2016 AAPM Annual Meeting
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Session Title: TG100 Workshop (Session 7 of the TG100 Certificate Course series)
Question 1: Current Quality Assurance (QA)/ Quality Management (QM) guidelines __________.
Reference:M. Saiful Huq et al. The Report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics to be published.
Choice A:Cover all imaginable risks.
Choice B:Are largely device centric and prescriptive.
Choice C:Were developed as shelf ornaments.
Choice D:Are a legal requirement in all U.S. states.
Choice E:Are too vague to be of any use.
Question 2: Hardware/software issues are a cause of failure in IMRT in ___________ of cases.
Reference:M. Saiful Huq et al. The Report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics to be published.
Choice A:>90%
Choice B:≈75%
Choice C:≈50%
Choice D:≈25%
Choice E:<10%
Question 3: Process mapping can help you:
Reference:The Basics of Process Mapping, 2nd ed. By Robert Damelio
Choice A:Visualize whether the steps of a process are logical.
Choice B:Uncover problems or miscommunications.
Choice C:Develop a common base of knowledge about a process.
Choice D:Bring to light redundancies and pathways that would otherwise remain unnoticed or ignored.
Choice E:All of the above.
Question 4: Process maps can still be useful:
Reference:The Basics of Process Mapping, 2nd ed. By Robert Damelio
Choice A:If they are not accurate.
Choice B:If team members are afraid to describe what actually happens.
Choice C:If the team is too far removed from the actual working of the process.
Choice D:If they do not capture the entire process in detail but rather the workflow at a more general level.
Choice E:If some critical steps in the process have been missed.
Question 5: An FMEA typically starts with __________.
Reference:M. Saiful Huq et al. The Report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics to be published.
Choice A:A Process Map.
Choice B:Instructions from senior management.
Choice C:A report of a critical incident.
Choice D:A premonition.
Choice E:A Root Cause.
Question 6: A Potential Failure Mode __________.
Reference:M. Saiful Huq et al. The Report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics to be published.
Choice A:Only applies to equipment.
Choice B:Is something that could go wrong.
Choice C:Is always initiated by a human.
Choice D:Is always remediated before affecting a patient.
Choice E:Is the end result of a Root Cause Analysis.
Question 7: Which is true about fault-tree analysis?
Reference:M. Saiful Huq et al. The Report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics to be published.
Choice A:It is another name for a root-cause analysis tree.
Choice B:It depicts the propagation of failures.
Choice C:It shows how a process takes place.
Choice D:It helps highlight non-value-added time in a process.
Choice E:All of the above
Question 8: Which is true about fault-tree analysis?
Reference:M. Saiful Huq et al. The Report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics to be published.
Choice A:It does not highlight common causes.
Choice B:Each pathway is followed through five whys to find the cause.
Choice C:It helps see where to place QM in a procedure.
Choice D:Adds little to what is learned from FMEA.
Choice E:Preventing a failure mode requires eliminating the cause found on the fault tree.
Question 9: A new QM measure is put in place as a result of an initial FMEA. If it is effective, how will the RPN or its sub-components change for the failure mode(s) that the QM measure covers?"
Reference:M. Saiful Huq et al. The Report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics to be published “Quality and Safety in Radiotherapy: Learning the New Approaches in Task Group 100 and Beyond” , Bruce Thomadsen, Peter Dunscombe, Eric Ford, Saiful Huq, Todd Pawlicki, Steven Sutlief editors, Medical Physics Publishing 2013 (based on the AAPM 2013 Summer School).
Choice A:RPN will decrease.
Choice B:O will decrease and D will increase.
Choice C:S will increase.
Choice D:O will increase and D will decrease.
Choice E:Only O will change.
Question 10: Among the key core requirements of an effective radiation therapy QM program are:
Reference:M. Saiful Huq et al. The Report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics to be published.
Choice A:Annual performance of an FMEA.
Choice B:In vivo dosimetry and other patient-specific measurements.
Choice C:Standardized procedures and clear lines of communication.
Choice D:Standardized procedures and long working hours.
Choice E:Concentration on only one treatment delivery device.
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