Carolyn Costigan and Andrea Shemilt Nottingham University Hospitals NHS Trust
|
|
|
- Antony Martin
- 5 years ago
- Views:
Transcription
1 Carolyn Costigan and Andrea Shemilt Nottingham University Hospitals NHS Trust
2 Why we are vigilant about radiation About R&DISU Streamlining research processes involving imaging and radiation Supporting a large portfolio of trials The future implications of a single approval
3
4 Ionising radiation is used in The risks may be short term Or years in the future CT scans X-rays Nuclear medicine Radiotherapy Bone scans Some surgeries Radiotherapy side effects Skin burns from cardiology procedures Induction of solid tumours (10+ years) Induction of leukaemia (2+ years)
5 procedure Effective radiation dose CT abdomen pelvis 10mSv 1 in 2000 CT chest 8mSv 1 in 2500 Risk of inducing fatal cancer CT brain 2mSv 1 in Skull x-ray 0.07mSv 1 in Chest x-ray 0.02mSv 1 in Dental x-ray <0.01mSv 1 in a few million For comparison, we are all exposed to background radiation from day to day living around 2-3mSv per year. Our existing risk of dying of cancer is 1 in 4. Our existing risk of getting cancer is 1 in 2. Source: Patient dose information, Public Health England
6 Approval of research involving ionising radiation, NRES Ionising radiation (medical exposures) regulations, 2000.
7 proportionate response to risk informed consent in research participation
8 Radiation governance IRMER approval Technical capability Capacity Costings
9 Radiation governance What exposures are planned? Does the PIS articulate them properly? Does the R&D form match the protocol? Is the radiation risk described in the PIS? Which exposures are standard care? Which are additional? What is the patient prognosis?
10 IRMER The risk vs benefit of the radiation exposures must be justified by a Practitioner a radiologist or other expert. This person takes legal responsibility to authorise the exposures at the research site in question. Ionising radiations (medical exposures) regulations, Statutory instrument 2000 No. 1059
11 capability Do we have the equipment and skills to do these procedures? Specialised staff for procedures Specialised coils for MRI High performance CTs Availability of Radioisotopes for Nuclear medicine
12 capacity Do we have the staffing and the appointment slots to carry out the work? Are the scans time sensitive or scanner specific?
13 costings The actual procedures and Image reporting Image transfer Even routine imaging may need extra reporting for research, and this needs to be costed for.
14
15 The Research and Development Imaging Support Unit (R&DISU) was funded by the Trent Comprehensive Local Research Network to Support the Trust in improving approval times for studies involving radiation and/or imaging Facilitate the growth of imaging and radiation related research Streamline the Imaging- and Radiation- based research authorisation and operation
16 By being a contact point for information By running teaching and outreach sessions By having staffing rotas to ensure coverage of services By developing robust systems and tools for approvals and management of research imaging and radiation exposures By building relationships with support departments and developing links with different staff groups
17 number of portfolio studies approved Total portfolio studies Around 25% of studies have radiation
18 1 whole-time equivalent Medical Physics Expert 0.75 Principal research radiographer 2x 0.5 Research radiographers 1 administrator
19
20 Pre-trial support: feasibility meetings Checking radiation and imaging aspects of trials Help departments follow the research imaging protocol correctly Image anonymisation and transfer Ongoing support: amendments
21
22 Centralised hub Local staff with specialist knowledge Robust and consistent delivery R&DISU toolkit
23 Pre-trial feasibility checklist One mailbox to reach R&DISU staff and to allow us to direct enquiries and applications appropriately Required document set for applications Bespoke database to track our applications Radiation governance checklist Imaging authorisation form Specialist staff: research radiographers Imaging protocols spreadsheet for support departments
24 Giving support departments ownership of their research exposures: Write and use their own research procedures parallel processing of trials by R&DISU and the support department in question This means higher quality and safer research imaging.
