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Downloaded from http://journals.lww.com/jcat by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/02/2020 ORIGINAL ARTICLE Minimizing Radiation Dose Outliers Through Systematic Analysis, Computed Tomography Technologist Education, and Standardized System Solutions Elisabeth Appel, MD,* Johannes Boos, MD,† Jieming Fang, MD,* Da Zhang, PhD,* Carol Wilcox, MA,* Andrés Camacho, MD,* Sujithraj Dommaraju, MD,* Alexander Brook, PhD,* and Olga R. Brook, MD* The first step in any quality improvement process is the as- Objectives: The aims of the study were to systematically analyze causes sessment of the current status and the detection of metrics that for radiation dose outliers in emergency department noncontrast head com- can be improved. However, given the enormous number and vari- puted tomographies (CTs), to develop and implement standardized system ety of scans performed and the large number of technologists solutions, and audit program success for an extended period of time. working in any given institution, accurate and detailed detection Methods: This study was performed in a large, tertiary academic center of outliers becomes a time-consuming task. Therefore, we have between January 2015 and September 2017. Four phases of radiation dose implemented a system that evaluates radiation exposure parame- data collection with and without prior interventions were performed. Out- ters for all CT studies
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Jan 1, 2020
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