I just returned from having presented at the Health Connect Partners 2017 Radiology & Imaging Conference. My topic: Using the DIR to Meet TJC’s Dose Incident Identification & Review Requirements.
During the presentation I gave an overview of the DIR and shared what we’ve learned from having participated in it for four years, including specific areas we discovered for improvement. Along the way I shared stories and anecdotes, and charts and graphs. I also gave tips, tricks, and lessons learned attendees could take home and use themselves, including how to perform important quality checks on their DIR data – a critical step many overlook.
I also reviewed how and why we chose to use the process referred to as DoseID on this website to meet the Joint Commission’s requirements to establish expected dose ranges, test each exam against its expected range, and, identify any test that exceed its expected range (a dose incident), rather than buy an expensive third-party dose monitoring system.
(Hint, the words/phrases “very effective, low cost, and facility-specific” come to mind.)
I also went into some detail why XR-29 dose alerts/notification do not meet TJC’s dose monitoring requirements, including a review of the XR-25 Dose Check standard which forms the foundation of XR-29’s dose alerts and notifications.
(Hint: While XR-29 alerts are pre-scan alerts, TJC requires facilities to check the total final dose as reported by the scanner at the conclusion of the exam against its expected range. By definition, a pre-scan alert is not, does not, and cannot, represent the final actual dose, which is one of the reasons why XR-29 dose alerts don’t meet TJC requirements.)
If your organization has an upcoming conference and you think its members would benefit from learning more about the Dose Index Registry, including tips, tricks, and lessons learned, please contact me by clicking here .
Need help getting more from your participation in the ACR’s Dose Index Registry® ? Let Dose Registry Support Services tailor a program designed specifically to help your department succeed. Contact Dose Registry Support Services to see how we can help.