25
26
27 Application Documents R&D form (or IRAS form or REC form) Protocol Participant information sheet Site specific information form Imaging authorisation form Any other documents (eg imaging manual)
28 All trials submitted to R&DISU are entered on our database
29 We scrutinise the documents and send out to support department (s) for authorisation
30 Research radiographer directs the documents to Superintendent Radiographers for capacity and technical capability Radiologists for clinical acceptability, reporting capacity and IR(ME)R Radiology business manager to check costs and inform future workload
31 place a request for trial exposures
32
33 The Administration of Radioactive Substances Advisory Committee (ARSAC) requires that any procedure involving radioactive materials be pre-authorised by them. ARSAC certificates Standard of care Research ARSAC certificates Additional procedures
34 Nuclear medicine bone scans MUGA (cardiac ejection fraction) Radium treatments I 131 therapy Iridium wire Any kind of brachytherapy GFR (glomular filtration rate)
35 IRAS dataset section B part 3 question A Research ARSAC application Authorisation of procedures at the specific site IRAS section B part 3 question A needs to have the worst case scenario for the number of procedures, so that all possible administrations are covered by the research ARSAC certificate.
36
37 ARSAC certificates are location-specific Clinician-specific Procedure-specific Issued for a specific number of patients Issued for a specific timeframe
38
39 Providing copies of images or exams that have been de-identified Image copy requests are received via our R&DISU mailbox Our staff download the images from PACS and anonymise them Delivery is via CD, DVD or secure file upload
40 DICOM images contain hidden identifiers Specialist programmes can clean and reidentify images. These may then be exported to CD or uploaded via web based secure sftp. Simply ticking the anonymise button on a workstation isn t enough
41 Target 10 working days (soon to be 5) How do we do this? Daily trial review meetings Bi monthly meetings with R&I What are our pinch points? Staffing we are a small team ARSACS Equipment replacement and capacity issues
42
43 The HRA pilot of a central scrutiny system intends to raise standards of trial documentation and reduce the need for local rebuttal. Guardians Central MPE and CRE Local review Identify radiation content of trials Collect other relevant information (eg prognosis) Use this information to complete IRAS form Articulate radiation risk on the PIS With a much lighter touch than before
44 Why we are vigilant about radiation About R&DISU Streamlining research processes involving imaging and radiation Supporting a large portfolio of trials The future implications of a single approval
45 Andrea Shemilt Carolyn Costigan Nottingham University Hospitals NHS Trust
Generic risk statements regarding ionising radiation for MPE and CRE statements in the IRAS application form and Participant Information Sheets
Generic risk statements regarding ionising radiation for MPE and CRE statements in the IRAS application form and Participant s Please note that this document is intended for consultation in use. Feedback
Radiation Assurance Research Exposure Form
Radiation Assurance Research Exposure Form F1: To be completed by the applicant This section is to be completed by the applicant before submission of the application for Radiation Assurance. The HRA will
Integrated Research Application System (IRAS)
Integrated Research Application System (IRAS) Question specific guidance Part B Section 3 Exposure to ionising radiation The following document collates all guidance for the questions in Part B: Section
Online Form. Welcome to the Integrated Research Application System. IRAS Project Filter
Welcome to the Integrated Research Application System IRAS Project Filter The integrated dataset required for your project will be created from the answers you give to the following questions. The system
Radiology. General radiology department. X-ray
The radiology directorate provides a diagnostic, interventional and therapeutic service for its local population, and a tertiary service for the region. It also provides support to some national work such
