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The IAC Standards and Guidelines
for Nuclear/PET Accreditation

 

Click here for a printer-friendly PDF of the Nuclear/PET Standards

Part C:
Quality Improvement

Section 1C: Quality Improvement Program

STANDARD – QI Program

 

1.1C           The facility must have a written QI program for all imaging procedures. The performance of all staff physicians and nuclear medicine technologists must be assessed as part of the QI program. The QI program must include but is not limeted tol the evaluation and review of the qI measures outlined below:

 

1.1.1C            test appropriateness;

 

1.1.2C            technical quality and safety of the imaging;

 

1.1.3C            interpretive quality review; and

 

1.1.4C            report completeness and timeliness;

 

(See Guidelines below for further recommendations).

 

1.2C           The Medical Director, staff and/or an appointed QI committee must provide oversight to the QI program that includes pre-defined indicators of quality and predefined thresholds that indicate the need for corrective action. The oversight includes but is not limited to review of the reports of QI evaluations and any corrective actions taken to address any deficiencies.


Section 1C: Quality Improvement Program
Guidelines

 

1.1C       Typically, assessments are an ongoing process with monthly or quarterly review of results.