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Development of a brachytherapy audit checklist tool.

Joann Prisciandaro¹, Scott Hadley¹, Shruti Jolly¹

¹Department of Radiation Oncology, University of Michigan, Ann Arbor, MI.

|October 7, 2015

Summary

A new brachytherapy audit checklist helps facilities prepare for inspections and accreditation. This tool aids in identifying and prioritizing noncompliance to meet national standards.

Keywords:

Audit Brachytherapy Checklist

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Area of Science:

Medical Physics
Radiation Oncology
Healthcare Auditing

Background:

Brachytherapy requires rigorous quality assurance for regulatory compliance and patient safety.
Existing audit tools may not comprehensively cover all aspects of brachytherapy practice.
Accreditation and regulatory inspections necessitate standardized audit procedures.

Purpose of the Study:

To develop a comprehensive brachytherapy audit checklist.
To create a tool for Nuclear Regulatory Commission (NRC) or agreement state inspections.
To support practice accreditation readiness and annual internal audits.

Main Methods:

Literature review of brachytherapy guidelines and federal regulations.
Development of an 83-item checklist by medical physicists and a radiation oncologist.
Beta testing of the checklist across four clinical sites with scoring for importance and severity.

Main Results:

A 83-item brachytherapy audit checklist was finalized and is available online.
Beta audits identified 7-16 noncompliance items, with scores ranging from 17 to 71.
The audit process took 1.5 to 5 hours to complete.

Conclusions:

A comprehensive and implementable brachytherapy audit checklist has been developed.
The checklist assists facilities in identifying and prioritizing areas of noncompliance.
This tool helps minimize deviations from nationally recognized brachytherapy standards.