Appendix I. List of stakeholders consulted with on the Patient Radiation Protection Manual and members of the Medical Exposure Radiation Unit
References References The accuracy, quality and relevance of these works are not guaranteed or uniform and more recent information may have superseded these works. This list is not exhaustive. It does
The checklist for the use of Ionising Radiation in Primary Dental Care. Not fully compliant
The checklist for the use of Ionising Radiation in Primary Dental Care Health and Safety Executive (HSE) 1 The practice has registered with the HSE that radiographic equipment is being used on the premise
BRITISH SOCIETY OF DENTAL AND MAXILLOFACIAL RADIOLOGY CORE CURRICULA IN DENTAL RADIOGRAPHY AND RADIOLOGY FOR THE DENTAL TEAM
BRITISH SOCIETY OF DENTAL AND MAXILLOFACIAL RADIOLOGY CORE CURRICULA IN DENTAL RADIOGRAPHY AND RADIOLOGY FOR THE DENTAL TEAM 2015 0 INTRODUCTION The original core curriculum in Dental Radiography and Radiology
RSC Approval of CHR Studies Involving Radiation Exposure to Human Subjects
RSC Approval of CHR Studies Involving Radiation Exposure to Human Subjects NOTE: Any questions may be directed to the Technical Committees Coordinator or EH&S Radiation Safety at chr.rsc.coordinator@ucsf.edu
IRMER Ionising Radiation Medical Exposure Regulations
IRMER Ionising Radiation Medical Exposure Regulations Download for information at www.scottishdental.org IONISING RADIATION (MEDICAL EXPOSURE ) REGULATION 2000 (as Amended) (IR(ME)R AN EXPLANATION GUIDE
making a referral for breast imaging Standard Operating Procedure
Document Control Title Reporting Radiographer Author Directorate Surgery Date Version Issued 0.1 May 2016 Status Draft Author s job title Reporting Radiographer Department Breast Imaging Comment / Changes
Document Control Report
Document Control Report Title Recording Clinical Evaluation and Dose - IR(ME)R 2000 Standard Operating Procedure Author Gill Kite Author s job title Senior Radiographer Directorate Sub-directorate Department
Information and Guidance
Health and Safety Executive (HSE) 1 The practice has registered with the HSE that radiographic equipment is being used on the premise and confirmed compliance with IRR17 by 5/2/2018. 2 HSE have confirmed
Hybrid imaging guidance on legislative, reporting and training aspects
Hybrid imaging guidance on legislative, reporting and training aspects The Royal College of Radiologists Royal College of Physicians of London Royal College of Physicians and Surgeons of Glasgow Royal
Suspected CANcer (SCAN) Pathway Information for patients
Suspected CANcer (SCAN) Pathway Information for patients page 2 Your GP has advised you may benefit from investigation via the SCAN pathway. The SCAN pathway is part of a national programme called ACE
Health and Safety Policy Arrangements: Radiation Protection Guidelines
Health and Safety Policy Arrangements: Radiation Protection Guidelines Author: Dr N. Sarrami Date of Approval: 12//2010 Due Review Date: 12//2012 1 Radiation Protection Guidelines CONTENTS Section Section
IONISING RADIATION POLICY (for the Safe Use of)
IONISING RADIATION POLICY (for the Safe Use of) Document Author Written By: Radiation Medical Expert Authorised Authorised By: Chief Executive Date: 1 April 2015 Date: 5 October 2015 Lead Director: Consultant
On successful completion of the Unit the learner will be able to:
Higher National Unit specification General information Unit code: H9R8 34 Superclass: PF Publication date: September 2015 Source: Scottish Qualifications Authority Version: 03 Unit purpose This Unit is
Managing Patient Dose in Computed Tomography (CT) INTERNATIONAL COMMISSION ON RADIOLOGICAL PROTECTION
Managing Patient Dose in Computed Tomography (CT) International Commission on Radiological Protection Information abstracted from ICRP Publication 87 Available at www.icrp.org Task Group: M.M. Rehani,
IONISING RADIATION REGULATIONS 99
IONISING RADIATION REGULATIONS 99 & IRMER IONISING RADIATION MEDICAL EXPOSURE REGULATIONS BARBARA LAMB Specialist Radiographer Dental and maxillofacial radiography BarbaraHLamb@googlemail.com 07775994424
Trust Policy 218 Ionising Radiation Safety Policy
Trust Policy 218 Ionising Radiation Safety Policy Purpose Date Version August 2016 7 To ensure that Plymouth Hospitals NHS Trust complies with all relevant legislation with regard to the use of ionising
