Chapter 12: Ensuring Quality in Picture Archiving and Communication Systems With Chapter 12 & 13 Quiz

American College of Radiology (ACR)

suggests that tests be carried out with a SMPTE (Society of Motion Pictures and Television Engineers) test pattern to ensure continuity of measurements.

d. Mild abrasive

Chapter 12 & 13 Quiz (BlackBoard) When cleaning imaging plates, which of the following should not be used? a. Camel hair brush b. Cleaning solution c. Lint-free cloth d. Mild abrasive

d. Air

Chapter 12 & 13 Quiz (BlackBoard) Which one of the following is used to cool the reader? a. Oil b. Laser c. Water d. Air

True

T or F Most QC activities are part of a QA program.

2. 1K to 2K

1. 2K or 3K 2. 1K to 2K 3. 4k What kind resolution for cross sectional images?

3. 4k

1. 2K or 3K 2. 1K to 2K 3. 4k What kind resolution for mammography?

1. 2K or 3K

1. 2K or 3K 2. 1K to 2K 3. 4k What kind resolution for regular digital projection?

c. Recognition of nondiagnostic images

10. What PACS CQI activity documents images of poor quality? a. System training b. System up-time c. Recognition of nondiagnostic images d. All of the above

a. Quality assurance

2. A systematic observation and assessment of different of a radiology department would be what kind of activity? a. Quality assurance b. Quality control c. Quality adjustment d. Quality enhancement

b. Quality control

3. A comprehensive set of activities designed to monitor and maintain systems that produce a product would be what kind of activity? a. Quality assurance b. Quality control c. Quality adjustment d. Quality enhancement

c. Acceptance testing

4. What is done after the installation of new equipment to determine if the equipment is performing to vendor specifications? a. Error maintenance b. Routine maintenance c. Acceptance testing d. All oi the above

c. Photometer

6. What device used to measure the luminance of a monitor? a. Ammeter b. Voltmeter c. Photometer d. Barometer

b. False

8. Printer image quality is of no importance in a digital environment. a. True b. False

d. All of the above

9. Which of the following is a quality control performed in a PACS environment? a. Image transfer speed b. Image processing speed c. Data integrity measure d. All of the above

B. Quality Control (QC)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) - measures are instituted to ensure that radiologic procedures are performed safely, are appropriate for the patient, are performed efficiently, and produce a high-quality image.

A. Quality Assurance (QA)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) --------- can be defined as a plan for the systematic observation and assessment of the different aspects of a project, service, or facility to make certain that standards of quality are being met. ALSO: Focus on the observation or process of the system and standard policy being met. Focus on individual mistake. Focus on Data. or set of assesement

B. Quality Control (QC)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) For example, tests are performed the radiographic room to make sure that all of the such as the collimator, generator, and focal spots, are functioning properly. All of these parts make up the whole of the room, and if one part is off, it can cause harm to the patient or reduce the quality of the examination. (Equipment maintenance of the x-ray room)

A. Quality Assurance (QA)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) In a radiology department, there are many processes involved in the day-to- day activities. For example, after a patient has been checked in at the front desk, there is a process that is followed to alert the technologist that a patient is waiting. If this process is not followed, the patient may have to wait for an extended period before a technologist arrives to check for waiting patients. This extended wait time affects patient care in a negative manner, and therefore it will be seen as poor quality of service.

A. Quality Assurance (QA)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) What kind of measure should be in place to monitor patient wait times to ensure that the process of alerting a technologist that a patient is waiting is working properly. It will produce quantitative data that can be analyzed. These data can be used to monitor the processes and determine whether the process is working as it should and whether the standard of quality has been met.

B. Quality Control (QC)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) can be defined as a comprehensive set of activities designed to monitor and maintain systems that produce a product. (Focus on Equipment maintenance of the x-ray room)

C. Continuous Quality Improvement (CQI)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) focuses not on individuals and their mistakes but rather on the process, each team member is more apt to participate in improving the organization.

C. Continuous Quality Improvement (CQI)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) focuses on improving the process or system within which the people function as team members rather than focusing on an individual's work

C. Continuous Quality Improvement (CQI)

A. Quality Assurance (QA) B. Quality Control (QC) C. Continuous Quality Improvement (CQI) tends to focus on the process rather than on the people or the service.

