The mandatory requirements to become a EuroSafe Imaging Star are to complete the 'Is Your Imaging EuroSafe?' surveys and to commit to the biannual self-evaluation.
Upon successful application,
EuroSafe Imaging Stars are added to the 'Wall of Stars' on the EuroSafe Imaging website and receive a certificate of their Star status.
*
(all required)
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1
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Participation in ‘Is your Imaging EuroSafe?’ surveys (prerequisite for becoming EuroSafe Imaging Star)
EuroSafe Imaging Stars are required to complete all existing questionnaires and commit to participate in future surveys published periodically
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2
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Participation in bi-annual self-assessment (prerequisite for becoming EuroSafe Imaging Star)
EuroSafe Imaging Stars must submit a self-evaluation form to the ESR Radiation Protection Subcommittee every two years
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**
(all required except criterion 12)
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3
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CT protocols
EuroSafe Imaging Stars must ensure that CT protocols are in place in their imaging department
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4
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Automatic CT dose recording
An obligatory system for automatic recording of CT doses administered to patients must be in place
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5
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Use of local diagnostic reference levels (DRLs) for CT
DRLs must be available and adhered to for the most common clinical indications
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6
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Specific paediatric CT protocols
Protocols for paediatric CT must be in place; protocols developed for adult patients must not be used for children undergoing a CT
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7
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Specific interventional radiology protocols for dose reduction
Protocols for interventional radiology aimed at reducing doses must be in place
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8
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Clear RP tasks for radiographers
Imaging departments must define radiation protection tasks for radiographers
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9
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Patient information on radiation issues
Easily accessible information materials on radiation protection principles and practices must be available to patients and carers
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10
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Local justification policy for women of child-bearing age
A justification policy taking into account local circumstances must be in place for women of child-bearing age
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11
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Regular equipment quality control
Periodic quality controls for all imaging equipment
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12
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Local policy for identification of referrer (optional)
A policy to identify the referring physician,
taking into account local circumstances,
must be in place
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***
(4 out of 8 criteria required,
clinical audit mandatory)
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13
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Educational programme in radiation protection
Imaging departments must take measures to educate their staff about best practice in radiation protection
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14
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Process for evaluating cross-sectional imaging requests
All cross-sectional imaging referrals are to be reviewed and assessed
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15
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Clinical Decision Support (CDS) implementation project
Development of an actionable plan to introduce clinical decision support for electronic referrals to improve compliance with evidence-based guidelines
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16
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Access to medical physicist’s advice
A medical physicist must be available to provide advice on doses
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17
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Operational clinical audit system informing department of current compliance with ESR Patient Safety Standards
A clinical audit policy must be in place to ensure compliance with the ESR’s Patient Safety Standards
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18
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Concept to introduce benchmarking
EuroSafe Imaging Stars must develop an actionable plan to introduce benchmarking
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19
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Dose optimisation in CT policy
EuroSafe Imaging Stars must develop a policy for dose optimisation in CT
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20
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Max.
25% variation in radiation dose in head CT in children within one age category (between operators using same scanner)
EuroSafe Imaging stars must take measures to ensure that dose variation for head CT in children does not exceed 25%
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****
(2 out of 4 criteria required)
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21
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Operational clinical audit programme on radiation protection
Imaging departments must carry out periodic clinical audits
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22
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Operational benchmarking programme
Benchmarking must be part of clinical practice in the imaging department
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23
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Image quality assessment programme in place
A project to assess image quality must be implemented
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24
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BSS local implementation programme in place
A project to ensure the imaging department complies with the requirements in the Euratom BSS directive and national legislation must be implemented
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*****
(1 out of 2 criteria required)
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25
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Radiation protection research activities
Imaging departments must engage in radiation protection research
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26
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Operational CDS in clinical practice
Clinical decision support must be in use for electronic referrals
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