Managing Patient Dose in Computed Tomography (CT)
Managing Patient Dose in Computed Tomography (CT) International Commission on Radiological Protection Information abstracted from ICRP Publication 87 Available at www.icrp.org Task Group: M.M. Rehani,
MAKING THE BEST USE OF CLINICAL RADIOLOGY SERVICES. Dr Martina Paetzel Consultant Radiologist
MAKING THE BEST USE OF CLINICAL RADIOLOGY SERVICES Dr Martina Paetzel Consultant Radiologist LEARNING OBJECTIVES To be aware of guidelines regulating ionising radiation & radiation dose To introduce how
Ionising Radiation Policy
Document Author Written By: Radiation Protection Adviser Authorised Authorised By: Chief Executive Date: 24/08/2018 Date: 22 nd vember 2018 Lead Director: Consultant Radiologist Effective Date: 22 nd vember
RADIATION SAFETY POLICY. Controlled Document Number: Version Number: 3 Controlled Document Sponsor: Controlled Document Lead: Approved By:
RADIATION SAFETY POLICY CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: PURPOSE Controlled Document Number: Version Number: 3 Controlled Document Sponsor: Controlled Document Lead: Approved By: Policy Health
Proposed Radiation Safety Regulations: Submission form
Proposed Radiation Safety Regulations: Submission form Making a submission This form is designed to assist submitters responding to the discussion points in Proposed Radiation Safety Regulations: A consultation
Having a V/Q scan or CTPA scan of your lungs whilst pregnant
Having a V/Q scan or CTPA scan of your lungs whilst pregnant Department of Radiology Information for Patients i Radiology Leaflet No. 93 University Hospitals of Leicester NHS Trust Introduction This leaflet
created by high-voltage devices Examples include medical and dental x-rays, light, microwaves and nuclear energy
What is radiation? Radiation is energy emitted from a source, that travels through space and can penetrate matter. Listed below are two types that we are exposed to and contribute to our overall radiation
Page 1 of 5 Patient Safety: Radiation Dose in X-Ray and CT Exams What are x-rays and what do they do? X-rays are forms of radiant energy, like light or radio waves. Unlike light, x-rays can penetrate the
organizations including the International Commission on Radiation Protection exposure dose management system to all the studies and
Background & Purpose Background Purpose As Through radiation this exposure research, in the we medical intend field to increases systematically worldwide, record efforts and are under manage way the to
X-rays How safe are they?
X-rays How safe are they? Patient information Thirty years ago, X-rays were the only way to see what was going on inside your body. Now other methods of medical imaging are available, some using different
11. NATIONAL DAFNE CLINICAL AND RESEARCH DATABASE
11. NATIONAL DAFNE CLINICAL AND RESEARCH DATABASE The National DAFNE Clinical and Research database was set up as part of the DAFNE QA programme (refer to section 12) to facilitate Audit and was updated
SUMMARY AND EXTRACTS FROM THE 2010 GUIDANCE ON THE SAFE USE OF DENTAL CONE BEAM CT (COMPUTED TOMOGRAPHY) EQUIPMENT
SUMMARY AND EXTRACTS FROM THE 2010 GUIDANCE ON THE SAFE USE OF DENTAL CONE BEAM CT (COMPUTED TOMOGRAPHY) EQUIPMENT The use of dental CBCT equipment must comply with all the regulations (IRR99 and IR(ME)R2000)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM)
SELF ASSESSMENT REPORT (MULTI-DISCIPLINARY TEAM) Network Trust MDT MDT Lead Clinician GMCN ROYAL WOLVERHAMPTON HOSPITALS The Royal Wolverhampton Hospitals Trust Lung MDT (11-2C-1) - 2011/12 Dr Angela Morgan
Stereotactic Radiotherapy for Acoustic Neuromas (CyberKnife) UHB is a no smoking Trust
Stereotactic Radiotherapy for Acoustic Neuromas (CyberKnife) UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Patti Edwards, Senior Radiographer, West Herts Hospitals, UK. February Radiation Safety
Patti Edwards, Senior Radiographer, West Herts Hospitals, UK. February 2008. Radiation Safety Sub -headings Background Radiation Effects of Radiation Safe Levels Effective Doses ALARA Principle Radiation
About Cancer Research UK
Cancer Research UK submission to the National Assembly for Wales Health and Social Care Committee inquiry into access to medical technologies October 2013 About Cancer Research UK Every year around 300,000
