Ch 19 Quality Improvement in Rad Onc

"An approach to the continuous study and improvement of the processes of health services to meet the needs of patients and others

Synonyms for QI

a non profit organization dedicated to improving the quality of care in health care settings

Focuses on performance measurement
-based on the comparison of processes with outcomes to quality indicators, the measurable dimension of quality that defines what is to be monitored

stresses the control and assessment of performance, providing standards of measurement

Involves the systematic collection of and review of quality assurance data

integrates quality assurance, quality control and assessment into a complex system wide improvement program revolving around the healthcare organization's mission and goals

eliminates duplication of quality assurance and and quality improvement efforts but still provides assurance that services are of high quality

QI in rad onc, involves ongoing activities encompassing administrative, clinical, physical and technical aspects of processes in rad one

What is an integral part of the QI plan in the ACR AND AAPM?

Responsible for oversight of patient care, established in 1917

Established Hospital Standardization Program which developed the concept of "minimum standards" in 1919

The Joint Commission on Accreditation of Hospitals  (JCOAH)was formed through the efforts of what 5 establishments?

Which Commission , was created in 1974
"to ensure adequate protection oof the public health and safety, the common defense and security, and the environment in the use of radioactive materials in the US."

Commission which managed nations atomic energy program 1954-1974

What did the Atomic Energy commission divide into in 1974

What is the NRC's scope of responsibility?

Use of radioisotopes in brachytherapy and cobalt for external treatment falls under which Agency?

The federal agency, established in 1970, to assist NRC whose mission is" to protect human health and safeguard the natural environment -air,land and water- upon which life depends"

Involved in the regulation of the disposal, the storage, and handling of nuclear waste materials as it relates to the enviromental issues

Regulates the transportation of hazardous materials

Responsible for overseeing the national safety program for transporting hazardous materials by air, rail, highway and water

"To ensure safe and healthful working conditions for working men and women"
-developed in 1970

"to save lives and prevent injuries and protect the health of America's workers"
-Developed in 1970

Mid 1980's,________ mandated a policy on bloodborne pathogens stating an exposure control plan must be in place for all industries in which workers may come in contact with blood or other infectious materials

______ set standards fir exposure to lead and cadmium, which would apply to mold rooms in Rad Onc facilities, where Cerrobend (Lipowitz metal)

What is Lipowitz alloy?

What provides the basis for the NRC to relinquish portions of its regulatory authority to licensing and regulating;
by-product materials (radioisotopes),
source materials (uranium, thorium)
certain quantities of nuclear materials
 the the individual states...

When was the first agreement state established?

How many agreement are there?

In the agreements, what does the NRC provide assistance for?

A professional organization for the medical physicists, a forerunner in the development of minimum standards to guide medical physicists in the development of a quality assurance program as it relates to treatment planning and delivery

Which professional association developed practice standards for radiation therapists

What are the three sections the practice standards for the ASRT

What is Quality as defined  in reference to Rad Onc?

"All those planned or systemic actions necessary to provide adequate confidence that a product or service will satisfy given requirements for quality"

The term used to refer to the planned or systemic actions to ensure an RT facility consistently delivers high quality care in the treatment of patients leading to the best outcomes with the least side effects

A review of all aspects of radiation therapy, routinely and continuously measured, results analyzed and corrective measures taken to ensure quality patient care is

Defined as " the operational techniques and activities used to fulfill the requirements for quality"

The term typically used to refer to those procedures and techniques used to monitor or test and maintain the components of RT quality improvement program

Who requires measurement of patient outcomes including  morbidity, mortality, recurrence of disease, and survival rates , patient satisfaction and quality of life

who provides a continuous evaluation of performance as part of the accreditation process to help healthcare organizations measure and improve their quality of care through the use of common ______   _______.

What is the IM System?

What are measured as Quality Indicators?

Because emphasis of quality is now an ongoing evaluations the program is often refferred to as

Who is responsible for improvement quality?

What is a pictorial representation of the steps necessary in a process

A simplistic and easy to implement, improvement methodology, consisting of A system wide set of methods and tools for improving a process by emphasizing speed and efficiency

A process improvement method focusing on precision and accuracy, with the elimination of defects in the process

What is the tolerance for QA Tolerance of Simulators?

TOLERANCES FOR THE CT SIMULATOR

What is the QA tolerance for gantry /collimator angle indicators?

Which QA of Medical Accelerators tolerance is 3%

Which QA are 1 degree?