Topic 10: quality management system

Question 1

quality management system principles

Answer 1

• customer focus
• leadership
• engagement of people
• process approach
• improvement
• relationship management

Question 2

factors affecting quality in a diagnostic imaging department

Answer 2

• equipment
• image receptor/ processing
• viewing conditions
• competency of staff

Question 3

adverse consequences of ineffective QMS

Answer 3

• poor quality examinations that impair diagnosis
• increase operating cost
• contribute to unnecessary radiation exposure

Question 4

how do we monitor quality

Answer 4

• documentation
• performance indicators
• dosimetry
• clinical audits

Question 5

internal documentation accts

Answer 5

• reference point to employees for quality objectives and policies of dt while at the same time describes the procedures necessary to achieve these objectives

Question 6

external documentation acts

Answer 6

• can inform partners about implemented quality management system but also serve as evidence of compliance with quality requirement

Question 7

KPI

Answer 7

key performance indicators

Question 8

examples of performance indicators

Answer 8

• pt or procedure identification error rates
• number of equipment under a regular QC program with established procedures
• number of examinations for which local doses exist
• number of incidents reported
• number of hours of training per year
• turnaround time for different exams and pts

Question 9

dosimetry in diagnostic radiology is usually performed for one of the following reasons

Answer 9

• equipment performance testing
• development of guidance levels - optimisation
• pt specific dosimetry

Question 10

what are clinical audits

Answer 10

a systematic examination or review of medical radiological procedures which seeks to improve quality and pt care

Question 11

how are clinical audits used

Answer 11

• structured review
• radiological practices are examined against agreed standards
• modification of practices
• application of new standards

Question 12

components of quality management system

Answer 12

• risk management
• equipment quality control
• admin responsibilities
• radiation safety programme

Question 13

what is the purpose of a risk management

Answer 13

maintain quality pt care and a safe environment for employees and service users while conserving the healthcare institutions financial resources

Question 14

what are the 5 steps of national patient safety agency

Answer 14

step 1 - identify hazards
step 2 - decide who has been harmed
step 3 - evaluate and assess risks
step 4 - record findings and decide whether further action required
step 5 - review your assessment and update if necessary

Question 15

the purpose to post-installation acceptance tests is to ensure

Answer 15

• equipment operates according to standards of design and construction
• equipment meets original manufactures specifications indicated in purchase agreement

Question 16

what is the QA lead role

Answer 16

to facilitate proper implementation of quality management system
- A quality committee should be established to provide periodic review and evaluation of facilities’ QA program

Question 17

what should the QA committee consist of

Answer 17

• physicians
• medical physicists
• QA radiographer
• nurses
• admin and staff

Question 18

QA lead responsibilities

Answer 18

• responsible for day to day QC program
• ensure all radiographers are trained to perform QC test
• oversee repair of detective equipment
• manage data collection and analysis, maintain equipment performance records
• provide monthly reports QC activities to radiology manager
• work with medical physicist