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