Achieving CT Regulatory Compliance: A Comprehensive and Continuous Quality Improvement Approach

被引:2
作者
Zygmont, Matthew E. [1 ]
Neill, Rebecca [1 ,2 ]
Dharmadhikari, Shalmali [1 ,2 ]
Duong, Phuong-Anh T. [3 ]
机构
[1] Emory Univ, Sch Med, Dept Radiol & Imaging Sci, Atlanta, GA USA
[2] Emory Univ, Environm Hlth & Safety Off, Atlanta, GA USA
[3] Univ Utah, Sch Med, Dept Radiol & Imaging Sci, Salt Lake City, UT USA
关键词
RADIATION-DOSE OPTIMIZATION; HEALTH-CARE-SYSTEMS; COMPUTED-TOMOGRAPHY; RADIOLOGY; EXPOSURE; TRACKING; PROGRAM;
D O I
10.1067/j.cpradiol.2020.01.013
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Computed tomography (CT) represents one of the largest sources of radiation exposure to the public in the United States. Regulatory requirements now mandate dose tracking for all exams and investigation of dose events that exceed set dose thresholds. Radiology practices are tasked with ensuring quality control and optimizing patient CT exam doses while maintaining diagnostic efficacy. Meeting regulatory requirements necessitates the development of an effective quality program in CT. This review provides a template for accreditation compliant quality control and CT dose optimization. The following paper summarizes a large health system approach for establishing a quality program in CT and discusses successes, challenges, and future needs. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:306 / 311
页数:6
相关论文
共 29 条
  • [1] AAPM, 2011, SIZ SPEC DOS EST SSD
  • [2] Image Gently® at 10 Years
    Boylan, Jennifer K.
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2018, 15 (08) : 1193 - 1195
  • [3] Image Wisely: A Campaign to Increase Awareness about Adult Radiation Protection
    Brink, James A.
    Amis, E. Stephen, Jr.
    [J]. RADIOLOGY, 2010, 257 (03) : 601 - 602
  • [4] Centers for Medicare & Medicaid Services, 2019, CAG00439N CTR MED ME
  • [5] Centers for Medicare & Medicaid Services, 2012, ACCR ADV DIAGN IM SU
  • [6] Validation of algorithmic CT image quality metrics with preferences of radiologists
    Cheng, Yuan
    Abadi, Ehsan
    Smith, Taylor Brunton
    Ria, Francesco
    Meyer, Mathias
    Marin, Daniele
    Samei, Ehsan
    [J]. MEDICAL PHYSICS, 2019, 46 (11) : 4837 - 4846
  • [7] Use of Computed Tomography in Emergency Departments in the United States: A Decade of Coughs and Colds
    Drescher, Frank S.
    Sirovich, Brenda E.
    [J]. JAMA INTERNAL MEDICINE, 2016, 176 (02) : 273 - 275
  • [8] Trust But Verify: Online Management Tool Improves Compliance and Documentation of CT Quality Control Activities
    Duong, Phuong-Anh T.
    Neill, Rebecca
    Zygniont, Matthew
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2018, 15 (05) : 762 - 766
  • [9] CT Radiation Dose Optimization and Tracking Program at a Large Quaternary-Care Health Care System
    Goenka, Ajit H.
    Dong, Frank
    Wildman, Bonnie
    Hulme, Katie
    Johnson, Paul
    Herts, Brian R.
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2015, 12 (07) : 703 - 710
  • [10] Implementation and evaluation of a protocol management system for automated review of CT protocols
    Grimes, Joshua
    Leng, Shuai
    Zhang, Yi
    Vrieze, Thomas
    McCollough, Cynthia
    [J]. JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, 2016, 17 (05): : 523 - 533