Diagnostic Imaging

Downloadable Version: Diagnostic Imaging

Contents

Preface
Purpose of Clinical Practice Parameters
Role of the College of Physicians and Surgeons Responsibilities of the College Updating this Document Radiology Guiding Principles

VOLUME 1: FACILITY STANDARDS

Chapter 1 Staffing a Facility
Overview
Qualifications of Physicians Providing Diagnostic Services
Radiologists Involved in Interpreting Nuclear Medicine Reporting 
Quality Advisor 
Role of the Quality Advisor 
Duties and Responsibilities of the Quality Advisor 
Medical Lead(s) for IHFs licensed by the MOHLTC for more than one service
Facility Lead for IHFs that Perform Mammography
Duties and Responsibilities of a Facility Lead for Mammography Quality Management Program (QMP)
Radiation Protection Officer
Duties and Responsibilities of the RPO 
Medical Radiation Technologists 
MRTs Performing Bone Densitometry 
MRTs Performing Mammography 
MRTs Performing Fluoroscopy
Duties and Responsibilities of MRTs 
Diagnostic Medical Sonographers 
Duties and Responsibilities 

Chapter 2 Facilities, Equipment and Supplies 
Overview 
Mobile Services
Facilities, Equipment and Supplies 
Infection Prevention and Control
Endocavity Transducer Reprocessing
Eye Wash Stations
Imaging Equipment Quality Control 
Radiography
Fluoroscopy
Ultrasound
Mammography
Bone Mineral Densitometry
Radiologist Reporting Stations
Aging Equipment

Chapter 3 Policies and Procedures
Overview 
Radiation and Ultrasound Safety and Dose Reduction (ALARA Principles)
Developing Policies and Procedures
Facility
Facility Staff
Diagnostic Services
Records and Communication/Reporting & Privacy Principles
Equipment Maintenance
Emergency Procedures and Safety Policies
Quality Management
Infection Prevention and Control
Personal Protective Equipment
Disposal of Sharps
 

Chapter 4 Requesting and Reporting Mechanisms
Overview
Requesting Procedures
The Diagnostic Imaging Final Written Report 
Report Attributes 
Body of the Report 
Preliminary Report 
Verbal or Other Direct Communication
Retention of Patient Records
MOHLTC Independent Health Facilities Program Information and Fact Sheets related to Patient Charges for Records
Retrieval of Films from another IHF/Institution

Chapter 5 Providing Quality Care
Overview
Quality Management Program Goals
Providing Quality Care
Components of a Quality Management Program
Monitoring the Program

Chapter 6 Nuchal Translucency (NT)
Overview 
Quality Assurance
Physicians Involved in Nuchal Translucency Reporting
Ontario Regional Prenatal Screening Laboratories Contact Information
DMSs Peforming the 11 to 13+6 week scan
Nuchal Translucency Audit Curve

VOLUME 2: CLINICAL PRACTICE PARAMETERS

Chapter 7 Position Statement from the IHF Diagnostic Imaging Task Force

Chapter 8 Routine Chest Radiography in a Primary Care Setting
 

VOLUME 3: TELERADIOLOGY

Teleradiology Standards
OAR Teleradiology Practice Standard
CAR Standards for Teleradiology
ACR Standards for Teleradiology
CPSO Telemedicine Policy

Appendix I Independent Health Facilities Act - Ontario Regulation 57/92 Quality Advisor and Advisory Committee
Standards
Records of Employees
Patient Records
Books and Accounts
Notices
Miscellaneous
 

Appendix II Ongoing Quality Control in Digital Radiography: Report of AAPM Imaging Physics Committee Task Group 151

Appendix III Infection Prevention and Control (IPAC) Position Statement on Medical Gels – December 2017

Appendix IV Fetal Ultrasound for Non-Medical Reasons – CPSO Policy Statement #4-10

Appendix V Sample Emergency Safety Policy

Appendix VI Sample Referring Physician Survey

Appendix VII Sample Patient Survey: Quality of Care

Independent Health Facilities

Clinical Practice Parameters and Facility Standards; Assessment Protocols, including fillable forms; and other tools