Announcing the Dose Index Registry® Support Services LinkedIn Group

I am renaming and repurposing my LinkedIn radiology management group to concentrate on supporting use of the ACR’s Dose Index Registry ® rather than a general radiology business forum. The new group is named “Dose Index Registry Support Services.”  If you are a LinkedIn member and would like to join the new group enter Dose… Read More

Conference Speaking Engagement: Dose Index Registry – Tips, Tricks, and Lessons Learned

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… Read More

CTDIvol vs DLP – a simple explanation

What do they represent? CTDIvol is based on measurements obtained when scanning either a 16cm or 32 cm phantom.   Essentially, it represents scanner output.  DLP is derived from CTDIvol, but incorporates a scan length component.  Both function as reasonable proxies for absorbed dose but do not represent the actual patient dose.  In other words, if… Read More

End of Quarter: Time to Perform Your DIR Data Quality Checks

With the end of the quarter approaching the ACR’s NRDR sent a reminder to all participants to perform several quality checks so your report will be as accurate as possible.  These checks include making sure: The total volume of exams recorded in the DIR for your facility is reasonably close to the volume of studies… Read More

Dose Reduction Case Study – Is Your CT Scanner Table Increasing Patient Dose?

During the 2017 Landauer Clinical Dose Optimization Symposium one of the session speakers, Douglas Pfeiffer, a medical physicist with Blackthorn Medical Physics, reported he had found the table-head rest extension connection mechanism increased CTDIvol and DLP when the body part being imaged was positioned over the connection mechanism.  Following the symposium, we worked with a… Read More

DoseID helps facilities identify duplicate and superfluous scanner protocols

One of the more interesting and unique benefits Dose Registry Support Services’ DoseID Program has for facilities is its ability to shed light on duplicate and superfluous protocols in use at their facilities.  The table to the right shows how one facility had 7 different protocols being used on a single scanner during a recent 3 month… Read More

DRSS’s DoseID Service Now Includes Draft Policies For Client Use

DRSS is now providing clients with the following 8 draft policies it may adapt for use at their facilities: [Facility Name] CT Dose Optimization Policy [Facility Name] Quality Control and Maintenance Activities Policy [Facility Name] Physicist Evaluation Policy [Facility Name] Verification and Documentation of Medical Physicist Qualifications Policy [Facility Name] Verification and Documentation of CT… Read More

36% of Joint Commission accredited facilities may be at risk of being cited for non-compliance w/ TJC’s Dose Incident Identification & Review mandate

In a recent poll 36% of facility administrators indicated they are using their CT scanners’ XR-29 dose notification and alert capabilities to meet The Joint Commission’s (TJC’s) Dose Incident Identification and Review requirements.  The reality is that a majority (and likely a vast majority) of these facilities are not in compliance with TJC’s mandate. Hint: … Read More

Take the poll: How are facilities meeting The Joint Commission’s Dose Incident Identification Requirement?

I’m taking a poll on how facilities are meeting The Joint Commission’s requirement to identify Dose Incidents.  Those wishing to respond may do so using the web response process described below.  I will share the results in an upcoming LinkedIn post.  This poll will be live through midday, Wednesday, July 27, 2016.  No identifying information is required.… Read More

Joint Commission Confirms Facilities Need an Expected Dose Range for All CT Protocols; Note to Self: XR-29 Does NOT Equal TJC Compliance

The following question was submitted to the Joint Commission: Must we establish an expected dose range for every imaging protocol or can we pick and choose the protocols for which we establish expected dose ranges and monitor only those? I interpret [PI.02.01.01.A.6.] to require monitoring of every protocol we use, not just some portion of… Read More