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Related Concept Videos

Quality Assurance01:19

Quality Assurance

3.7K
Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
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Quality Control01:05

Quality Control

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Quality control is one of the three cyclical quality assurance activities that help keep a system under statistical control. Typical quality control activities include creating quality control charts, conducting proficiency testing, and documenting and archiving results.
Quality control helps track data, visualize trends, and identify variations, making it easier to detect deviations that may affect the accuracy of an analysis. One way to do this is by generating a quality control chart, which...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
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Design of Prismatic Beams for Bending01:23

Design of Prismatic Beams for Bending

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The design of prismatic beams, structural elements with a uniform cross-section, focuses on ensuring safety and structural integrity under load. The design process begins by determining the allowable stress, either from material properties tables, or by dividing the material's ultimate strength by a safety factor. This safety factor is essential for accommodating uncertainties, and varies depending on the material—timber, steel, or concrete—with each having unique strength and...
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Stress Concentrations in Circular Shafts01:18

Stress Concentrations in Circular Shafts

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Consider the elastic torsion formula, which applies to a circular shaft with a consistent cross-section. This formula assumes that the shaft's ends are loaded with rigid plates firmly attached. However, in many cases, torques are applied to the shaft through mechanisms like flange couplings or gears, which are connected by keys inserted into keyways. This application method modifies the stress distribution near the point of torque application, causing it to deviate from the distributions...
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Simulation of a Scaled Assembly Process with Collaboration of a Robotic Arm and Monitoring through a Vision System for Quality Control
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MO-F-BRCD-02: SBRT (Part 2): Physics and Quality Assurance Updates.

J Perks1,2, S Benedict1,2

  • 1UC Davis Medical Center, Sacramento, CA.

Medical Physics
|May 19, 2017
PubMed
Summary

This study reviews quality assurance and safety recommendations for stereotactic body radiation therapy (SBRT) from major organizations. It emphasizes establishing protocols for SBRT clinics, equipment, and personnel to ensure safe and effective treatment delivery.

Keywords:
CancerDosimetryDrug deliveryPhysical radiation effectsQuality assuranceRadiation safetyRadiation therapyRadiation treatmentRadiosurgeryTissues

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Area of Science:

  • Radiation Oncology
  • Medical Physics
  • Quality Assurance

Background:

  • Stereotactic body radiation therapy (SBRT) offers a technical advantage by delivering a hypofractionated, heterogeneous dose to a defined target volume.
  • The primary goal of SBRT is to deliver an ablative dose to the target while minimizing radiation effects on surrounding normal tissues.
  • SBRT enables a greater biologically effective dose to the target compared to less conformal, fractionated techniques.

Purpose of the Study:

  • To review established recommendations for quality assurance (QA) and safety in SBRT.
  • To present a Failure Mode and Effect Analysis (FMEA) for SBRT delivery.
  • To ensure safe and effective implementation of SBRT protocols.

Main Methods:

  • Review of established recommendations from the American College of Radiology (ACR), American Society for Therapeutic Radiology and Oncology (ASTRO), and American Association of Physicists in Medicine (AAPM).
  • Examination of key areas including SBRT clinic establishment, equipment and imaging, staffing, treatment planning, training, and safety checklists.
  • Presentation of a Failure Mode and Effect Analysis (FMEA) specific to SBRT delivery.

Main Results:

  • The review covers comprehensive recommendations for SBRT QA and safety, encompassing clinic setup, technical considerations, and personnel qualifications.
  • Specific guidance is provided on treatment planning, acceptance and commissioning practices, and the essential use of safety checklists.
  • An FMEA is presented to identify potential failure modes in SBRT delivery and propose mitigation strategies.

Conclusions:

  • Adherence to established QA and safety recommendations from ACR, ASTRO, and AAPM is crucial for successful SBRT implementation.
  • A thorough understanding of SBRT protocols, including FMEA, is vital for minimizing risks and optimizing patient outcomes.
  • The presented recommendations and FMEA serve as a framework for establishing and maintaining high standards in SBRT delivery.