Faulkner K, Järvinen H, Butler P, McLean I D, Pentecost M, Rickard M, Abdullah B
Quality Assurance Reference Centre, Unit 9, Kingfisher Way, Wallsend, Tyne and Wear NE28 9ND, UK.
Radiat Prot Dosimetry. 2010 Apr-May;139(1-3):418-21. doi: 10.1093/rpd/ncq002. Epub 2010 Feb 16.
The International Atomic Energy Agency (IAEA) has a mandate to assist member states in areas of human health and particularly in the use of radiation for diagnosis and treatment. Clinical audit is seen as an essential tool to assist in assuring the quality of radiation medicine, particularly in the instance of multidisciplinary audit of diagnostic radiology. Consequently, an external clinical audit programme has been developed by the IAEA to examine the structure and processes existent at a clinical site, with the basic objectives of: (1) improvement in the quality of patient care; (2) promotion of the effective use of resources; (3) enhancement of the provision and organisation of clinical services; (4) further professional education and training. These objectives apply in four general areas of service delivery, namely quality management and infrastructure, patient procedures, technical procedures and education, training and research. In the IAEA approach, the audit process is initiated by a request from the centre seeking the audit. A three-member team, comprising a radiologist, medical physicist and radiographer, subsequently undertakes a 5-d audit visit to the clinical site to perform the audit and write the formal audit report. Preparation for the audit visit is crucial and involves the local clinical centre completing a form, which provides the audit team with information on the clinical centre. While all main aspects of clinical structure and process are examined, particular attention is paid to radiation-related activities as described in the relevant documents such as the IAEA Basic Safety Standards, the Code of Practice for Dosimetry in Diagnostic Radiology and related equipment and quality assurance documentation. It should be stressed, however, that the clinical audit does not have any regulatory function. The main purpose of the IAEA approach to clinical audit is one of promoting quality improvement and learning. This paper describes the background to the clinical audit programme and the IAEA clinical audit protocol.
国际原子能机构（IAEA）的任务是在人类健康领域协助成员国，特别是在辐射用于诊断和治疗方面提供帮助。临床审计被视为确保放射医学质量的重要工具，尤其是在诊断放射学的多学科审计中。因此，IAEA制定了一项外部临床审计计划，以检查临床场所现有的结构和流程，其基本目标包括：（1）提高患者护理质量；（2）促进资源的有效利用；（3）加强临床服务的提供和组织；（4）进一步开展专业教育和培训。这些目标适用于服务提供的四个一般领域，即质量管理和基础设施、患者程序、技术程序以及教育、培训和研究。在IAEA的方法中，审计过程由寻求审计的中心提出请求启动。随后，一个由放射科医生、医学物理学家和放射技师组成的三人团队对临床场所进行为期5天的审计访问，以进行审计并撰写正式的审计报告。审计访问的准备工作至关重要，包括当地临床中心填写一份表格，该表格为审计团队提供有关临床中心的信息。虽然会检查临床结构和流程的所有主要方面，但会特别关注相关文件（如IAEA基本安全标准、诊断放射学剂量测定实践规范以及相关设备和质量保证文件）中所述的与辐射相关的活动。然而，需要强调的是，临床审计不具有任何监管职能。IAEA临床审计方法的主要目的是促进质量改进和学习。本文描述了临床审计计划的背景以及IAEA临床审计协议。