American College of Radiology (ACR)

According to: -------- "Any facility using a digital imagé data management system must have documented policies and procedures for monitoring and evaluating the effective management, safety, and proper performance of acquisition, digitization, compression, transmission, display, archiving, and retrieval functions of the system. The QC program should be designed to maximize the quality and accessibility of diagnostic information."

printed image

Besides the PACS, the --------- is another way to distribute images around the hospital enterprise.

d. service engineer.

Chapter 12 & 13 Quiz (BlackBoard) Testing the system display is the responsibility of the: a. technologist. b. radiologist. c. radiation physicist. d. service engineer.

a. QC.

Chapter 12 & 13 Quiz (BlackBoard) "A comprehensive set of activities designed to monitor and maintain systems that produce a product" is the definition of: a. QC. b. CQI. c. QA. d. TQM.

b. QA.

Chapter 12 & 13 Quiz (BlackBoard) "A plan for the systematic observation and assessment of the different aspects of a project, service, or facility to make certain that standards of quality are being met" is the definition of: a. total quality management (TQM). b. QA. c. continuous quality improvement (CQI). d. QC.

b. CQI.

Chapter 12 & 13 Quiz (BlackBoard) "The overall efficiency and effectiveness of imaging systems evaluated beyond the mechanics of producing radiographic images" is a definition of: a. quality activities. b. CQI. c. QA. d. QC.

c. photometer.

Chapter 12 & 13 Quiz (BlackBoard) A device used to measure the luminescence of areas on the monitor is a: a. luminescence meter. b. photoluminescence meter. c. photometer. d. monitor meter.

a. physicist.

Chapter 12 & 13 Quiz (BlackBoard) Annual testing and acceptance testing should be performed by a: a. physicist. b. technologist. c. physician. d. all of the above.

c. continuous quality improvement (CQI).

Chapter 12 & 13 Quiz (BlackBoard) Another name for quality management is: a. quality control (QC). b. quality assurance (QA). c. continuous quality improvement (CQI). d. none of these.

c. process; people

Chapter 12 & 13 Quiz (BlackBoard) CQI tends to focus on ______ rather than the ______. a. QA; QC b. service; corrections c. process; people d. QC; QA

b. unnecessary patient exposure.

Chapter 12 & 13 Quiz (BlackBoard) Frequent and consistent oversight of digital equipment is necessary to avoid: a. increased cost. b. unnecessary patient exposure. c. quality images. d. QC.

c. cleaning the CRT.

Chapter 12 & 13 Quiz (BlackBoard) General system inspection includes all of the following except: a. erasure of imaging plates. b. hinge and latch inspection. c. cleaning the CRT. d. cleanliness of cassettes.

d. Daily

Chapter 12 & 13 Quiz (BlackBoard) How often should the luminescence of a monitor be checked? a. Weekly b. Annually c. Monthly d. Daily

d. service personnel.

Chapter 12 & 13 Quiz (BlackBoard) If the hinges of a cassette are broken, they can be fixed by the: a. radiation physicist. b. radiologist. c. technologist. d. service personnel.

c. a licensed disposal company.

Chapter 12 & 13 Quiz (BlackBoard) Imaging plates may be disposed of by: a. storing in barium sulfate. b. sending to the environmental protection agency (EPA). c. a licensed disposal company. d. placing in a trash receptacle.

b. immediately.

Chapter 12 & 13 Quiz (BlackBoard) Major artifacts should be noted and reported: a. weekly. b. immediately. c. daily. d. monthly.

b. quantitative

Chapter 12 & 13 Quiz (BlackBoard) Most QA activities produce ______ data. a. qualitative b. quantitative c. equivocal d. all of the above

d. The Joint Commission (TJC).

Chapter 12 & 13 Quiz (BlackBoard) Most health care institutions are accredited by: a. the National Healthcare Institute. b. the Hospital Association. c. the Workforce Commission. d. The Joint Commission (TJC).

d. semiannually.

Chapter 12 & 13 Quiz (BlackBoard) Preventive maintenance is performed: a. weekly. b. daily. c. monthly. d. semiannually.

d. technologist.

Chapter 12 & 13 Quiz (BlackBoard) The first line of defense in preventing, recognizing, and reporting QC is the: a. radiologist. b. physicist. c. service personnel. d. technologist.

a. just before use.

