메뉴 건너뛰기




Volumn 10, Issue 6, 2013, Pages 416-422

Radiology stewardship and quality improvement: The process and costs of implementing a CT radiation dose optimization committee in a medium-sized community hospital system

Author keywords

Dose audit; Joint Commission; patient safety; protocol review; quality improvement

Indexed keywords

ADMINISTRATIVE PERSONNEL; ARTICLE; COMMUNITY HOSPITAL; COMPUTED TOMOGRAPHY DOSE OPTIMIZATION COMMITTEE; COMPUTED TOMOGRAPHY SCANNER; COMPUTER ASSISTED TOMOGRAPHY; CONSULTATION; COST BENEFIT ANALYSIS; E-MAIL; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HOSPITAL PLANNING; HUMAN; IMAGE QUALITY; INTERDISCIPLINARY COMMUNICATION; MAJOR CLINICAL STUDY; MEDICAL PHYSICIST; MEDICAL RECORD REVIEW; ORGANIZATION AND MANAGEMENT; PARTICIPATORY MANAGEMENT; PATIENT SAFETY; PROCESS DEVELOPMENT; RADIATION DOSE; RADIATION EXPOSURE; RADIOLOGIST; RADIOLOGY; RADIOLOGY DEPARTMENT; REFERENCE VALUE; REPEAT PROCEDURE; TOTAL QUALITY MANAGEMENT;

EID: 84878592340     PISSN: 15461440     EISSN: 1558349X     Source Type: Journal    
DOI: 10.1016/j.jacr.2012.12.008     Document Type: Article
Times cited : (35)

