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Achieving CT Regulatory Compliance: A Comprehensive and Continuous Quality Improvement Approach
Institution:1. Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA;2. Environmental Health and Safety Office, Emory University, Atlanta, GA;3. Department of Radiology and Imaging Sciences, University of Utah School of Medicine, Salt Lake City, UT;1. Triad Radiology Associates, Winston Salem, NC.;2. Hackensack Radiology Group, River Edge, NJ.;1. Department of Radiology, University of Kansas, Kansas City, KS;2. Department of Radiology, Penn State Hershey, Hershey, PA;1. Department of Radiology, Montefiore Medical Center, Bronx, NY;2. Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY;1. Mayo Clinic School of Medicine, Jacksonville, FL;2. Department of Radiology, Mayo Clinic Arizona, Phoenix, AZ
Abstract:Computed tomography (CT) represents one of the largest sources of radiation exposure to the public in the United States. Regulatory requirements now mandate dose tracking for all exams and investigation of dose events that exceed set dose thresholds. Radiology practices are tasked with ensuring quality control and optimizing patient CT exam doses while maintaining diagnostic efficacy. Meeting regulatory requirements necessitates the development of an effective quality program in CT. This review provides a template for accreditation compliant quality control and CT dose optimization. The following paper summarizes a large health system approach for establishing a quality program in CT and discusses successes, challenges, and future needs.
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