories, and all the changes or repairs done to all equipment and accessories in the room, sample images, procedures for QC tests, etc, Keep all brochures and technical manuals pertaining to equipment and accessories.
What are the responsibilities of a hospital QA/QC committee?
Meet regularly to discuss film analysis report, QC test results, other reports and problems of the radiology department, Decide on corrective action to be implemented and on other matters related to the program, Keep a record of minutes of meetings
What are the components of quality management programs?
Equipment quality control, Administrative responsibilities, Risk management, Radiation safety program
What is the ability to identify potential risk to patients, employees, and visitors?
Risk management
What involves evaluation of equipment performance to ensure proper image quality?
Equipment Quality Control
What involves the establishment of various processes to accomplish specific departmental tasks?
Administrative responsibilities
What does ALARA stand for?
As low as reasonable achievable
What are the cardinal principles?
Time, Distance, Shielding
What ensures that patient exposure is kept as low as reasonably achievable?
Radiation Safety Program
What are designed to transfer film cassettes to and from the darkroom without radiation light entering?
Hatches
What is a room from which normal light is excluded?
Darkroom
What is the size of a darkroom?
10 square meter, 15.9.5 ft for 200 radiographs per day, Height: 2.5-3m
Should a darkroom be close to damp and hot areas?
F. it must be away from damp or hot areas.
How far must the wet and dry section be?
4ft
Where is the negatoscope located in the darkroom?
Wet section
What is the thickness of concrete in a darkroom?
Concrete: 6in
What is the thickness of hollow blocks in a darkroom?
filled with cement
What is the thickness of wood in a darkroom?
lined with 1.5mm Pb
What are typically wall-mounted and include automatic interlocks?
Hatches
Should a darkroom be placed where the radtech is required to walk a lot of steps?
F. As few steps as possible
Where is a darkroom located in radiology?
Centrally
What type of paint must a darkroom have?
must be matte finished
What are the material characteristics of the floor in a darkroom?
Non-porous flooring, Non-slip flooring, Chemical resistant, Stain proof, Durable and easy to maintain, Light colored (low-light working conditions)
What materials are used for DR floors?
Asphalt tiles, Porcelain tiles, Clay tiles, Plastic tiles
What is the color of the wall in DR?
Ivory or light gray color, matte finished
What is the humidity in the darkroom storage room?
40-60%
What is the humidity in the darkroom itself?
30-60%
What is designed to eliminate heat and fumes?
DR ventilation
What materials are used in painting walls and ceilings?
Enamel, epoxy, Special paints, Varnish, Ceramic, Plastic wall
What are the types of entrances in DR?
Single-Door system, Double-door system, Labyrinth or maze type entrance, Rotating or revolving door system
What is the temperature in DR?
20 degrees Celsius (old), 18-24 (new)
What is the most efficient but most expensive door system?
Rotating or revolving door system
What should be the rate of air changes and air movement in DR?
8-10 per hr and, 15-25ft/min
What can achieve fairly satisfactory ventilation?
extractor fan
What type of light is used for inspection and maintenance in darkrooms?
White light
What type of darkroom door system has easy access characteristics?
Labyrinth.Maze type entrance
What door system is used only when there is darkroom personnel exclusive in the DR?
Double-door system
What is the wattage of white light in DR?
Tungsten (60W), Fluorescent (30W)
What is the simplest type of door system?
Single door system
How many switches should a white light have?
more than 1 switch is preferable with its respective identification
What is the precaution for fire safety in darkrooms?
ideally, all darkrooms should be provided with an alternative exit, which should be indicated clearly and left unobstructed at all times.
What intensity should a white light have in a darkroom?
Moderate in intensity
What is the distance of safelight from the workbench?
6ft
What is used to exclude dust and dirt from sensitive films?
Use of cassette
How often should a safelight filter be cleaned?
PERIODICALLY!
What are the types of darkroom illumination?
Direct safelight, Indirect safelight
What does making the correct selection of safelight filter mean?
choosing a filter, which will transmit a color to which the film is relatively unresponsive, while stopping all light to which the film is most sensitive.
What is the most common safelight?
Direct safelight fixture type
What type of bulb does an indirect safelight use?
Sodium vapor
What is the material used in a safelight filter?
Sheet of gelatin dyed to appropriate color, sandwiched between two sheets of glass for protection
What is the wattage of a safelight?
7.5W at 3ft, 15W at 4ft
What happens when white light is passed through colored filters?
certain wavelengths or colors are absorbed by the filters, while those wavelengths, which correspond to the color of the filters will be transmitted.
What is a monochromatic film safelight?
Kodak Wratten 6B filter, Amber filter (400-450 nm), Kodak Morlite
What is a panchromatic film filter?
Total Darkness, sensitive to all light (1200nm)
What is an orthochromatic film filter?
