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PRODUCTION CONTROL OF RADIATION SAFETY AND ENSURING QUALITY CONTROL IN X-RAY ROOMS
Nazarova Nigora Bohodirovna, doctoral candidate Ph D., 1 year of study of the Department of public health and health management, Tashkent pediatric medical Institute E-mail: baron-codli@mail.ru
PRODUCTION CONTROL OF RADIATION SAFETY AND ENSURING QUALITY CONTROL IN X-RAY ROOMS
Abstract: Ensuring security is a complex and time-consuming task that requires compliance with all the principles of protection and safety of personnel and the public. The quality of control in x-ray rooms is affected by a number of parameters. To maintain the constant performance ofx-ray machines, quality checks should be carried out regularly.
Legal requirements and international basic safety standards for radiological safety require compliance with medical irradiation standards.
One of the difficulties in the operation of the equipment in the radiation diagnosis is the lack of regulatory and methodological documentation for quality control, as well as universal methods for assessing the quality of research.
Keywords: radiation safety, quality assurance, quality control, diagnostics, production control, safety of the working environment.
Introduction. Ensuring safety is a complex and time-consuming task, which requires compliance with all the principles of protection and safety of personnel and the population [1; 2]. The quality of control in x-ray rooms is affected by a number of parameters. To maintain the constant performance of x-ray machines, quality checks should be carried out regularly. It is important to introduce the concept of "clinical audit" - a common tool for quality assessment.
World practice shows that the widespread use of x-ray computed tomography for diagnosis leads to a significant increase in the levels of irradiation of patients [3]. Legal requirements and international basic safety standards for radiological safety require compliance with medical irradiation standards. Such radiation safety audits represent only a small part of a comprehensive audit. The results of these tests should be considered and used in a comprehensive clinical audit in the context of IAEA recommendations [4].
Purpose: consideration of some aspects of radiation safety production control and quality assurance in x-ray rooms
Regular quality control ensures:
- proper functioning of medical x-ray machines;
- reduces the harmful effects on patients;
- eliminates unnecessary double exposure;
- reduces the cost of x-ray departments.
The program of production control establishes a system of radiation control and regulates the rights and obligations of persons engaged in production control of radiation safety (RPC) in the institution. The increase in the level of medical care is standardly associated with the implementation of the quality management system (international standard ISO
9001: 2008) [5] and in relation to management and medical processes in the clinic
The purpose of the production of radiation control:
- obtaining information on individual and collective doses of radiation of personnel and the population under all conditions of human activity, as well as information on all regulated values characterizing the radiation situation;
- ensuring safety and (or) harmlessness for the person and habitat of harmful influence of objects of production control by due performance of sanitary rules and hygienic standards, implementation of sanitary and anti-epidemic (preventive) actions.
For the production of radiation control is assigned responsibility for production control of radiation safety of staff [6].
One of the difficulties in the operation of the equipment in radiation diagnostics is the lack of regulatory and methodological documentation for quality control, as well as universal methods for assessing the quality of research [7].
In particular, the world health organization (who) recommends six quality measurements those are required for the health system [8]:
- efficiency;
- expediency;
- availability;
- acceptability for the patient;
- justice;
- security.
The quality management level of the x-ray unit is determined by the calculation of quality indicators grouped into
Medical science
the following three main categories: human resource control, physical asset control and safety of the working environment. For this purpose, it is necessary to develop a questionnaire in subsequent studies. At the same time, take into account that the presence or absence of quality factors in the questionnaire leads to the assignment of points l(pass) or O(negative), respectively.
For example, the overall performance measured as a quality assurance (16 points) is the sum of the points from:
The first category (human resource management). Seven points: patient records, certificates of the staff, protecting patients, professional training, dosimetry of patients, the management of quality assurance and training without discontinuing work.
The second category (physical asset management). Four items: quality control program, equipment maintenance reports, quality control results and equipment license.
Category 3 (safety of the work environment). Five items: social security, security of personnel, monitoring personnel, warning signs about radiation and the designated officer radiation safety.
Administration rating the quality assurance of the object is calculated as the ratio of the number of points to the 16 indicators under consideration.
Conclusion. When considering some aspects of radiation safety production control and quality assurance in x-ray rooms, it was planned to introduce the concept of "overall efficiency", which is assessed as an element of quality assurance.
The program of production control should establish a regular system of radiation control and regulate the rights and obligations of persons engaged in production control of radiation safety in the institution.
It is shown how to combine the role of clinic managers in quality control of equipment performance without compromising radiological protection.
Systematic evidence-based monitoring is envisaged for the development of guidelines as part of the quality assurance programme.
To avoid difficulties in the operation of the equipment in radiation diagnosis, it is necessary to develop normative and methodological documentation for quality control, as well as universal methods for assessing the quality of research.
References:
1. Governmental, Legal and Regulatory Framework for Safety. IAEA Safety Standards for protecting people and the environment. General Safety Requirements. Part 1. - No. GSR Part 1.- 63 p.
2. International Organization for Standardization. ISO 9000:2015. Quality management systems - fundamentals and vocabulary, 2015.
3. United Nations Scientific Committee on the Effects of Atomic Radiation United Nations (UNSCEAR UN). Sources and Effects of Ionizing Radiation. UNSCEAR 2008 Report, Volume I, Annex A.- NY.: United Nations, 2010.- 220 p.
4. Safety requirements: Radiation protection and safety of radiation sources. International basic safety standards. Series publications IAEA safety - No. 115.- Vienna, 2011.
5. International Organization for Standardization. ISO 9000: 2015. Quality management systems - fundamentals and vocabulary. 2015.
6. Kaznacheeva A. O. Ensuring the quality of research in magnetic resonance imaging. - Tambov: Diploma, Almanac of modern science and education,- No. 5 (95). 2015.- P. 78-82. ISSN1993-5552.
7. "Diagnostic X-Ray Imaging Quality Assurance: An Overview" appeared in The Canadian Journal of Medical Radiation Technology,- October, 1996.- 27(4).- P. 171-177.
8. World Health Organization Quality of care: a process for making strategic choices in Health Systems. 2006.