to improve the collection and publication of data on chemotherapy activity, outcomes and costs, the chemotherapy dataset will be introduced
6.19... to improve the collection and publication of data on chemotherapy activity, outcomes and costs, the chemotherapy dataset will be introduced in April 2012 and this should provide commissioners,
Goals and Objectives MRI (First Year)
Goals and Objectives MRI (First Year) 1. Protocol cases, in consultation with the attending, to assure that the MRI 2. Describe basic physics concepts used in generating clinical MR images and identify
Impact of PACS on Dictation Turnaround Time and Productivity
Impact of PACS on Dictation Turnaround Time and Productivity Luigi Lepanto, M.D., 1 Guy Paré, Ph.D., 2 David Aubry, M.Sc., 2 Pierre Robillard, M.D., 1 and Jacques Lesage, M.D. 1 This study was conducted
IPEM Recommendations for the Provision of a Physics Service to Radiotherapy
Institute of Physics and Engineering in Medicine IPEM Recommendations for the Provision of a Physics Service to Radiotherapy 1. Introduction This document reflects the impact of the technological, medical
Enhancing the Quality of Heart Failure Care
Enhancing the Quality of Heart Failure Care 2 Enhancing the quality of Heart Failure care Contents 2 Heart failure care in the UK: Case for change Heart failure in the UK: Case for change Heart failure
Stereotactic Ablative Body Radiotherapy for Spinal Metastases using CyberKnife UHB is a no smoking Trust
Stereotactic Ablative Body Radiotherapy for Spinal Metastases using CyberKnife UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Step by Step Guidance on how to Conduct a Clinical Audit in. Dental Radiography Core Subject
Step by Step Guidance on how to Conduct a Clinical Audit in Dental Radiography Core Subject Aims: To describe the purpose of a clinical audit and its importance as part of a good practice quality assurance
Code of Practice for Radiation Protection in Dentistry. Code of Practice For Radiation Protection in Dentistry
Code of Practice for Radiation Protection in Dentistry Code of Practice For Radiation Protection in Dentistry 10 OCTOBER 2017 CONTENTS 1. INTRODUCTION... 3 1.0 CITATION... 3 1.1 BACKGROUND... 3 1.2 PURPOSE
Diagnostic Reference Levels (DRLs)
Section 7 Diagnostic Reference Levels (DRLs) Establishment and Use of Diagnostic Reference Levels (DRLs) The National Radiation Safety Committee (NRSC), established in November 2007, is a statutory committee
RPR 48B. APPLICATION TO USE DIAGNOSTIC EXTERNAL RADIATION IN HUMAN RESEARCH STUDIES
RPR 48B. APPLICATION TO USE DIAGNOSTIC EXTERNAL RADIATION IN HUMAN RESEARCH STUDIES HUMAN USE SUBCOMMITTEE OF THE RADIATION SAFETY COMMITTEE UNIVERSITY OF UTAH HEALTH SCIENCES CENTER SALT LAKE CITY, UT
Trust Guideline for the inclusion of women at High Risk of Breast Cancer in the NHS Breast Screening Programme
Trust Guideline for the inclusion of women at High Risk of Breast Cancer in the NHS Breast Screening Programme For Use in: By: For: Division responsible for document: Key words: Name and job title of document
Facing the challenges: IAEA activities to protect the patients
Facing the challenges: IAEA activities to protect the patients Debbie Gilley Radiation Protection of Patients Radiation Safety and Monitoring Section Division of Radiation, Transport and Waste Safety 18
NA-019 LEVEL 3 QUALIFICATION RECOGNITION FOR AS3669 AND EN 4179 / NAS 410
NA-019 LEVEL 3 QUALIFICATION RECOGNITION FOR AS3669 AND EN 4179 / NAS 410 Initial Qualification Recognition This procedure describes how the NANDTB recognises NDT Level 3 personnel qualifications as meeting
Scans in Neurofibromatosis
Scans in Neurofibromatosis A scan creates an image or picture of internal organs of the body such as bone or soft tissue. Scans are used by doctors to help to identify the cause of your symptoms. Your
Streamlining the lung diagnostic pathway (A87)
Streamlining the lung diagnostic pathway (A87) Crawley CCG with Surrey and Sussex Healthcare NHS Trust Evaluation January 2017 Summary A new Straight-to-CT pathway for patients with an abnormal CXR result
However, the time taken to reach the diagnosis is just as crucial for quality of care.
