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Clinical Audits Pilot study Half way Marleen Vandecapelle

Clinical Audits Pilot study Half way Marleen Vandecapelle. 03/12/2010 10.00-12.00h. General remarks. Yes/No to be replaced by percentages or 0/partial/almost complete/complete Many questions should be A instead of B or C because of proven legal basis

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Clinical Audits Pilot study Half way Marleen Vandecapelle

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  1. Clinical Audits Pilot study Half way Marleen Vandecapelle 03/12/2010 10.00-12.00h

  2. General remarks • Yes/No to be replaced by percentages or 0/partial/almost complete/complete • Many questions should be A instead of B or C because of proven legal basis • Many questions are in fact multiple questions and should be subdivided • Vague terminology e.g. regularly ? adequat ? • Certain abbreviations should be explained e.g. BSS and SOP • Composition of audit team ? Feasible for small departments ? • Minimum professional requirements not clear. What is IAEA DAT certificate ? • Guiding principles and procedures: only IAEA accepted ?E.g. NVNG document • Feasibility within proposed time frame ?

  3. General remarks • Hospital coordinator quality management: • Did You find him/her ? • Did he/she cooperate ? • How much time did You spent on filling out the checklists ? • Did You experience it as being usefull ?

  4. Checklist 1: Strategies and policies

  5. Checklist 2: Administration and management

  6. Checklist 3: Human resources development

  7. Checklist 4: Radiation regulation and safety compliance (1)

  8. Checklist 4: Radiation regulation and safety compliance (2)

  9. Checklist 5: Radiation protection of the patient

  10. Checklist 6: Evaluation and assurance of quality system (1)

  11. Checklist 6: Evaluation and assurance of quality system (2)

  12. Checklist 7: Quality control for imaging equipment (1)

  13. Checklist 7: Quality control for imaging equipment (2)

  14. Checklist 8: Computer systems and data handling

  15. Checklist 9: Acceptance tests (1)

  16. Checklist 9: Acceptance tests (2)

  17. Checklist 10: General aspects - clinical services

  18. Checklist 11: Summary of imaging diagnostic procedures Kies je voor een externe audit ook zelf je onderzoeken of is het gewoon de bedoeling dat je kan aantonen dat dit regelmatig gecontroleerd wordt.

  19. Checklist 12: Summary of non-imaging diagnostic procedures

  20. Checklist 13: General aspects - radionuclide therapy service

  21. Checklist 14: Summary of therapeutic procedures Haalbaar voor kleine diensten ??? Prioritair ???

  22. Checklist 15: Hospital radiopharmacy - operational level 1 (1)

  23. Checklist 15: Hospital radiopharmacy - operational level 1 (2)

  24. Checklist 16: Hospital radiopharmacy - operational level 2 (1)

  25. Checklist 16: Hospital radiopharmacy - operational level 2 (2)

  26. Checklist 17: Tumour marker radioimmunoassay service (1) Le RIA se fait au labo et pas en médecine nucléaire In vele ziekenhuizen in RIA geïntegreerd in klinisch labo en is dit hoofdstuk niet van toepassing in nucleaire geneeskunde

  27. Checklist 17: Tumour marker radioimmunoassay service (2) Le RIA se fait au labo et pas en médecine nucléaire In vele ziekenhuizen in RIA geïntegreerd in klinisch labo en is dit hoofdstuk niet van toepassing in nucleaire geneeskunde

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