136 lines
5.2 KiB
Markdown
136 lines
5.2 KiB
Markdown
# Radiology & Medical Imaging Quality Management System
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A comprehensive QMS template designed for radiology departments, imaging centers, and diagnostic imaging services.
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## 🩻 Designed For
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- **Hospital Radiology Departments** - Full-service diagnostic imaging
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- **Outpatient Imaging Centers** - Freestanding radiology facilities
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- **Interventional Radiology** - Image-guided procedures
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- **Breast Imaging Centers** - Mammography and breast MRI
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- **Nuclear Medicine** - PET, SPECT, and nuclear imaging
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- **Radiation Oncology** - Therapeutic radiology services
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- **Teleradiology Services** - Remote interpretation services
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## 📋 Regulatory Framework
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This template supports compliance with:
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- **ACR** - American College of Radiology accreditation
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- **The Joint Commission** - Hospital accreditation (diagnostic imaging)
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- **FDA** - Medical device regulations, MQSA (mammography)
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- **CMS** - Medicare imaging requirements
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- **State Radiation Control** - State licensing and inspection
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- **NRC** - Nuclear Regulatory Commission (if radioactive materials)
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- **HIPAA** - Patient privacy and image security
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- **OSHA** - Radiation worker safety
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- **AAPM** - Medical physics standards
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- **ACR Appropriateness Criteria** - Clinical decision support
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## Repository Structure
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```
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├── SOPs/
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│ ├── General-Radiography/ # X-ray, fluoroscopy, portable imaging
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│ ├── CT-Imaging/ # CT protocols, contrast administration
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│ ├── MRI-Operations/ # MRI safety, protocols, contrast
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│ ├── Ultrasound/ # US protocols, transducer care
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│ ├── Nuclear-Medicine/ # Radiopharmaceutical handling, imaging
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│ ├── Equipment/ # QC, maintenance, calibration
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│ └── General/ # Document control, training, CAPA
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├── Forms/
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│ ├── Patient-Screening/ # MRI safety, contrast allergy, pregnancy
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│ ├── Protocol-Sheets/ # Imaging protocol documentation
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│ ├── QC-Records/ # Daily QC, equipment logs
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│ ├── Contrast-Records/ # Contrast administration, reactions
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│ ├── Dose-Logs/ # Radiation dose tracking
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│ └── Training/ # Competency assessments
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├── Policies/ # Department policies
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├── Work-Instructions/ # Step-by-step procedures
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└── Templates/ # Document templates
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```
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## Document Numbering Convention
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- **POL-XXX**: Policies
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- **SOP-RAD-XXX**: General Radiography SOPs
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- **SOP-CT-XXX**: CT Imaging SOPs
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- **SOP-MRI-XXX**: MRI Operations SOPs
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- **SOP-US-XXX**: Ultrasound SOPs
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- **SOP-NM-XXX**: Nuclear Medicine SOPs
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- **SOP-EQ-XXX**: Equipment SOPs
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- **WI-XXX**: Work Instructions
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- **FRM-XXX**: Forms and Records
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## 🤖 AI-Powered Assistance
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This repository includes **AtomicAI**, your radiology QMS assistant. Mention `@atomicai` in any issue or pull request to:
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- Draft imaging protocol SOPs
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- Create patient screening and safety procedures
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- Generate equipment QC protocols
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- Develop contrast administration procedures
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- Create radiation dose tracking systems
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- Review documents for ACR compliance
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### Example Prompts
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- "@atomicai create an SOP for MRI patient screening and safety"
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- "@atomicai draft a CT contrast administration and reaction protocol"
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- "@atomicai write a mammography quality control procedure per MQSA"
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- "@atomicai create an equipment QC log for digital radiography"
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- "@atomicai develop a radiation dose optimization protocol"
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- "@atomicai create a portable X-ray infection control procedure"
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## Getting Started
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1. **Establish Safety Programs** - Implement MRI, radiation, and contrast safety
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2. **Define Imaging Protocols** - Standardize protocols by exam type
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3. **Set Up Equipment QC** - Daily, weekly, and monthly QC schedules
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4. **Implement Dose Monitoring** - Track and optimize radiation dose
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5. **Train Technologists** - Use competency assessment forms
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## Key Documents to Create First
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1. **MRI Safety Screening SOP** - Patient and personnel safety
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2. **CT Contrast Administration SOP** - IV contrast protocols and reactions
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3. **Equipment QC Procedures** - Daily QC for each modality
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4. **Radiation Dose Tracking Policy** - DRL monitoring and optimization
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5. **Mammography QC Program** - MQSA-required procedures
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6. **Image Quality Review SOP** - Technologist quality feedback
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7. **Critical Results Communication** - Urgent finding notification
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## Special Considerations for Radiology
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### Patient Safety
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- MRI screening (implants, devices, pregnancy)
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- Contrast allergy and reaction management
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- Radiation dose optimization (ALARA)
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- Pregnancy screening and shielding
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- Pediatric dose reduction
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### Equipment Quality Control
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- Daily QC phantoms and tests
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- Annual physics surveys
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- Preventive maintenance schedules
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- Calibration verification
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- Service documentation
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### Imaging Protocols
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- Standardized protocol libraries
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- Indication-based protocol selection
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- Dose optimization techniques
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- Image quality standards
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- Protocol deviation documentation
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### Regulatory Compliance
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- ACR accreditation maintenance
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- MQSA requirements (mammography)
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- State radiation inspection preparation
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- Credentialing and privileging
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- Peer review programs
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---
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*This template is maintained by AtomicQMS. For questions, open an issue in this repository.*
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