Print 0 46 false false false EN-GB X-NONE X-NONE
As part of this task,
many different aspects should be considered,
e.g.
dose recording systems,
personalized feedback,
mapping of examination protocols,
equipment and maintenance plans,
trigger levels,
education&training,
numbers of repeated examinations,
causes and errors including procedures to wrong patients,
wrong side or region,
radiation protection devices,
appropriateness etc..
Based on the Council Directive 2013/59/EURATOM (EU-BSS) art.
63 and 96,
several requirements have to be transformed into national law including reporting criteria for “significant events”,
which includes overexposures and also unintended radiation exposures.
The development of such reporting systems is an ongoing process in many countries.
Proposing criteria as KPIs based on so many different items has to consider different criteria,
esp.
for handling,
usability,
automatization,
stability,
reproducibility,
availability of informations,
impact,
consistency,
evidence and consensus based items,
etc..
Actually,
there is a preliminary concept as a proposal for further discussions and developments. It is proposed to have three different levels,
- Basic KPIs,
with e.g.
standards as accordance to clinical DRLs or number of significant events
- Regular KPIs,
with e.g.
basic KPIs plus level of appropriateness (using CDS),
near misses or unintended exposures
- Advanced KPIs,
regular KPIs plus accordance with different ESR recommendations,
e.g.
renewal and maintenance of equipment.
Additionally,
the development of descriptions and definitions of KPIs should be added and templates for documentation&communication of KPIs will be planned.