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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