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Assessment of the Adoption of Quality Assurance Policy in Radiology Department

Complete project materials on Assessment Of The Adoption Of Quality Assurance Policy In Radiology Department from chapter one to five with references and abstract.

ABSTRACT

Presently, radiological workers appreciate the concept of quality assurance in theory due to its multi-faceted benefit especially on the economy when considering the overall cost of imaging equipment and the low cost of testing apparatus.

However, they tend to neglect the practical aspect of the topic, thus leading to high rate of break down and faulty equipment. This work is therefore geared towards determining if there is any laid down policy in the radiology department in the tertiary hospital in Enugu.

The survey revealed that only 42.9% of the respondents claim that there is an agreement on the servicing of the x-ray equipment in the radiological department and a greater percentage disagrees to that fact. 66.7% of the 42.9% affirmed that this servicing is only applied during repairs.

It was observed during the survey that in 66.7% of the scope of the study; the operation and circuit manuals had been misplaced, lost, not supplied or taken away by service technicians during repair missions. With regard to service maintenance records, it was also noted that most of the equipment had no maintenance records. Repairs had been done, and the radiological department left without any records to show what had gone wrong and what repairs had been carried out.

Although, 85.7%Β  of the respondent in the radiological department in the tertiary hospitals in Enugu affirmed that radiographers does advise on the choice of equipment; 59.1% and 14.3% (from table 6) of the respondents claims that the employer and the Government respectively does the acquisition of the x-ray equipment.

Only 28.6% of the respond affirmed that radiographers are involved in the acquisition. The failure to incorporate the radiographers in the acquisition process could be the result of the observed damaged equipment found some of the radiological department (for instance, presence of non-functional fluoroscopy and x-ray unit at UNTH and NOHE respectively).

Finally, it is very important to know that medical imaging requires precision in the production of high quality diagnostic images while restricting the amount of radiation administered to patients.

This can only be achieved if there is a laid down quality assurance policy that will help checkmate and triggers a quality assurance practice by the radiographers.

This can also be achieved if there is an objective way of monitoring the output of the x-ray equipment in the radiological department in the tertiary hospitals in Enugu.

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TABLE OF CONTENT

TITLE PAGE

APPROVAL PAGE

CERTIFICATION

DEDICATION

ACKNOWLEDGEMENT

ABSTRACT

LIST OF TABLES

TABLE OF CONTENT

CHAPTER ONE

INTRODUCTION

Background of the study

Statement of problem

1.2     Purpose of the study

Significance of the study Scope of the study

CHAPTER TWO        

REVIEW OF RELATED LITERATURES

2.0 Related literatures

2.1.0 Theoretical background

Quality control and radiodiagnostic practice

Prerequisites for Quality Assurance program

Essential elements of a Quality Assurance program

Specific equipment considerations

Organization within the radiological facility

CHAPTER THREE    
RESEARCH METHODOLOGY

3.0     Introduction

3.1     Criteria for assessment

3.2     Research design

3.3     Execution of this study

3.4     Sample size and population

3.5     Source and method of data collection

CHAPTER FOUR       

DATA PRESENTATION AND ANALYSIS

4.0     Data presentation and analysis for questionnaire

4.1     Data presentation and analysis for the observation

CHAPTER FIVE         

DISCUSSION, SUMMARY OF FINDING, RECOMMENDATIONS, AREAS OF FURTHER RESEARCH, CONCLUSION

5.0     Discussion

5.1     Summary of Finding

5.2     Conclusion

5.3     limitation of the study

5.4     Recommendations

5.5     Areas of further research

REFERENCE

CHAPTER ONE
INTRODUCTION

BACKGROUND OF THE STUDY

Quality assurance is an internationally established concept recommended for practice in radiological equipment and accessories for optimum performance and high quality output of x-ray machine1.

In 1990, a recommendation by International Radiological Protection Board (IRPB) was pronounced: this recommends that all x-ray equipment should be subjected to regular performance checks and if necessary corrective or replacement action must be taken1.

Medical imaging demands precision in the production of high quality diagnostics images while restricting the amount of radiation administered to patients.

Proper quality assurance (QA) Programs optimizes the caliber of radiographic images, protect patients and personnel from unnecessary exposure to radiation and reduce the occurrence of misdiagnosis caused by failures in all phases of imaging procedures.

So, there is a need to maintain a level of performance which will produce radiographic and fluoroscopic image with the maximum diagnostic information possible within the capacity of the equipment available2. This can be achieved through proper quality assurance practice1.

This quality assurance practice can be achieved in radiology departments only if there is a laid down quality assurance policy3. A quality assurance policy that will serve as a rule or routine that every worker must follow so that if there is a change in personnel; the policy is still maintained.

Quality assurance may easily be divided into a number of levels, each requiring a different type of scientific/technical surveillance. In the case of equipment whose status has been established by rigorous acceptance testing the requirement of a quality assurance program; in practice, is to ensure that the installation has not departed from this acceptance level2.

Thus, on a day to day basis quality assurance programs may be reduced to having a simple set of tests, or constancy checks to ensure that the status of equipment has not changed since it was established to be acceptable1.

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