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Changes: The Latest Revisions To The ICANL Standards


from the September 2007 issue

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Areas that may be assessed include but are not limited to:

i. Appropriateness of procedures
ii. Scheduling back logs
iii. Patient wait times
iv. Accuracy of patient information during scheduling
v. Late reports
vi. Time from completion of procedure to distribution of final report
vii. Patient satisfaction
viii. Referring physician satisfaction

C2.1.2 Technical Quality: to assess and improve the technical quality of the images and procedures being performed.

Areas that may be assessed include but are not limited to:

i. Completeness of documentation
ii. Image quality
iii. Reproducibility of processed images and/or quantitative results
iv. Image display/labeling
v. Radiopharmaceutical administration errors
vi. Radioactive spills
vii. Pharmaceutical/radiopharmaceutical adverse effects documentation
viii. Patient satisfaction

C2.1.3 Physician Performance: to assess and improve the performance of physicians regarding the quality of medical practice (such as report accuracy, appropriateness of care, effectiveness of radionuclide therapies) and physician behaviors (communication and professionalism).

Areas that may be assessed include but are not limited to:

i. Interobserver agreement (peer review)
ii. Correlation of interpretation with other diagnostic studies, pathology/surgical results and/or patient outcomes
iii. Time from completion of procedure to distribution of final report
iv. Referring physician satisfaction
v. Patient satisfaction
vi. Correlation of intended therapeutic effects with patient response to therapy

The section on Quality Improvement Meetings was expanded to provide more details, including a requirement for the frequency with which the meetings must occur.

SECTION C3 - QUALITY IMPROVEMENT MEETINGS

C3.1 All personnel assessed in the quality improvement program must participate in periodic facility meetings to review findings and determine actions for improvement of performance. At a minimum, these meetings must occur at least every six months.

C3.2 All personnel must be included in periodic facility meetings to provide in-service education containing relevant topics. Topics should include safety procedures, technical information, and improvements to be made based on quality assessments and other information.

SELECTED BIBLIOGRAPHY

Updates were made to the sources referenced within the Bibliography. It is important to note that the Bibliography is an integral component of the ICANL Standards. Since the inception of the ICANL accreditation process, the standards and guidelines have been based upon published literature, primarily from the sponsoring organizations. Laboratories in search of more detailed information related to the ICANL Standards are encouraged to reference the Bibliography.

IN CONCLUSION

The ICANL looks forward to continued suggestions from accredited facilities, application reviewers and site visitors about this new edition of the ICANL Standards. The organization strives to publish standards that facilitate continuous improvement of the quality of care provided in nuclear medicine, nuclear cardiology and PET imaging laboratories.


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