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Quality assurance of X-ray equipment: An inventory of initiatives in the Netherlands and abroad

Kwaliteitsborging van radiodiagnostische apparatuur: Een inventarisatie van initiatieven in binnen- en buitenland


The inventory of current initiatives for the Quality Assurance (QA) and Quality Control (QC) of X-ray equipment reported was undertaken in response to a need for improvement in the QA of radiology departments expressed by the Dutch Health Care Inspectorate. Work on building the inventory started with a literature study and was further developed with the results of interviews with Dutch professionals and survey results from foreign experts. The inventory has led us to a number of conclusions, the most important of which are: European and Dutch regulations do not provide details on how the QA of X-ray equipment should be organised, professional associations need to formulate their own standards for QA. The current Dutch standard for QA of X-ray equipment is out-of-date and restricted to conventional techniques. For development of new guidelines, all professional associations involved will need to commit themselves to the QA of X-ray equipment. For the moment, the Inspectorate should formulate and publish requirements themselves. Now radiology departments are seen to go their own way. Possibilities for financial support from the Dutch government to draw up new standards have diminished. However, inspiration can be found abroad for this in the pioneer work of mainly British institutes, the Institute of Physics and Engineering in Medicine (IPEM), for example. For the final implementation of a new standard broad support will be needed and radiology departments will have to be involved. Multidisciplinary audits could help here if QA of X-ray equipment is involved.

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