QUALITY ASSURANCE AND QUALITY CONTROL KEEPING PATIENTS AND EQUIPMENT HAPPY! QA Responsibilities of managers and Radiologists Patient scheduling Reception Preparations Safety Personal Treatment QA TEAM Patient waiting time Patient Education Appropriate follow-up RADIOLOGISTS Image Interpretation Disease/Condition consistent with diagnosis OUTCOME ANALYSIS If diagnosis not consistent a study is needed to examine the image interpretation process-outcome analysis JCAHO WILL NOT GRANT APPROVAL TO FACILITIES WOTHOUT PROPER QC PROGRAMS PLEASE NOTE THE 10 STEP QA PROGRAM NOTED ON PAGE 459 QC Monitors x-ray equipment Ensures optimal image for Radiologist Medical physicists designs, implements and maintains CHALLENGE YOURSELF!!! Describe each of the three steps of an acceptable QC program. Differentiate between the ten steps of a QA program versus the three steps of the QC program. What does PBL stand for? What is the difference between exposure linearity and exposure reproducibility? Which measurement of equipment should be done semiannually? ESE stands for Compare the differences between scheduled processor maintenance, preventative processor maintenance and nonscheduled processor maintenance. What parts of the processor should be monitored daily? QUESTIONS 1) Congruence of the x-ray beam with the light field is tested using a. A pinhole camera b. A star pattern c. Radiopaque objects d. A slit camera 2) A slit camera is used to measure a. Focal spot size b. Intensifying screen resolution c. SID resolution I a only II a and b only III a and c only IV a, b and c 3) A spinning top device can be used to evaluate a. Time accuracy b. Rectifier failure c. The effect of kVp on contrast I a only II b only III a and b IV a,b and c 4) A quality control program includes checks on which of the following radiographic equipment conditions? a. reproducibility b. linearity c. Positive beam limitation/automatic collimation I a only II a and b III a and c IV a,b and c 5) The device used to test the accuracy of the x-ray timer is a. densitometer b. sensitometer c. penetrometer d. spinning top 6) Periodic equipment calibration includes testing of the a) focal spot b) mA c) kVp I a only II a and c only III b and c only IV a,b and c