Basics Of Quality Management For Nuclear Medicine Practices

A quality health service, as defined by the World Health Organization, ‘is one which organizes resources in the most effective way to meet the health needs of those most in need, for prevention and care, safely, without waste and within higher level requirements’. As health care standards improve globally, providing an optimal service that meets international standards and public expectations requires effective quality management. The process of quality improvement aims at defining, measuring and setting quality standards, and overcoming the associated challenges that include rising costs and skills shortages. The objective of this publication is to provide a framework for quality management systems (QMSs) to be implemented, managed and sustained holistically in nuclear medicine departments. It builds upon the IAEA’s QUANUM program, which has successfully been implemented in more than 80 countries worldwide.

The objective of this publication is to provide a framework for quality management systems (QMSs) to be implemented, managed and sustained holistically in nuclear medicine departments.

Quality management systems are essential and should be maintained with the intent to continuously improve effectiveness and efficiency, enabling nuclear medicine to achieve the expectations of its quality policy, satisfy its customers and improve professionalism. The quality management (QM) audit methodology in nuclear medicine practice, introduced in this publication, is designed to be applied to a variety of economic circumstances. A key outcome is a culture of reviewing all processes of the clinical service for continuous improvement in nuclear medicine practice. Regular quality audits and assessments are vital for modern nuclear medicine services. More importantly, the entire QM and audit process has to be systematic, patient oriented and outcome based. The management of services should also take into account the diversity of nuclear medicine services around the world and multidisciplinary contributions. The latter include clinical, technical, radiopharmaceutical, medical physics and radiation safety procedures.

This publication contains information on the implementation of quality assurance and quality control programmes for measuring radioactivity relating to the practice of nuclear medicine, covering standards at both the end user (clinic) and secondary radioactivity standards laboratory levels. It is based on the QA principles in ISO/IEC 17025 which describes requirements that testing and calibration laboratories must meet to demonstrate that they have a quality system in place and are technically competent.

Quality management (QM) is essential for modern nuclear medicine departments. This publication presents a method of conducting a systematic annual audit process. A key outcome of the QM methodology should be a culture of reviewing essential elements of the clinical service. Each chapter of this publication is set out as a series of questions related to specific components of the nuclear medicine service.

The book covers all the radiation safety aspects while working with unsealed radionuclides. Radiation safety plays a significant role in routine nuclear medicine practices and is necessary to protect occupational workers, patients, members of the general public and the environment. A fair knowledge of radiation safety is expected from all nuclear medicine professionals. Chapters include basics of radiation physics, biological bases of radiation protection, planning and design of nuclear medicine facilities, cyclotron and high dose therapy facilities, radiation safety considerations in nuclear medicine, cyclotron while preparing radiopharmaceuticals. It also includes the working mechanism of radiation detectors, quality assurance of positron emission tomography (PET) and gamma camera, including single photon emission computed tomography (SPECT), emergency preparedness plan, nuclear medicine and CT dosimetry, transport regulations, the role of national regulatory authorities and radioactive waste management. The last chapter provides probable model questions asked in the radiological safety officer certification examination and includes 250 multiple-choice questions (MCQs), 100 true or false, 60 fill in the blanks, and 40 match the following questions. The book is written in a simple language for a better understanding of the occupational workers of any grade. It serves as reference material for nuclear medicine professionals on radiation safety, related to planning, quality assurance, dosimetry and various regulations pertaining to nuclear medicine. It is a ready reckoner for the students pursuing a degree/diploma in nuclear medicine and preparing for certification courses in radiation safety to understand the subject matter along with options to attempt practice questions.

This comprehensive textbook provides a state of the art overview of the means by which quality in patient care is ensured within the field of nuclear medicine. Acknowledged experts in the field cover both management aspects, such as laws, standards, guidelines, patient safety, management instruments, and organisations, and specific issues, including radiation safety and equipment. Quality in Nuclear Medicine not only presents detailed information on the topics discussed but should also stimulate further discussion and offer an important tool to all professionals in the field of nuclear medicine and their stakeholders. Readers will find that the book provides a wealth of excellent guidance and reflects the pioneering role of nuclear medicine in advancing different aspects of quality within medicine.

This new comprehensive resource Medical Quality Management: Theory and Practice addresses the needs of physicians, medical students, and other health care professionals for up to date information about medical quality management. In reviewing the key principles and methods that comprise the current state of medical quality management in U.S. health care, this text provides a concise summary of quality improvement, patient safety and quality measurement methodologies. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Medical imaging is crucial in a variety of medical settings and at all levels of health care. In public health and preventive medicine as well as in both curative and palliative care, effective decisions depend on correct diagnoses. This edition addresses the most current needs and offers guidance on clinical practice, radiation safety and patient protection, human resource development and training required for the overall practice of nuclear medicine.

Quality assurance (QA) is a crucial part of all aspects of nuclear medicine practice. The objective of this publication is to provide professionals in nuclear medicine centers with detailed quality control test procedures for the scintillation camera and computer system. Three types of quality tests are described in detail: acceptance, reference and routine tests for the scintillation camera, both in single and multiple head configurations, for obtaining images and quantitative data in planar imaging mode; whole body imaging mode; and single-photon emission computed tomography (SPECT). The publication is primarily intended to be of use to medical physicists, technologists, and other healthcare professionals who are responsible for ensuring optimal performance of imaging instruments, particularly SPECT systems. It may also be useful to managers, clinicians, and other decision-makers who are responsible for implementing quality assurance and quality control programs in nuclear medicine c