Chapter 12 & 13 Quiz (BlackBoard) The safest procedure for erasing cassettes is to erase them: a. just before use. b. twice a week. c. twice a day. d. after 24 hours.

a. patient care; high-quality services

Chapter 12 & 13 Quiz (BlackBoard) The ultimate focus in health care is to improve ______ and provide ______ so that patients will want to return. a. patient care; high-quality services b. health risks; assistance with insurance c. employee morale; assistance with insurance d. efficiency; high-quality services

c. Distance

Chapter 12 & 13 Quiz (BlackBoard) Three general areas that define digital image quality include all but which one of the following? a. Noise b. Contrast c. Distance d. Resolution

a. Screen erasure

Chapter 12 & 13 Quiz (BlackBoard) To avoid interference from previous exposures, which of the following must be tested at least once a year? a. Screen erasure b. Image processing c. Image display d. Spatial frequency

d. kept up to date.

Chapter 12 & 13 Quiz (BlackBoard) To make a valid performance measure in any QC activity, documentation must be: a. performed by the manager. b. kept in a notebook. c. written in ink. d. kept up to date.

d. Monitor

Chapter 12 & 13 Quiz (BlackBoard) What is most often the weakest link in the digital imaging chain? a. Processing speed b. Image retrieval c. Data integrity d. Monitor

b. False

Continuous quality improvement tends to focus on the people or the service rather than on the process. a. True b. False

The Joint Commission (TJC)

Formerly known as the Joint Commision on the accreditation of Healthcare Organization (JCAHO) or Most Healthcare institutions are accredited by:

Detail

Higher Resolution is Higher in --------

90 seconds or 1 min 30 secs.

How many seconds or minutes does cassette (CR) gets read in the computer?

super users

In System Training: Vendor applications training is supposed to train several -------- and help set up the system to site specifications.

ØGeometric distortions ØReflection ØLuminance response ØLuminance dependencies ØResolution

Monthly or Quarterly Monitor Quality Control test pattern are: (6) total

B. Routine Maintenance

One of the three categories of Quality control: A. Accepting testing B. Routine Maintenance C. Error maintenance. - is performed to ensure that the equipment is performing as expected. This type of testing can catch problems before they become radiographically apparent. This testing maybe performed by a designated technologist, a radiation physicist, or by service personnel employed by the vendor

B. Routine Maintenance

One of the three categories of Quality control: A. Accepting testing B. Routine Maintenance C. Error maintenance. Can catch problems before the problems become radiographically apparent May be performed by: ØA designated technologist ØA radiation physicist ØService personnel employed by the vendor

A. Accepting testing

One of the three categories of Quality control: A. Accepting testing B. Routine Maintenance C. Error maintenance. This type of testing is performed before newly installed or majorly repaired equipment can be accepted by the department. The testing maybe performed by a designated technologist, a radiation physicist, or by service personnel employed by the hospital. This is used to determine whether the equipment is performing within the vendor specifications and as promised.

C. Error maintenance.

One of the three categories of Quality control: A. Accepting testing B. Routine Maintenance C. Error maintenance. When errors occur in equipment performance, corrective action must occur. Errors be detected by poor equipment performance or poor quality outcomes. These corrections will generally be made by service personnel employed by the vendor

Photometer

Part of Daily Monitor Quality Control: - a device used to measure the luminescence of areas on the monitor

Assessment for display performance for Medical Imaging Systems (AAPM)

Quality Control (QC) recommendations for display monitors come from where?

False The CQI process does not replace QA/QC programs.

T/F The CQI process does replace QA/QC programs.

1. continuous quality improvement (CQI) 2. total quality management.

The Joint Commission (TJC) is voluntary but necessary in many instances to obtain Medicaid certification, hold certain licenses, obtain reimbursements from insurance companies, and receive malpractice insurance. Rather than simply referring to quality, TJC currently uses the more encompassing terms ------------- or --------------.

Data integrity

This measures whether all images completed at the modality make it to the PACS.

1. Accepting testing 2. Routine Maintenance 3. Error maintenance.

What are the three categories of Quality control (QC)?

c. SMPTE pattern (Society of Motion Pictures and Television Engineers pattern)

What used to determine if the monitor is any distortion over the display? a. Photometer b. QA procedure c. SMPTE pattern d. All of the above

medical physicist

Who qualified to performed for annual testing and acceptance testing?

The Joint Commission (TJC)

formerly known as the Joint Commission on the Accreditation of Healthcare Organization (JACAHO)

Monitor

is often the weakest link in the digital chain

Compression

is used to reduce the size of the image files to increase the speed of the network transfer of the images.

b. TJC

l. What organization accredits most hospitals in the United States? a. Cu b. TJC c. TQM d. OSHA