Oxfordshire Clinical Commissioning Group Cancer referrals new lung pathway GPs are in the front line for referrals. The 2015 NICE cancer guidelines were altered to reduce the threshold for making referrals
MAKING THE BEST USE OF CLINICAL RADIOLOGY SERVICES. Dr Martina Paetzel Consultant Radiologist
MAKING THE BEST USE OF CLINICAL RADIOLOGY SERVICES Dr Martina Paetzel Consultant Radiologist LEARNING OBJECTIVES To be aware of guidelines regulating ionising radiation & radiation dose To introduce how
Reporting of Errors. Linda Harvey Quality Manager UCLH 28 th September 2012
Reporting of Errors Linda Harvey Quality Manager UCLH 28 th September 2012 Joint meeting of the British Institute of Radiology, the College of Radiographers and The Royal College of Radiologists Faculty
Cardiology Department. Clinical Governance
Cardiology Department Clinical Governance Background Cardiology department has a high throughput of emergency and elective patients Two acute sites CAH and DHH Cardiac investigation department provides
Recommended Standards in ECG Gated Cardiac CT Training: British Society of Cardiac Imaging (BSCI)
President: Dr Roger Bury Secretary: Dr Mark Hamilton Treasurer: Dr Giles Roditi www.bsci.org.uk Recommended Standards in ECG Gated Cardiac CT Training: British Society of Cardiac Imaging (BSCI) Background
Imaging Department Investigative procedure information leaflet Percutaneous biopsy of Lung (CT guided)
Imaging Department Investigative procedure information leaflet Name of procedure: Percutaneous biopsy of Lung (CT guided) It has been recommended you have a biopsy of your lung using CT (computerised tomography,
A Guide to IR(ME)R for Referrers
A Guide to IR(ME)R for Referrers Ionising Radiation (Medical Exposure) Regulations 2017 IR(ME)R Radiology Department Information for Staff 1 The Ionising Radiation (Medical Exposures) Regulations 2017
DEEP INSPIRATION BREATH HOLD (DIBH)
DEEP INSPIRATION BREATH HOLD (DIBH) BREAST CANCER IS THE MOST FREQUENTLY DIAGNOSED CANCER AMONGST FEMALES IN THE WORLD WITH AN ESTIMATED 1.7 MILLION CASES A YEAR 1 References 1. Torre, L. A., Bray, F.,
Network Trauma CT Protocol (Adults)
SOUTH YORKSHIRE MAJOR TRAUMA OPERATIONAL DELIVERY NETWORK Network Trauma CT Protocol (Adults) This Guideline is in accordance with the National Trauma Peer Review Measures - ODN T16-1C-107 TU T16-2B-311
Having a Computerised Tomography (CT) scan
The Clatterbridge Cancer Centre NHS Foundation Trust Having a Computerised Tomography (CT) scan Imaging A guide for patients and carers Contents What is a CT scanner?... 1 Why do I need a CT scan?... 1
Stereotactic radiotherapy for meningiomas using CyberKnife
Stereotactic radiotherapy for meningiomas using CyberKnife Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Ionising Radiation Policy
Ionising Radiation Policy CONTENTS 1. University Policy. 2. Procedures / Guidance. 2.1 Responsibilities of the Deans of Schools and/or Heads of Departments 2.2 Radiation Protection Advisor / Radiation
dysect FAQ CT Technologist FAQs
401 Washington Avenue Suite 1010 Towson, Maryland 21204 Tel +1 (410) 583.0680 Fax +1 (410) 583.0696 info@dejarnette.com dysect FAQ CT Technologist FAQs What will be different with the DICOM modality worklist
MS GA 301 MRI Training
MS GA 301 MRI Training Jennifer L. Cox, Ph.D. Director, Translational Research Unit Buffalo Neuroimaging Analysis Center Research Assistant Professor of Neurology State University of New York at Buffalo
Evening session 1 Stakeholder platform opportunity 18:30-20:00 IAEA International Atomic Energy Agency
Evening session 1 Stakeholder platform opportunity 18:30-20:00 IAEA International Atomic Energy Agency Evening session 1 1. Foster dialogue between various stakeholders to deepen discussion on points of
Radiation Dose in X-Ray and CT Exams
Scan for mobile link. Patient Safety: Radiation Dose in X-Ray and CT Exams What are x-rays and what do they do? X-rays are forms of radiant energy, like light or radio waves. Unlike light, x-rays can penetrate
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM)
PEER REVIEW VISIT REPORT (MULTI-DISCIPLINARY TEAM) Regional Trauma Network Trauma Centre Trauma Service RMTN Network Organisation Measures (T13-1C-1) - 2013/14 Peer Review Visit Date 29th April 2014 Compliance
