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What is : in health care is "an approach to the continous study and improvement of the process of providing healthcare services to meet the needs of patients and others.
Quality Improvement
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Continous Quality Improvement (CQI)
Continous Improvement (CI) and
Total Quality Management (TQM)
are synonymous terms for :
Quality Improvement
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What is a generic term used to describe all types of groups that provide health care services?
Health Care Organizations
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TJC stands for
The Joint Commission
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JCAHO stands for
Joint Commission on the Accrediation of Healthcare Organizations
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Who is the not for profit organization dedicated to improving the quality of care in health care settings
TJC (the joint commission)
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What is the result of the performance or lack of performance of a process
outcome
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____provides standards of measurement
Quality control
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_____ involvesthe systematic collection and review of quality assurance data
Quality assessment
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NOTE CARD:
Quality assurance focuses on performance measurement, which is based on the comparrision of processes with outcomes to quality indicators, the measurable dimension of quality that defines what is to be monitored
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A ___ plan integrates quality assurance quality control, and assessment into a complex, system wide improvement program revolving around the healthcare organizations missions and goals
CQI (continuous quality improvement)
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What does ACR stand for?
American College of Radiology
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What does AAPM stand for?
American Association fo Physicist in Medicine
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A ____ is an audit mechanism is an integral part of the plan
peer review
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NOTE CARD:
Before the process of quality improvement can be implemented standards must be developed by which one can compare, evaluate, and establish quality control
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WHat does NRC stand for?
Nuclear Regulatory Commission
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What Federal Agency was created ina s a result of Congress passing legislation to divide the Atomic Energy Commission that since 1954, had been managing the nations
NRC _ nuclear regulatory commission
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The mission of the ___ is to ensure adequate protection of the public health and safety, the common defense and security, and the enviroment in the use of nuclear materials in the US
NRC
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The use of radioisotopes in brachytherapy and the cobalt for external treatments fell under the regualtion of the
NRC
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What agency was established to consolidate into one agency a variety of federal research, monitoring, standard setting, and enforcement activitys to guarantee protection of the enviroment
EPA
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THe ___ mission is to protect human health and safeguard the natural envirment - air, water, and land - upon which life depends
EPA
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The ___ is involved with regualtion of the disposal, storage, and handling of nuclear waste materials as it relates to enviromental protections issues (seed implants, sources, etc)
EPA
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What does OHM stand for?
Office of Hazardous material
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____ mission is to save lifes, prevent injuries, and protect the health of American workers
OSHA
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To ensure safe & healthful working conditions for working conditions for working men & women the US Congress passed the ______ Act of 1970
Occupational SAfety & Health Act
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_____also sets standards for exposure to cadium & lead which primarly covers industrial work enviroments, but these standards apply to mold rooms, where Cerrobend (Shielding) block is constructed in radiation oncology
OSHA
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What is another name for Cadmium?
Lipowitz alloy
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THe first agreement state was established in _____
1962
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NOTE CARD
Section 274b of the atomic energy act of 1954 provides a basis for the NRC to relinish to the states portions of it regulatory by-product materials (radioisotopes), souce materials (uranium, thorium) an certian quantities of special nuclear materials
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Currently there are ____ states in agreement
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The Professional Practice standards are divideded into 3 sections:
which one defines activites related to the care of patients and the delivery of procedures and treatments
Clinical Performance Standards
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The Professional Practice Standards are divivded into 3 sections:
which one includes the activities of the practioner inthe technical area of performance involving equipment safety and TQM
Quality Performance Standards
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THe Professional practice standards are divided into 3 sections:
which one defines activites in the areas of education, interpersonal relationships personal and professional self-assessment, and ethical behavior
Professional Performance standards
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What is the totality of features and characterics of a radiation therapy process that bear on its ability to satisfy stated or implied needs of the patient
Quality
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What is the all those planned or systematic actions neccessary to provide adequate confidence that a product or service will satisfy given requirements for quality
Quality Assurance
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All aspects of the radiation therapy process must be routinely and continously measured, the results analyzed, and corrective action taken as required to ensure quality patient care.
This tpye of review is referred to as a:
Quality Audit
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_____ is defined as the operational techniques and activites used to fulfill requirements for quality
Quality Control
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Measurements of the patient outcomes is required by the ___?
TJC
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An ____ ____ measurement tool used to evaluate an organization's performance.
Quality Indicator
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The TJC has replaced the term quality assurance with terms such as ______ or ______.
- Quality Assessment
- or
- Quality Improvment
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What does TQm stand for?
Total Quality Management
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What is a group consisting of all staff employees in radiation oncology who come in contact with the patient and/or family members throughout the course of radiation treatments
Radiation Oncology Team
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What is a pictorial representation of the steps necessary in a process.
Flow Chart
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What are those activites considered to be of the most importance in providing healthcare services
Aspect of Care
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_____ is a system wide set of methods and tools for improving a process by emphasizing speed and efficiency
LEAN
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_____ focuses on improving the process through precision and accurancy, with the elimination of defects
Six Sigma
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QA Simulator Tolerances
Gantry / Collimator
1 degree
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QA Tolerances
Monthly:
Table Verticles & Longitudinal motion
1mm
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QA of Medical Accelerators
Dosimetry
xray output constancy
Electron out put constancy
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Mechical Checks
Gantry/Collimator angle
1 degree
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