Red Filter (500-550nm), Kodak GBX2
What are the effects of excessive safelight exposure?
Fogging, loss of contrast
Are safelights completely safe for films?
F. NO. safelight filters are not perfect absorbers of the undesirable wavelengths and in truth, all films have some sensitivity to all wavelengths
What chemical is used to remove undeveloped silver halide crystals from the film?
Fixer
What are the types of hangers?
Clip type, Channel type, Spring type
What must be kept to a minimum to avoid significant fogging?
intensity of illumination and the film-handling time
Where is unexposed film stored?
Film hopper
What are the darkroom equipment?
Automatic Processor, Manual Processing Unit, Processing Chemicals, Film Hangers, Cassette, Film Storage Hopper, Loading Bench, Cupboards
What are the three health safety considerations in the processing area?
Electrical safety, General safety, Chemical hazards
What is a Manual Processing unit composed of?
four tanks: Developer, Rinsing, Fixer, Washing
What should be kept away from sinks?
All electrical equipment
Storage of unexposed film?
Film hopper
Darkroom Equipment are?
Automatic Processor, Manual Processing Unit, Processing Chemicals, Film Hangers, Cassette, Film Storage Hopper, Loading Bench, Cupboards
3 health safety in processing area?
Electrical safety, General safety, Chemical hazards
Manual Processing unit is composed of how many tanks?
Four tanks: Developer, Rinsing, Fixer, Washing
What type of safety is keeping electrical equipment away from sinks and manual processing units?
Electrical Safety
The DR can have at least how many tanks?
3
What is a cassette?
A rectangular or square plastic or metallic container used to hold x-ray film (exposed or unexposed) and intensifying screens in close uniform contact with one another.
Processing tanks are made up of what material?
Stainless steel to avoid erosion
What is a by-product of fixer solution during processing?
SILVER complex of monoargento-dithiosulfuric acid
What is a film hanger?
An instrument or device for holding radiographic film during processing procedure, available in various sizes, made up of stainless steel.
What chemical is used to convert latent image to manifest image?
Developer
What is the purpose of using a cassette?
To exclude all light from entering the cassette and fogging the film, and to maintain a close and uniform contact between the screen and the film.
What type of health and safety standard involves handling processing chemicals?
Chemical hazard
How should film boxes be kept to avoid artifacts?
Vertically placed
What type of safety includes matching the maximum level of safelighting with film sensitivity?
General safety
What type of switch is used in DR?
Pull-chord switch for lights
What safety equipment should be available within the processing area for each procedure?
Safety glasses, facemask, rubber gloves, and plastic apron
What are the two areas of activity designed to ensure the best possible diagnosis?
Quality Assurance and Quality Control
According to which standards shall registrants and licensees establish a comprehensive QA program for medical exposures?
International Basic Safety Standards (IBSS) in 2014
What does The Joint Commission (TJC) promote?
The Ten-Step Monitoring and Evaluation Process
What is the organized effort of a facility to ensure high standards of quality?
Quality Assurance
In QA, who is principally responsible for attention from the imaging team?
radiologist and the imaging service management.
What is designed to ensure that the radiologist is provided with an optimal image?
QC
Was the report of diagnosis promptly prepared, distributed, and filed for subsequent evaluation?
QA
What are the three steps of an acceptable QC program?
Acceptance Testing, Routine Performance Monitoring, Maintenance
What is the organized effort by staff in radiology to ensure high-quality diagnostic images?
Quality Assurance
Who principally requires team effort in QC?
medical physicist.
What does QC deal with?
instrumentation and equipment.
What monitors proper scheduling, reception, and preparation?
QA
What begins with imaging systems and continues with routine evaluation?
QC
What does Quality Assurance deal with?
people
What is performed at the installation of the equipment to check performance?
Acceptance Testing
What are examples of Routine Performance Testing?
Different timetables (daily, monthly, annually) can be used depending on the nature of the test.
Safety system tests (emergency stop), X-ray tube performance (nominal kV), Image quality tests (resolution, artifacts), Display performance, Dosimetry
What is done daily by Radtech?
System inspection, physical inspection, secondary erasure of IP
What involves image interpretation?
QA
What concludes with a dedicated analysis of each image?
QC
What provides baseline values for image quality and radiation dose?
Commissioning testing
What is maintenance that is a planned program of parts replacement?
Preventive
What is verification of displayed image and phantom image quality control testing done weekly by?
Radtech
What maintenance is due to a failure in the system?
Non-scheduled
What is Outcome Analysis?
QA
What evaluates image quality and patient dose, acceptance tests to re-establish baseline value?
Semi-annually/ Annually by Medical Physicist
What maintenance is performed on a routine basis?
Scheduled
What is done monthly by Radtech?
