quality control Flashcards

1
Q

quality assurance

A

deals with people

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2
Q

quality control

A

deals with instrumentation and equipment

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3
Q

SMDA

Safe Medical Devices Act

A

mandates that any serious injury or death due to medical device be reported

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4
Q

MQSA

Mammography Quality Standards Act

A

requires mammography facilities to be approved by the FDA

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5
Q

FOCUS-PDCA

A

the premier quality measurement consulting book

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6
Q

what does FOCUS stand for

A

F ind a process to improve
O rganize an effort to work on improvement
C larify current knowledge of the process
U nderstand process variation and capability
S elect a strategy for continued improvement

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7
Q

What does PDCA stand for

A
P lan
D o 
C heck 
A ct 
it is a way of continuously checking progress in each step of FOCUS
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8
Q

outcome analysis

A

if the patients disease agrees with the radiologist’s diagnosis

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9
Q

T or F
the QA activities should all be monitored by the imaging team, however they are principally the responsibility of the radiologist

A

TRUE

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10
Q

QC DEALS MORE WITH?

A

THE EQUIPMENT

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11
Q

WHAT ARE OTHER REASONS FOR DOING QC BESIDES PATIENT CARE

A

our litigious society demands QC records
some insurance companies will only reimburse if there’s a QC program
JCAHO will not approve a facility that doesn’t have a QC program
most states require it

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12
Q

an acceptable QC program has 3 steps

A

acceptance testing
routine performance monitoring
error maintenance

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13
Q

T or F

periodic monitoring of equipment is required

A

TRUE

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14
Q

T or F

annual monitoring is acceptable unless there is a new piece of equipment installed

A

TRUE

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15
Q

acceptance testing

A

performed before newly installed or majorly repaired equipment can be accepted by dept.
determines whether equip. is performing within the vendor’s specifications

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16
Q

acceptance testing is done by someone other than the manufacturer’s rep for example

A

radiation physicist

service personnel employed by hospital

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17
Q

Routine maintenance

A

performed to ensure that the equipment is performing as expected
helps to catch problems before they become radiographically apparent

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18
Q

Preventative maintenance PM

A

usually alleviates unnecessary repair

if equip. is not performing up to standards then repair is necessary

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19
Q

error maintenance

A

when errors occur in equipment performance, corrective action must occur

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20
Q

filtration

A

the most important patient protection device

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21
Q

state requires radiographic units have a minimum total filtration of

A

2.5 mm Al

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22
Q

3 tools used to measure focal spot size and

A

pinhole camera
star pattern
slit camera (most popular)

23
Q

line pair test tool is used to determine

A

spatial frequency

24
Q

if the phototimer fails the backup timer should terminate the exposure at

A

6s or 600 mAs

whichever comes first

25
spinning top test
used to measure single phase generators
26
motorized synchronous spinning top
used for 3 phase units
27
electronic timers should be able to go as low as
1ms (1/1000s)
28
dosimeter
measures radiation intensity at various combinations of mA and expsure time
29
exposure reproducibility
when using any combo of kVp, mA and exposure time, the RT decides to change one factor and then return to the previous value of radiation exposure, the previous value should be precisely the same 2 methods used
30
intensifying screens
require periodic attention to minimize appearance of artifacts looks like a localized lack of sharpness on a radiograph Use a wire mesh test
31
aprons, gloves, and gonadal shields should be radiographed
annually for defects
32
viewbox illumination should be photometrically analyzed
annually
33
photometers
used to measure light intensity at several areas of the illuminator
34
film illuminators should not vary by more than
+ or - 10% over surface of illuminator
35
exposure rate
federal law and most states require that entrance skin exposure shall not exceed 10R/min (100mGy/min)
36
interventional procedures fluoro may be equipped with a high level control. this allows an entrance skin exposure up to
20r/min (200mGy/min)
37
An entrance skin exposure for a cassette spot film is
200mR
38
an entrance skin exposure for a photofluorospot is
100mR
39
the use of what will double the ESE during photofluorospot
the use of a grid
40
fluoroscopic ABC should be evaluated
annually
41
the indicated section that is to be tomogrammed and the measured level should be within
+ or - 5mm
42
increments from on tomo section to the next should be accurate within
+ or - 2mm
43
SMPTE
society of motion pictures and television engineers test pattern helps to point out any gross deviations in luminance adjustments
44
illuminance meter
used to evaluate monitor display reflection and assess ambient light conditions
45
2 types of photometers used for luminace meter
1. near range | 2. telescopic
46
near range
used in close proximity to monitor
47
telescopic
used to test from a distance of 1 m
48
DICOM
digital imaging and communication | standard that enables imaging systems form different manufacturers to communicate
49
GSDF
gray scale display function | allows medical images to be transferred according to DICOM standards
50
VESA
video electronics standard association | provides set of instructions to help evaluate system performance
51
AAPM TG 18
american association of physicists in medicine task group report 18 set of test patterns to ensure acceptable clinical performance
52
TG 18 QC
Used to assess geometric distortion
53
Daily QC duties for RT
Inspect and clean cassettes Inspect hinge and latch Erase plates
54
Monthly QC duties
Reject analysis Clean plates Artifact identification Problem reporting