References (43)
  • 8
    • 84928097820 scopus 로고    scopus 로고
    • US Nuclear Regulatory Commission Accessed December 22, 2012
    • US Nuclear Regulatory Commission § 20.1003 definitions http://www.nrc.gov/reading-rm/doc-collections/cfr/part020/part020-1003.html Accessed December 22, 2012
    • § 20.1003 Definitions
  • 9
    • 84928097819 scopus 로고    scopus 로고
    • American Association of Physicists in Medicine American Association of Physicists in Medicine College Park, Maryland
    • American Association of Physicists in Medicine AAPM technical report: survey of currently active medical physicists 2012 American Association of Physicists in Medicine College Park, Maryland
    • (2012) AAPM Technical Report: Survey of Currently Active Medical Physicists
  • 10
    • 0028415304 scopus 로고
    • Integrating guidelines with continuous quality improvement: Doing the right thing the right way to achieve the right goals
    • D.C. Kibbe, A.D. Kaluzny, C.P. McLaughlin Integrating guidelines with continuous quality improvement: doing the right thing the right way to achieve the right goals Jt Comm J Qual Improve 20 1994 181 191
    • (1994) Jt Comm J Qual Improve , vol.20 , pp. 181-191
    • Kibbe, D.C.1    Kaluzny, A.D.2    McLaughlin, C.P.3
  • 13
    • 82155186817 scopus 로고    scopus 로고
    • CTDIvol, DLP, and effective dose are excellent measures for use in CT quality improvement
    • R. Smith-Bindman, D.L. Miglioretti CTDIvol, DLP, and effective dose are excellent measures for use in CT quality improvement Radiology 261 2011 999
    • (2011) Radiology , vol.261 , pp. 999
    • Smith-Bindman, R.1    Miglioretti, D.L.2
  • 15
    • 84928097313 scopus 로고    scopus 로고
    • American Society of Radiologic Technologists Accessed October 11, 2012
    • American Society of Radiologic Technologists Radiologic technologist wage and salary survey 2010 http://www.asrtfoundation.org/Media/pdf/HCIAC/R10- WageSalarySurvey.pdf Accessed October 11, 2012
    • Radiologic Technologist Wage and Salary Survey 2010
  • 16
    • 84928096817 scopus 로고    scopus 로고
    • American Association of Physicists in Medicine College Park, Maryland: American Association of Physicists in Medicine
    • American Association of Physicists in Medicine. Professional Information Report, Calendar Years 2009, 2010, and 2011. College Park, Maryland: American Association of Physicists in Medicine.
    • Professional Information Report, Calendar Years 2009, 2010, and 2011
  • 19
  • 21
    • 77955595611 scopus 로고    scopus 로고
    • Radiation dose for routine clinical adult brain CT: Variability on different scanners at one institution
    • T.A. Jaffe, J.K. Hoang, T.T. Yoshizumi, G. Toncheva, C. Lowry, C. Ravin Radiation dose for routine clinical adult brain CT: variability on different scanners at one institution AJR Am J Roentgenol 195 2010 433 438
    • (2010) AJR Am J Roentgenol , vol.195 , pp. 433-438
    • Jaffe, T.A.1    Hoang, J.K.2    Yoshizumi, T.T.3    Toncheva, G.4    Lowry, C.5    Ravin, C.6
  • 22
    • 70349656670 scopus 로고    scopus 로고
    • Radiation dose for body CT protocols: Variability of scanners at one institution
    • T.A. Jaffe, T.T. Yoshizumi, G. Toncheva Radiation dose for body CT protocols: variability of scanners at one institution AJR Am J Roentgenol 193 2009 1141 1147
    • (2009) AJR Am J Roentgenol , vol.193 , pp. 1141-1147
    • Jaffe, T.A.1    Yoshizumi, T.T.2    Toncheva, G.3
  • 25
    • 42449104257 scopus 로고    scopus 로고
    • Low-dose nonenhanced head CT protocol for follow-up evaluation of children with ventriculoperitoneal shunt: Reduction of radiation and effect on image quality
    • DOI 10.3174/ajnr.A0923
    • U.K. Udayasankar, K. Braithwaite, M. Arvaniti Low-dose nonenhanced head CT protocol for follow-up evaluation of children with ventriculoperitoneal shunt: reduction of radiation and effect on image quality AJNR Am J Neuroradiol 29 2008 802 806 (Pubitemid 351571568)
    • (2008) American Journal of Neuroradiology , vol.29 , Issue.4 , pp. 802-806
    • Udayasankar, U.K.1    Braithwaite, K.2    Arvaniti, M.3    Tudorascu, D.4    Small, W.C.5    Little, S.6    Palasis, S.7
  • 26
    • 35349019751 scopus 로고    scopus 로고
    • Radiation dose-reduction strategies for neuroradiology CT protocols
    • DOI 10.3174/ajnr.A0814
    • A.B. Smith, W.P. Dillon, R. Gould, M. Wintermark Radiation dose-reduction strategies for neuroradiology CT protocols AJNR Am J Neuroradiol 28 2007 1628 1632 (Pubitemid 47598129)
    • (2007) American Journal of Neuroradiology , vol.28 , Issue.9 , pp. 1628-1632
    • Smith, A.B.1    Dillon, W.P.2    Gould, R.3    Wintermark, M.4
  • 27
    • 84928095989 scopus 로고    scopus 로고
    • No protocol left behind: Current clinical issues in CT protocols and dosimetry
    • D.J. Staton No protocol left behind: current clinical issues in CT protocols and dosimetry J Am Coll Radiol 8 2011 143 145
    • (2011) J Am Coll Radiol , vol.8 , pp. 143-145
    • Staton, D.J.1
  • 28
    • 33748914094 scopus 로고    scopus 로고
    • Digital repeat analysis; setup and operation
    • DOI 10.1007/s10278-005-8733-1
    • J. Nol, G. Isouard, J. Mirecki Digital repeat analysis: setup and operation J Digit Imaging 19 2006 159 166 (Pubitemid 44426882)
    • (2006) Journal of Digital Imaging , vol.19 , Issue.2 , pp. 159-166
    • Nol, J.1    Isouard, G.2    Mirecki, J.3
  • 29
    • 0032927931 scopus 로고    scopus 로고
    • Techniques for measuring radiographic repeat rates
    • J.M. Kofler, M.L. Mohlke, T.J. Vrieze Techniques for measuring radiographic repeat rates Health Phys 76 1999 191 194 (Pubitemid 29056599)
    • (1999) Health Physics , vol.76 , Issue.2 , pp. 191-194
    • Kofler Jr., J.M.1    Mohlke, M.L.2    Vrieze, T.J.3
  • 31
    • 8844260401 scopus 로고    scopus 로고
