Large scale audit of CT using data from hospital Radiology Information  Systems (RIS)
21 Pages
English
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Large scale audit of CT using data from hospital Radiology Information Systems (RIS)

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Downloading requires you to have access to the YouScribe library
Learn all about the services we offer
21 Pages
English

Description

Large Scale CT Dose Audit Through Radiology Information Systems (RIS)1 1P Charnock , A Pike1Integrated Radiological Services Limited, Liverpoo,l EnglandPaul Charnock - Scientific Officer, IRSltdCT UsersGroup Meeting,Hammersmith Hospital, London. Octo ber 2010BackgroundIRS•MPE and RPA for a number of trusts mainly in North WestEnglandMe•Scientific Officer /Trainee RPA•Workedwith IRS for nearly 8 years•Specialist areasCT, Digital Imaging & ResearchCTUG 2010BackgroundAUDITTHROUGHRIS•Since2007, IRS havebeen workingon auditing using RIS data• Patient Dose Audit• Clinical Audit• AutomaticQACTUG 2010BackgroundPATIENTDOSE AUDIT•Using exposure factor data or dose data (DAP/DLP) from ALLpatients for:• CommonExamination Types• MainRooms/ Departments• Overanytime period requiredCTUG 2010BackgroundCLINICAL AUDIT•What informationis missing?•Canthis be reported back to trust?•Areother IRMER requirements recorded• Patient Identification• Pregnancycheck• Justificationby a practitionerCTUG 2010BackgroundAUTOMATEDQA•Can any of the examination data be used for routineequipmentperformancechecks? (WIP)CTUG 2010BackgroundRoutine Data QA Databasefrom RIS/ FiltrationResultsDICOMClinical Patient Audit Dose AuditCTUG 2010BackgroundIndividual Site/Trust ReportsDatabaseData from multiple hospital Multi-site sites or Regional ReportsCTUG 2010Data Content•All of this hasbeen done forplain film examinationsso far.•From2007 to ...

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Large Scale CT Dose Audit Through Radiology Information Systems (RIS)
P Charnock 1 , A Pike 1
1 Integrated Radiological Services Limited, Liverpool, England
Paul Charnock - Scientific Officer, IRS ltd CT Users Group Meeting, Hammersmith Hospital, London. October 2010
Background
IRS MPE and RPA for a number of trusts mainly England
Me Scientific Officer / Trainee RPA Worked with IRS for nearly 8 years Specialist areas CT, Digital Imaging & Research
CTUG 2010
in North West
AUDIT THROUGH RIS
Background
Since 2007, IRS have been working on auditing Patient Dose Audit Clinical Audit Automatic QA
CTUG 2010
using
RIS
data
PATIENT DOSE AUDIT
Background
Using exposure factor data or dose data (DAP/DLP) from ALL patients for: Common Examination Types Main Rooms / Departments Over any time period required
CTUG 2010
CLINICAL AUDIT
Background
What information is missing? Can this be reported back to trust? Are other IRMER requirements recorded Patient Identification Pregnancy check Justification by a practitioner
CTUG 2010
AUTOMATED QA
Background
Can any of the examination data equipment performance checks? (WIP)
CTUG 2010
be
used
for
routine
Data from RIS/ DICOM
CTUG 2010
Background
Filtration
Clinical Audit
Database
Patient Dose Audit
Routine QA Results
CTUG 2010
Data from multiple hospital sites
Background
Database
Individual Site/Trust Reports
Multi-site or Regional Reports
Data Content
All of this has been done for plain film examinations so far. From 2007 to 2009, we obtained 730,000 examination records from 5 hospitals
47,750 of these records are CT examinations from 6 scanners @ 4 hospital sites
Can any of these processes be applied to CT?
CTUG 2010
Data Acquisition
DIRECT Contact RIS manager (via Radiology) Ask nicely (biscuits work) for specific fields (next slide) A ‘stat’ is produced in either XLS, CSV or XML format
CENTRALLY Country divided into Regions Regions divided into Clusters Find friendly RIS manager (upgrade to chocolate) They can obtain data from whole cluster (with same RIS?)
CTUG 2010
Data Content
GOLD STANDARD AUDIT FIELDS PDaattieenotfIEDxamination Projection kV GAgeendoerrDOB mAs Dosage PPaattiieentHWeeiigghhtt Practitioner nt Patient ID Check Modality Pregnancy check ROopoermatNoar/mReadiographer1to3 Patient Mobility Examination
CTUG 2010