Inspect and clean IR, review image rejection rate, and QC review of ‘Out of tolerance’ issues
What is done semiannually/annually by Medical Physicist?
Review of PT exposure trends, retake activity, QC records, service history
What does adherence to policies and procedures refer to?
QA
What involves periodic testing and maintenance of performance throughout its lifespan?
QC
What is the estimation of radiation dose to patients, workers, and public?
QA
What is the determination and follow-up of imaging protocols?
QC
What is a proactive strategy in QA?
QA
What is the training of workers related to?
QA
What is a reactive strategy in QC?
QC
What is process-oriented in QA?
QA
What is a managing tool in QA?
QA
What does QC detect?
Defects
What is the acceptance and commission of a radiographic device?
QC
What does QA prevent?
defects
What is a corrective tool in QC?
QC
What is product-oriented in QC?
QC
What is everyone’s responsibility in QA?
QA
What is the testing team’s responsibility in QC?
QC
What are things to consider when planning and establishing a QA/QC program?
Commitment and support of radiology personnel to sustain the program, Establishment of standards of image quality, Conduct of film analysis every month, Establishment of standard darkroom techniques and conduct darkroom QC checks, Conduct of preventive maintenance and quality control checks, Establishment of standard protocols in performing different examination, Establishment of a radiation safety program, Conduct of continuous education and training
Who are in the hospital QA/QC team?
Hospital Chief Radiologist, Chief Radiologic Technologist, Medical Physicist, Other Radiologists and Radiology Resident Physicians, Other Radiologic Technologists
Who are in the hospital QA/QC committee?
Chief of Hospital, Administrative Officer, Chief Radiologist, Chief Radiologic Technologist, Chief Physicist, Hospital Maintenance Engineer / Technician, Others
What are the responsibilities of a hospital QA/QC team?
Do periodic film analysis and monthly film analysis report to the QA/QC committee, Establish additional radiographic technique charts when needed, or revise existing technique charts when appropriate, Establish additional darkroom processing charts or revise existing ones when necessary, Do periodic quality control test of x-ray equipment and accessories, and darkroom equipment and accessories, Keep a room logbook which contains all the test data on equipment and accessories, and all the changes or repairs done to all equipment and accessories in the room, sample images, procedures for QC tests, etc, Keep all brochures and technical manuals pertaining to equipment and accessories.
What are the responsibilities of a hospital QA/QC committee?
Meet regularly to discuss film analysis report, QC test results, other reports and problems of the radiology department, Decide on corrective action to be implemented and on other matters related to the program, Keep a record of minutes of meetings
What are the components of quality management programs?
Equipment quality control, Administrative responsibilities, Risk management, Radiation safety program
What is the ability to identify potential risk to patients, employees, and visitors?
Risk management
What involves evaluation of equipment performance to ensure proper image quality?
Equipment Quality Control
What involves the establishment of various processes to accomplish specific departmental tasks?
Administrative responsibilities
What does ALARA stand for?
As low as reasonable achievable
What are the cardinal principles?
Time, Distance, Shielding
What ensures that patient exposure is kept as low as reasonably achievable?
Radiation Safety Program
What are designed to transfer film cassettes to and from the darkroom without radiation light entering?
Hatches
What is a room from which normal light is excluded?
Darkroom
What is the size of a darkroom?
10 square meter, 15.9.5 ft for 200 radiographs per day, Height: 2.5-3m
Should a darkroom be close to damp and hot areas?
F. it must be away from damp or hot areas.
How far must the wet and dry section be?
4ft
Where is the negatoscope located in the darkroom?
Wet section
What is the thickness of concrete in a darkroom?
Concrete: 6in
What is the thickness of hollow blocks in a darkroom?
filled with cement
What is the thickness of wood in a darkroom?
lined with 1.5mm Pb
What are typically wall-mounted and include automatic interlocks?
Hatches
Should a darkroom be placed where the radtech is required to walk a lot of steps?
F. As few steps as possible
Where is a darkroom located in radiology?
Centrally
What type of paint must a darkroom have?
must be matte finished
What are the material characteristics of the floor in a darkroom?
Non-porous flooring, Non-slip flooring, Chemical resistant, Stain proof, Durable and easy to maintain, Light colored (low-light working conditions)
What materials are used for DR floors?
Asphalt tiles, Porcelain tiles, Clay tiles, Plastic tiles
What is the color of the wall in DR?
Ivory or light gray color, matte finished
What is the humidity in the darkroom storage room?
40-60%
What is the humidity in the darkroom itself?
30-60%
What is designed to eliminate heat and fumes?
DR ventilation
What materials are used in painting walls and ceilings?
Enamel, epoxy, Special paints, Varnish, Ceramic, Plastic wall
What are the types of entrances in DR?
