Comprehensive Auditing in Nuclear Medicine Through the International Atomic Energy Agency Quality Management Audits in Nuclear Medicine (QUANUM) Program. Part 1: the QUANUM Program and Methodology.

Autor: Dondi M; Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria. Electronic address: mauriziodondi@yahoo.it., Torres L; Department of Nuclear Medicine, Centro de Investigaciones Clinicas, La Habana, Cuba., Marengo M; Department of Nuclear Medicine, Azienda Ospedaliera S.Orsola-Malpighi, Bologna, Italy., Massardo T; Department of Nuclear Medicine, Hospital Clínico Universidad de Chile, Santiago, Chile., Mishani E; Cyclotron Unit/Nuclear Medicine Department, Hadassah University, Jerusalem, Israel., Van Zyl Ellmann A; Department of Nuclear Medicine, Tigerberg Hospital, Western Cape, South Africa., Solanki K; Department of Nuclear Medicine, Addenbrooke's Hospital, Cambridge, UK., Bischof Delaloye A; Department of Nuclear Medicine, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland., Lobato EE; Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria., Miller RN; Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria., Paez D; Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria., Pascual T; Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria.
Jazyk: angličtina
Zdroj: Seminars in nuclear medicine [Semin Nucl Med] 2017 Nov; Vol. 47 (6), pp. 680-686. Date of Electronic Publication: 2017 Jul 25.
DOI: 10.1053/j.semnuclmed.2017.07.003
Abstrakt: An effective management system that integrates quality management is essential for a modern nuclear medicine practice. The Nuclear Medicine and Diagnostic Imaging Section of the International Atomic Energy Agency (IAEA) has the mission of supporting nuclear medicine practice in low- and middle-income countries and of helping them introduce it in their health-care system, when not yet present. The experience gathered over several years has shown diversified levels of development and varying degrees of quality of practice, among others because of limited professional networking and limited or no opportunities for exchange of experiences. Those findings triggered the development of a program named Quality Management Audits in Nuclear Medicine (QUANUM), aimed at improving the standards of NM practice in low- and middle-income countries to internationally accepted standards through the introduction of a culture of quality management and systematic auditing programs. QUANUM takes into account the diversity of nuclear medicine services around the world and multidisciplinary contributions to the practice. Those contributions include clinical, technical, radiopharmaceutical, and medical physics procedures. Aspects of radiation safety and patient protection are also integral to the process. Such an approach ensures consistency in providing safe services of superior quality to patients. The level of conformance is assessed using standards based on publications of the IAEA and the International Commission on Radiological Protection, and guidelines from scientific societies such as Society of Nuclear Medicine and Molecular Imaging (SNMMI) and European Association of Nuclear Medicine (EANM). Following QUANUM guidelines and by means of a specific assessment tool developed by the IAEA, auditors, both internal and external, will be able to evaluate the level of conformance. Nonconformances will then be prioritized and recommendations will be provided during an exit briefing. The same tool could then be applied to assess any improvement after corrective actions are taken. This is the first comprehensive audit program in nuclear medicine that helps evaluate managerial aspects, safety of patients and workers, clinical practice, and radiopharmacy, and, above all, keeps them under control all together, with the intention of continuous improvement.
(Copyright © 2017. Published by Elsevier Inc.)
Databáze: MEDLINE
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