Background/Introduction
Introduction
TheIstituto Superiore di Sanità (National Institute of Health,
(ISS)) hasa consultant role in safeguarding Public Health in the production and use of radiation in diagnosis and therapy.
Currentlegislation EURATOM 13/59 (1)emphasizes the need to implement Quality Programmes andtodraw upappropriate guidelines by scientific societies or experts to ensure good clinical practice in Radiological Sciences (nuclear medicine,
radiodiagnostics,
interventional radiology,
teleradiology,radiotherapy).
In addition,
request to measure hospital performances,
in order to improve health service quality,
has led to application of survey systems (2).
Clinical audit asa...
Description of activity and work performed
Matherial and Methods
Starting from 1995 Interdisciplinary Working Groups (WGs)on Quality Assurance in radiotherapy and nuclear medicinehave beenconstituted and coordinated by ISS.
Later,
similar activities on radiodiagnostics,
teleradiology,
interventional radiology,were carried out jointly with INAIL,
by involvingall professionals delegated by National Scientific Societiesto analyze and face criticities to provide national guidelines.WGs promoted education and training byorganizing courses and debatesonthe main critical topics in the framework of Continuous QualityImprovement.
Experts from ISS have been involved in drafting European Commission Guidelines on Clinical Audit for Medical Radiological...
Conclusion and Recommendations
Results
Golden rules for patient and worker radiation protection in IR
In the Report ISTISAN 15/41 a list of Golden Rules for radiation protection of patient and worker respectively has been defined.
A selection of the mainrules are reported in Figg.
4 and 5.
Conclusions
Integration of QA initiatives inRadiological Sciencesshould include continuous monitoring and evaluation of parameters related toseveral aspects of patient andworkercare,
to identifycriticities for Continuous Quality Improvement.
The role of third party Institutions as ISS and INAIL guarantee all topicsare facedwith a...
Personal/Organisational information
Working Group on Quality Assurance in IR
Carlo Bergamini Interventional radiology expert,
selected byISS andINAIL;
Guglielmo BernardiAO S.
Maria Degli Angeli,
Pordenone;
Corrado BibbolinoInterventional radiology expert,
selected byISS andINAIL;
Gaetano CompagnoneAOU Policlinico S.Orsola Malpighi,
Bologna;
Francesco CampanellaIstituto Nazionale per l’Assicurazione contro gli Infortuni sul Lavoro,
Roma;
Maria Antonietta D’AvanzoIstituto Nazionale per l’Assicurazione contro gli Infortuni sul Lavoro,
Roma;
Loredana D’Ercole Fondazione IRCSS Policlinico San Matteo,
Pavia;
Antonio D’Onofrio Ospedale V.
Monaldi,
Napoli;
Sveva GrandeIstituto Superiore di Sanità,
Roma;
Maurizio IsalbertiFondazione IRCSS Ca’Granda,
Ospedale Maggiore Policlinico,...
References
Council Directive 2013/59/Euratom,
5 December 2013,
laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation,
and repealing Directives 89/618/Euratom,
90/641/Euratom,
96/29/Euratom,
97/43/Euratom and 2003/122/Euratom,
Official Journal of the European Union.
WHO Regional Office for Europe.
Measuring hospital performance to improve quality of care in Europe: a need for clarifying concepts and defining the main dimensions.
Copenhagen: WHO Regional Office for Europe; 2003.
Cionini L,
Gardani G,
Gabriele P,
Magri S,
Morosini PL,
Rosi A,
Viti V; Italian Working...