Volume 14 - Issue 4, Management Matrix
Volume 14 - Issue 4, 2014 - Management Matrix The Modern Radiology Department Prof. Christoph Becker ******@***hcuge.ch R -?pitaux Universitaires Key Points A central, integrated radiology department offers
Biologic Effects of Diagnostic Imaging Modalities
Biologic Effects of Diagnostic Imaging Modalities Gerald R. Aben, MD FACR Department of Radiology College of Osteopathic Medicine 6/12/2012 DEPARTMENT OF RADIOLOGY 1 Biologic Effects 6/12/2012 DEPARTMENT
Ionising Radiation Safety Type: Policy Register No: Status: Public. For compliance with the Ionising Radiations Regulations 1999
Ionising Radiation Safety Type: Policy Register : 14022 Status: Public Developed in response to: Contributes to CCQ Core Outcome 4 For compliance with the Ionising Radiations Regulations 1999 Consulted
OTRF Athletic Trainer Residency Program Description and Curriculum
OTRF Athletic Trainer Residency Program Description and Curriculum The Orthopaedic Surgery and Sports Medicine Teaching and Research Foundation (OTRF) residency program for athletic trainers is an educational
NONE. Disclosures. Accreditation Update
ACR Ultrasound Accreditation: Requirements and Pitfalls Presented to: American Association of Physicists in Medicine Presented by: Jennifer Walter RDMS,RVT, RT(R) ACR Quality & Safety August 03, 2016 Disclosures
Department of Radiology
DUKE UNIVERSITY HEALTH SYSTEM Duke University Hospital Department of Radiology Policies and Procedures Name: MRI Screening of Patients and Other Individuals Effective Date: 03/2017 Review / Revision History:
Medical Diagnostic Imaging
Medical Diagnostic Imaging Laboratories Medical Diagnostic Imaging Lab Name Location Person in Charge Programs Served Courses Served Patient Care and Management (2) Introduction to MDI Radiographic Technique
Conducting Research Involving Medical Imaging
Conducting Research Involving Medical Imaging J. Keith Smith, MD, PhD Terry Hartman, MPH, MS, CCRC Angela Creighton, MBA April 19, 2018 Objectives Summarize the risks of medical imaging involving ionizing
RADIATION PROTECTION INSTITUTE GHANA ATOMIC ENERGY COMMISSION P. O. BOX LG 80, LEGON ACCRA. PROSPECTUS FOR
RADIATION PROTECTION INSTITUTE GHANA ATOMIC ENERGY COMMISSION P. O. BOX LG 80, LEGON ACCRA. PROSPECTUS FOR NATIONAL TRAINING COURSE ON RADIATION PROTECTION AND SAFETY FOR RADIOGRAPHERS AND X-RAY TECHNICIANS,
Case Studies. Any other questions? medicom.us
Case Studies Radiology Group Uses Medicom to Replace Cumbersome Cloud to Efficiently Send Imaging Studies to Referring Physicians Location: Florida, United States Business Challenge: Referring physicians
ONTARIO BEST PRACTICE GUIDELINES FOR MANAGING THE FLOW OF PATIENTS REQUIRING AN MRI OR CT EXAMINATION. Effective as of May 28, 2009
ONTARIO BEST PRACTICE GUIDELINES FOR MANAGING THE FLOW OF PATIENTS REQUIRING AN MRI OR CT EXAMINATION Effective as of May 28, 2009 This document was developed to assist radiologists, medical radiation
ST3 ST4 ST5 ST6 ST7 ALS
2010 Cardiology (amendments 2016) ARCP Decision Aid The table that follows includes a column for each training year which documents the targets that have to be achieved for a ARCP outcome at the end of
Veterans Health Administration Patient Record Access and Ownership
Veterans Health Administration Patient Record Access and Ownership Neil C. Evans, MD Chief Officer, Office of Connected Care Veterans Health Administration 1 Ownership? 2 VA s Connected Care Vision Access
The European Board of Urology
Page 1 of 15 The European Board of Urology Sub-specialty certification application: Prostate cancer, A - General information A1 - APPLICATION IDENTIFICATION 1a. Application code blank 1b. EBU internal
Introduction to Health Care & Careers. Chapter 22. Answers to Checkpoint and Review Questions
Introduction to Health Care & Careers Chapter 22 Answers to Checkpoint and Review Questions Checkpoints 1. What education and training are needed to become a cardiographic technician? Cardiographic technicians
CT Quality Control Manual FAQs