Single-Door system, Double-door system, Labyrinth or maze type entrance, Rotating or revolving door system
What is the temperature in DR?
20 degrees Celsius (old), 18-24 (new)
What is the most efficient but most expensive door system?
Rotating or revolving door system
What should be the rate of air changes and air movement in DR?
8-10 per hr and, 15-25ft/min
What can achieve fairly satisfactory ventilation?
extractor fan
What type of light is used for inspection and maintenance in darkrooms?
White light
What type of darkroom door system has easy access characteristics?
Labyrinth.Maze type entrance
What door system is used only when there is darkroom personnel exclusive in the DR?
Double-door system
What is the wattage of white light in DR?
Tungsten (60W), Fluorescent (30W)
What is the simplest type of door system?
Single door system
How many switches should a white light have?
more than 1 switch is preferable with its respective identification
What is the precaution for fire safety in darkrooms?
ideally, all darkrooms should be provided with an alternative exit, which should be indicated clearly and left unobstructed at all times.
What intensity should a white light have in a darkroom?
Moderate in intensity
What is the distance of safelight from the workbench?
6ft
What is used to exclude dust and dirt from sensitive films?
Use of cassette
How often should a safelight filter be cleaned?
PERIODICALLY!
What are the types of darkroom illumination?
Direct safelight, Indirect safelight
What does making the correct selection of safelight filter mean?
choosing a filter, which will transmit a color to which the film is relatively unresponsive, while stopping all light to which the film is most sensitive.
What is the most common safelight?
Direct safelight fixture type
What type of bulb does an indirect safelight use?
Sodium vapor
What is the material used in a safelight filter?
Sheet of gelatin dyed to appropriate color, sandwiched between two sheets of glass for protection
What is the wattage of a safelight?
7.5W at 3ft, 15W at 4ft
What happens when white light is passed through colored filters?
certain wavelengths or colors are absorbed by the filters, while those wavelengths, which correspond to the color of the filters will be transmitted.
What is a monochromatic film safelight?
Kodak Wratten 6B filter, Amber filter (400-450 nm), Kodak Morlite
What is a panchromatic film filter?
Total Darkness, sensitive to all light (1200nm)
What is an orthochromatic film filter?
Red Filter (500-550nm), Kodak GBX2
What are the effects of excessive safelight exposure?
Fogging, loss of contrast
Are safelights completely safe for films?
F. NO. safelight filters are not perfect absorbers of the undesirable wavelengths and in truth, all films have some sensitivity to all wavelengths
What chemical is used to remove undeveloped silver halide crystals from the film?
Fixer
What are the types of hangers?
Clip type, Channel type, Spring type
What must be kept to a minimum to avoid significant fogging?
intensity of illumination and the film-handling time
Where is unexposed film stored?
Film hopper
What are the darkroom equipment?
Automatic Processor, Manual Processing Unit, Processing Chemicals, Film Hangers, Cassette, Film Storage Hopper, Loading Bench, Cupboards
What are the three health safety considerations in the processing area?
Electrical safety, General safety, Chemical hazards
What is a Manual Processing unit composed of?
four tanks: Developer, Rinsing, Fixer, Washing
What should be kept away from sinks?
All electrical equipment
Storage of unexposed film?
Film hopper
Darkroom Equipment are?
Automatic Processor, Manual Processing Unit, Processing Chemicals, Film Hangers, Cassette, Film Storage Hopper, Loading Bench, Cupboards
3 health safety in processing area?
Electrical safety, General safety, Chemical hazards
Manual Processing unit is composed of how many tanks?
Four tanks: Developer, Rinsing, Fixer, Washing
What type of safety is keeping electrical equipment away from sinks and manual processing units?
Electrical Safety
The DR can have at least how many tanks?
3
What is a cassette?
A rectangular or square plastic or metallic container used to hold x-ray film (exposed or unexposed) and intensifying screens in close uniform contact with one another.
Processing tanks are made up of what material?
Stainless steel to avoid erosion
What is a by-product of fixer solution during processing?
SILVER complex of monoargento-dithiosulfuric acid
What is a film hanger?
An instrument or device for holding radiographic film during processing procedure, available in various sizes, made up of stainless steel.
What chemical is used to convert latent image to manifest image?
Developer
What is the purpose of using a cassette?
To exclude all light from entering the cassette and fogging the film, and to maintain a close and uniform contact between the screen and the film.
What type of health and safety standard involves handling processing chemicals?
Chemical hazard
How should film boxes be kept to avoid artifacts?
Vertically placed
What type of safety includes matching the maximum level of safelighting with film sensitivity?
General safety
What type of switch is used in DR?
Pull-chord switch for lights
What safety equipment should be available within the processing area for each procedure?
Safety glasses, facemask, rubber gloves, and plastic apron