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

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 ...