Deck 11: Ensuring Quality in Pacs

Question 1

Three major categories of QC testing that can be used at various times include:

A) routine testing, acceptance testing, and problem maintenance.
B) error testing, problem maintenance, and routine maintenance.
C) acceptance testing, routine maintenance, and error maintenance.
D) problem testing, acceptance maintenance, and routine maintenance.

Answer 1

acceptance testing, routine maintenance, and error maintenance.

Question 2

Whereas QA/QC programs focus on ______ quality, CQI focuses on ______ the process.

A) verifying; recording
B) recording; verifying
C) maintaining; improving
D) improving; maintaining

Answer 2

maintaining; improving

Question 3

Where can QC standards be found for monitoring a PACS system?

A) American College of Radiology
B) American Association of Physicists in Medicine
C) The equipment vendor
D) All of the above

Answer 3

All of the above

Question 4

CQI tends to focus on ______ rather than the ______.

A) QC; QA
B) QA; QC
C) process; people
D) service; corrections

Question 5

Errors in equipment performance are usually detected by poor:

A) equipment maintenance.
B) quality outcomes.
C) both of the above.
D) none of the above.

Question 6

Most health care institutions are accredited by:

A) The Joint Commission (TJC).
B) the Hospital Association.
C) the Workforce Commission.
D) the National Healthcare Institute.

Question 7

What is most often the weakest link in the digital imaging chain?

A) Monitor
B) Image retrieval
C) Processing speed
D) Data integrity

Question 8

TJC accreditation is necessary for a hospital to:

A) hold certain licenses.
B) obtain reimbursements from insurance companies.
C) receive malpractice insurance.
D) all of the above.

Question 9

Which of the following is not a QC activity that should be monitored in a PACS environment?

A) Display quality
B) Processing speed
C) Repeat analysis
D) Data integrity

Question 10

Daily/monthly display monitor testing can be completed by:

A) physicists only.
B) technologists only.
C) physicists and physicians.
D) technologists and physicists.

Question 11

The ultimate focus in health care is to improve ______ and provide ______ so that patients will want to return.

A) health risks; assistance with insurance
B) patient care; high-quality services
C) efficiency; high-quality services
D) employee morale; assistance with insurance

Question 12

Most QA activities produce ______ data.

A) qualitative
B) quantitative
C) equivocal
D) all of the above

Question 13

CQI focuses on:

A) process.
B) individuals.
C) correcting mistakes.
D) QA/QC.

Question 14

A device used to measure the luminescence of areas on the monitor is a:

A) luminescence meter.
B) photometer.
C) photoluminescence meter.
D) monitor meter.

Question 15

Testing that can catch problems before they may become radiographically apparent is called ______ maintenance.

A) routine
B) acceptance
C) error
D) all of the above

Question 16

"A comprehensive set of activities designed to monitor and maintain systems that produce a product" is the definition of:

A) QC.
B) QA.
C) CQI.
D) TQM.

Question 17

"A plan for the systematic observation and assessment of the different aspects of a project, service, or facility to make certain that standards of quality are being met" is the definition of:

A) QA.
B) continuous quality improvement (CQI).
C) total quality management (TQM).
D) QC.

Question 18

To make a valid performance measure in any QC activity, documentation must be:

A) written in ink.
B) performed by the manager.
C) kept in a notebook.
D) kept up to date.

Question 19

Testing performed before newly installed or majorly-repaired equipment can be accepted by the department is called ______ testing.

A) routine
B) error
C) problem
D) acceptance

Question 20

Quality aspects to be evaluated in radiology include ______-centered characteristics.

A) people
B) product
C) both of the above
D) neither of the above

Question 21

What is used to reduce the size of the image files to increase the speed of the network transfer of the images?

A) Data reduction system
B) Compression
C) Image transfer accelerator
D) All of the above

Question 22

Annual testing and acceptance testing should be performed by a:

A) physicist.
B) technologist.
C) physician.
D) all of the above.

Question 23

The purpose of a QC monitor test pattern is to evaluate:

A) image resolution.
B) image distortion.
C) artifacts.
D) all of the above.

Question 24

Image transfer is monitored from the modality to PACS and from the archive to:

A) PACS.
B) the workstation.
C) both of the above.
D) none of the above.

Question 25

Another way to distribute digital images around the hospital is:

A) Polaroid image.
B) digital camera.
C) wet/dry laser imagers.
D) all of the above.

Question 26

Which of the following is a CQI activity?

A) Monitoring image transfer speeds
B) Documenting nondiagnostic images
C) Performing routine maintenance
D) Monitoring testing

Question 27

After you perform a test function for workstation processing speed, the next step is to measure and:

A) move to the next step.
B) schedule the next test.
C) evaluate the image quality.
D) note the speed.

Question 28

Luminescence is measured at five positions over the monitor, and the readings should be within ____% of one another.

A) 5
B) 10
C) 25
D) 30

Question 29

Lossless and lossy are different types of:

A) image transfer comparisons.
B) monitor testing methods.
C) PACS systems.
D) compression ratios.

Question 30

The transfer speed from the modalities is checked monthly until:

A) equipment or software is updated.
B) a weekly pattern is established.
C) both of the above.
D) none of the above.

Question 31

A CRT monitor should have a luminance reading of greater than ______ cd/m.

A) 100
B) 170
C) 250
D) 330

Question 32

How often should the luminescence of a monitor be checked?

A) Daily
B) Weekly
C) Monthly
D) Annually

Question 33

The measure of whether all images completed at the modality make it to the PACS is testing:

A) monitor quality.
B) processing speed.
C) data integrity.
D) image transfer speed.

Question 34

Which of the following is not a part of daily/weekly QC for dry laser imagers?

A) Ensure that each film printed is free from artifacts.
B) Measure steps on the test pattern using a densitometer.
C) Note chemical temperatures and levels.
D) Make sure the preventive maintenance schedule is completed.

Question 35

Which of the following describes a super user?

A) Someone trained on all aspects of the system
B) Someone prepared to train others
C) Someone who sets up ongoing training programs
D) All of the above