Purpose To Implement the Dose Index Registry ACR (American College of Radiology) software in a tomography Service. To reinforce educational recommendations on how to improve optimization, quality, and, patient safety in CT scans. Learning Objective Automated data monitoring can contribute to periodic analysis and identify warning signs, improved team skill and patient safety.

Monitoring the patient’s dose system in radiological exams has been a national and international concern [1-3]. The International Atomic Energy Agency [4] and the World Health Organization [5], as well as the rules of Brazilian Legislation [6], have focused on the dose reference level and patient safety. Some automated data monitoring software has been developed to audit and monitor dose CT, contributing to optimization. The Dose Index Registry (DIR) system was launched in 2011 by the American College of Radiology and provides an american database...

Approximately 1000 monthly CT exams (adult and pediatric) were reviewed. The project was well accepted by the operational team and referred by the hospital’s quality department for certification assessment. DIR reports were important for warning signs for outliers. However, it must be considered that IR parameter applies an American reference level, and there are differences in the biotypes of the Brazilian population and the technological equipment in Brazil. The incidence of pediatric CT exams in each semester: head (N=322; 62%); abdomen (N=153; 29.8%); chest (N=20;...

Discussion Education strategies using new technologies for auditing and evaluation can improve staff skills e the identification of outliers. Permanent education and auditing tools contributed to improving quality and need to be continued. The audit motivated the technicians to question radiologists about the examination protocol and the identification of similar previous exams. Engagement of the supervisor technician, representative of the radiologists and the Hospital manager is essential for the sucess of the project. Conclusion Monitoring software such as DIR was implemented and can contribute to...

M. O. B. Bernardo: Nothing to disclose F. Morgado: Nothing to disclose F. A. Almeida: Nothing to disclose

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