    • Traumatic lesions of corpus callosum: Early multidetector CT findings
    • DOI 10.1007/s00234-004-1250-y
    • D. Gadda, L. Carmignani, L. Vannucchi, A. Bindi Traumatic lesions of corpus callosum: early multidetector CT findings Neuroradiology 46 2004 812 816 (Pubitemid 39534608)
    • (2004) Neuroradiology , vol.46 , Issue.10 , pp. 812-816
    • Gadda, D.1    Carmignani, L.2    Vannucchi, L.3    Bindi, A.4
  • 32
    • 84856121118 scopus 로고    scopus 로고
    • Repeat abdominal imaging examinations in a tertiary care hospital
    • I.K. Ip, K.J. Mortele, L.M. Prevedello, R. Khorasani Repeat abdominal imaging examinations in a tertiary care hospital Am J Med 125 2012 155 161
    • (2012) Am J Med , vol.125 , pp. 155-161
    • Ip, I.K.1    Mortele, K.J.2    Prevedello, L.M.3    Khorasani, R.4
  • 33
    • 63849157519 scopus 로고    scopus 로고
    • Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT
    • R.T. Griffey, A. Sodickson Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT AJR Am J Roentgenol 192 2009 887 892
    • (2009) AJR Am J Roentgenol , vol.192 , pp. 887-892
    • Griffey, R.T.1    Sodickson, A.2
  • 35
    • 35349001132 scopus 로고    scopus 로고
    • Overnight preliminary head CT interpretations provided by residents: Locations of misidentified intracranial hemorrhage
    • DOI 10.3174/ajnr.A0653
    • W.M. Strub, J.L. Leach, T. Tomsick, V. Vagal Overnight preliminary head CT interpretations provided by residents: locations of misidentified intracranial hemorrhage AJNR Am J Neuroradiol 28 2007 1679 1682 (Pubitemid 47598139)
    • (2007) American Journal of Neuroradiology , vol.28 , Issue.9 , pp. 1679-1682
    • Strub, W.M.1    Leach, J.L.2    Tomsick, T.3    Vagal, A.4
  • 36
    • 70349898034 scopus 로고    scopus 로고
    • Comparison of image quality and radiation dose between fixed tube current and combined automatic tube current modulation in craniocervical CT angiography
    • E.J. Lee, S.K. Lee, R. Agid, P. Howard, J.M. Bae, K. ter Brugge Comparison of image quality and radiation dose between fixed tube current and combined automatic tube current modulation in craniocervical CT angiography AJNR Am J Neuroradiol 30 2009 1754 1759
    • (2009) AJNR Am J Neuroradiol , vol.30 , pp. 1754-1759
    • Lee, E.J.1    Lee, S.K.2    Agid, R.3    Howard, P.4    Bae, J.M.5    Ter Brugge, K.6
  • 37
    • 84928096148 scopus 로고    scopus 로고
    • Automatic exposure control in CT: Applications and limitations
    • S. Singh, M.K. Kalra, J.H. Thrall, M. Mahesh Automatic exposure control in CT: applications and limitations J Am Coll Radiol 8 2011 446 449
    • (2011) J Am Coll Radiol , vol.8 , pp. 446-449
    • Singh, S.1    Kalra, M.K.2    Thrall, J.H.3    Mahesh, M.4
  • 38
    • 23044432016 scopus 로고    scopus 로고
    • Reducing radiation dose in emergency computed tomography with automatic exposure control techniques
    • DOI 10.1007/s10140-004-0395-7
    • M.K. Kalra, S.M.R. Rizzo, R.A. Novelline Reducing radiation dose in emergency computed tomography with automatic exposure control techniques Emerg Radiol 11 2005 267 274 (Pubitemid 41073928)
    • (2005) Emergency Radiology , vol.11 , Issue.5 , pp. 267-274
    • Kalra, M.K.1    Rizzo, S.M.R.2    Novelline, R.A.3
  • 39
    • 70449135326 scopus 로고    scopus 로고
    • Efficient use of automatic exposure control systems in computed tomography requires correct patient positioning
    • J. Gudjonsdottir, J.R. Svensson, S. Campling, P.C. Brennan, B. Jonsdottir Efficient use of automatic exposure control systems in computed tomography requires correct patient positioning Acta Radiologica 50 2009 1035 1041
    • (2009) Acta Radiologica , vol.50 , pp. 1035-1041
    • Gudjonsdottir, J.1    Svensson, J.R.2    Campling, S.3    Brennan, P.C.4    Jonsdottir, B.5
  • 40
    • 78650025435 scopus 로고    scopus 로고
    • Decreasing the effective radiation dose in pediatric craniofacial CT by changing head position
    • R.A. Didier, A.A. Kuang, D.L. Schwartz, N.R. Selden, D.M. Stevens, D.M. Bardo Decreasing the effective radiation dose in pediatric craniofacial CT by changing head position Pediatr Radiol 40 2010 1910 1917
    • (2010) Pediatr Radiol , vol.40 , pp. 1910-1917
    • Didier, R.A.1    Kuang, A.A.2    Schwartz, D.L.3    Selden, N.R.4    Stevens, D.M.5    Bardo, D.M.6
  • 41
    • 81255184726 scopus 로고    scopus 로고
    • Quality initiatives: CT radiation dose reduction: How to implement change without sacrificing diagnostic quality
    • E.P. Tamm, X.J. Rong, D.D. Cody, R.D. Ernst, N.E. Fitzgerald, V. Kundra Quality initiatives: CT radiation dose reduction: how to implement change without sacrificing diagnostic quality Radiographics 31 2011 1823 1832
    • (2011) Radiographics , vol.31 , pp. 1823-1832
    • Tamm, E.P.1    Rong, X.J.2    Cody, D.D.3    Ernst, R.D.4    Fitzgerald, N.E.5    Kundra, V.6
  • 42
    • 84928096269 scopus 로고    scopus 로고
    • Multidetector CT dose: Clinical practice improvement strategies from a successful optimization program
    • A.B. Wallace, S.K. Goergen, D. Schick, T. Soblusky, D. Jolley Multidetector CT dose: clinical practice improvement strategies from a successful optimization program J Am Coll Radiol 7 2010 614 624
    • (2010) J Am Coll Radiol , vol.7 , pp. 614-624
    • Wallace, A.B.1    Goergen, S.K.2    Schick, D.3    Soblusky, T.4    Jolley, D.5
  • 43
    • 58549116557 scopus 로고    scopus 로고
    • IT tools will be critical in helping reduce radiation exposure from medical imaging
    • L.M. Prevedello, A.D. Sodickson, K.P. Andriole, R. Khorasani IT tools will be critical in helping reduce radiation exposure from medical imaging J Am Coll Radiol 6 2009 125 126
    • (2009) J Am Coll Radiol , vol.6 , pp. 125-126
    • Prevedello, L.M.1    Sodickson, A.D.2    Andriole, K.P.3    Khorasani, R.4


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.