Question 1: Current Quality Assurance (QA)/ Quality Management (QM) guidelines __________.
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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.
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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.
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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?"
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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).
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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:
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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. |