CT Quality Control Manual FAQs General Question: How often will the QC Manual be updated and how will those updates be communicated? Answer: The ACR CT Physics Subcommittee will review any comments, issues
PATIENT INFORMATION SHEET. BIOPROP20: Biologically optimised IMRT for Prostate Radiotherapy
PATIENT INFORMATION SHEET BIOPROP20: Biologically optimised IMRT for Prostate Radiotherapy Hypofractionated radiotherapy with intra-prostatic boosts to tumour nodules in men with intermediate and high
Application for Ethical Approval of Research Proposals
Application for Ethical Approval of Research Proposals Title of Research Researcher s Name Trinity Email Address Supervisor Name (if applicable) Supervisor Email (if applicable) Category of Proposer (please
Radiation Units and Dosimetry 15 August Kalpana M. Kanal, Ph.D., DABR 1
Introduction Radiation Units and Dosimetry Radiation dose quantities are used as indicators of the risk of biologic damage to patients from x-rays and thus a good knowledge of the different dose parameters
Performers List Validation by Experience (PLVE) NHS Performers List Applications. Competency Evidence Checklist
Performers List Validation by Experience (PLVE) HS Performers List Applications Evidence Checklist 1 Domain Professionalism P01 P02 P03 Have an up to date Personal Development Plan (PDP) indicating professional
Managing Radiation Risk in Pediatric CT Imaging
Managing Radiation Risk in Pediatric CT Imaging Mahadevappa Mahesh, MS, PhD, FAAPM, FACR, FACMP, FSCCT. Professor of Radiology and Cardiology Johns Hopkins University School of Medicine Chief Physicist
Brachytherapy. What is brachytherapy and how is it used?
Scan for mobile link. Brachytherapy Brachytherapy places radioactive sources inside the patient on a temporary or permanent basis to damage cancer cells DNA and destroy their ability to divide and grow.
Clinical Trial Credentialing:
IROC Mission Clinical Trial Credentialing: Provide integrated radiation oncology and diagnostic Where imaging to Start quality and control programs in support of the NCI s NCTN Network thereby Resources
Having CT Enterography Information for Patients
Having CT Enterography Information for Patients In this leaflet: Introduction 2 What is CT Enterography?.....2 How does it work?. 2 Are there any risks?.3 Are there any alternatives to CT Enterography?..3
Cardiac CT Course Part A First step towards level 2 SCCT registration
29 September 2 October 2016 Philips Customer Education Center Business Central Towers, Dubai Internet City, Sheikh Zayed Road, Dubai, UAE The use of Multi-Detector CT (MDCT) in the diagnosis of various
National Cancer Peer Review Programme
National Cancer Peer Review Programme Julia Hill Acting Deputy National Co-ordinator What is Cancer Peer Review? A quality assurance process for cancer services. An integral part of Improving Outcomes
Guided learning hours It is recommended that 15 hours should be allocated for this unit, although patterns of delivery are likely to vary.
Level: 3 Credit value: 4 UAN number: H/502/7503 Unit aim The aim of this unit is to understand current radiography legislation including the principles and techniques of taking and processing radiographs.
ClinicalTrials.gov a programmer s perspective
PhUSE 2009, Basel ClinicalTrials.gov a programmer s perspective Ralf Minkenberg Boehringer Ingelheim Pharma GmbH & Co. KG PhUSE 2009, Basel 1 Agenda ClinicalTrials.gov Basic Results disclosure Initial
A real-time interactive pulmonary nodule analysis system
Clinical applications A real-time interactive pulmonary nodule analysis system E.J.R. van Beek B.F. Mullan B.H.Thomson Department of Radiology, Carver College of Medicine, University of Iowa, Iowa City,
Questions for ionising radiation applications
Questions for ionising radiation applications Note from HSE November 2017 This document represents a near-final draft of the questions that HSE will be asking those who apply via the graded approach online
Information for patients having an isotope kidney (renal) scan (also known as a DMSA scan)
Information for patients having an isotope kidney (renal) scan (also known as a DMSA scan) The leaflet tells you about having an isotope kidney (renal) scan. It is also known as a DMSA scan. It explains