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By Ognyan Ivanov

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Statistical process control methods have been used in surgeryde Leval et al. (1994); Novick & Stitt (1999); Van Rij et al. (1995), obstetricsLane et al. (2007), endoscopyWilliams et al. (1992), anaesthesiologyKestin (1995); Lagasse et al. (1995), etc. Recently the Institute of Medecine, Washington DC, USA, in its report “Crossing the Quality Chasm: A New Health System for the 21st Century” stated that “reducing waits and sometimes harmful delays for both those who receive and those who give care” was one of the six aims proposed to adress key issues of today’s health care systemof Medicine (2001).

Simple guidelines to be considered as part of the design of the treatment operational flux for each patient. Adapted from [3] Physical procedures The control points defined for the QC program shall also include the physical data either taken from tables, publications, guidelines, measurements involving the machine acceptance and commissioning, source calibration, patient data (protocols for imaging acquisition and data entry to the treatment planning system), dose calculation for the patient, dose validations or patient chart checks.

E. deAlmeida Air kerma standard for calibration of well type chambers in Brazil using 192Ir HDR sources and its traceability. Med. Phys. (2009) 36 (3), 953-60. [18] IAEA, Calibration of brachytherapy sources: Guidelines of standardized procedures for the calibration of brachytherapy sources at secondary standard dosimetry laboratories (SSDL) and hospital, Report No TECDOC 1079, IAEA, Vienna, 1999. [19] N. A. Ellerbroek, M. Brenner, P. , Practice accreditation for radiation oncology: quality is reality.

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