Quality Improvement Quality Assurance Audit for Diagnostic Radiology Improvement and Learning (QUAADRIL)
- Integrated Review Service for Radioactive Waste and Spent Fuel Management, Decommissioning and Remediation (ARTEMIS)
- Construction Readiness Review (CORR)
- Disused Sealed Radioactive Sources Technical Centres Peer Review Service (DSRS-TeC)
- Education and Training Appraisal (EduTA)
- Emergency Preparedness Review (EPREV) Service
- Independent Engineering Review of I&C Systems (IERICS)
- Integrated mission of PACT (imPACT)
- Integrated Nuclear Education Advisory Services (INEAS)
- Integrated Nuclear Infrastructure Review (INIR)
- Integrated Nuclear Infrastructure Review for Research Reactors (INIR-RR)
- Integrated Research Reactor Utilization Review (IRRUR)
- Integrated Safety Assessment of Research Reactors (INSARR)
- International Nuclear Security Advisory Service (INSServ)
- International Physical Protection Advisory Service (IPPAS)
- Integrated Regulatory Review Service (IRRS)
- Integrated Uranium Production Cycle Review (IUPCR) mission
- Independent Safety Culture Assessment (ISCA)
- State Systems of Accounting for and Control of Nuclear Material mission (ISSAS)
- Knowledge Management Assist Visit (KMAV)
- Operation and Maintenance Assessment for Research Reactors (OMARR)
- Occupational Radiation Protection Appraisal Service (ORPAS)
- Operational Safety Review Team (OSART)
- Peer Review of Operational Safety Performance Experience (PROSPER)
- Quality Improvement Quality Assurance Audit for Diagnostic Radiology Improvement and Learning (QUAADRIL)
- Quality Management Audits in Nuclear Medicine Practices (QUANUM)
- Quality Improvement Quality Assurance Team for Radiation Oncology (QUATRO)
- Advisory Mission on Regulatory Infrastructure for Radiation Safety and Nuclear Security (RISS)
- Safety Aspects of Long Term Operation (SALTO)
- Safety Culture Continuous Improvement Process (SCCIP)
- Stakeholder Engagement Advisory Service for Nuclear Power Programmes (SEAS)
- Safety Evaluation of Fuel Cycle Facilities during Operation (SEDO)
- Site and External Events Design Review Service (SEED)
- Transport Safety Appraisal Services (TranSAS)
- Technical Safety Review (TSR)
QUAADRIL was set up to advise on standards and processes used for comprehensive clinical audits of diagnostic radiology services. To improve quality of such services, it focuses on clinical management and infrastructure, patient related and technical procedures, and education and research.
The importance of accurate radiological diagnosis and the possibility of increasing doses in view of technical advances in equipment and complexity of procedures drives the need for QA in diagnostic radiology. Comprehensive clinical audits represent an important component of any QA programme.
A quality audit of a programme has two principal components: a review of the policies, procedures and critical data; and a site visit to confirm that equipment and clinical processes are functioning as they should be.
The audit is carried out by a multidisciplinary team of experts, typically comprising a radiologist, a medical physicist and a radiographer. The QUAADRIL methodology gives guidance on the implementation of such audits.
Audits usually conclude with a written report that assesses the current quality of the programme and makes suggestions for improvement. Such reports are then submitted to the assessed facility. It is important to note that an audit is specifically not designed for regulatory purposes and the auditors have no power to enforce any actions based on their assessment. They can only report their findings and give recommendations, which the audited facility is free to implement or not, as they wish. Notwithstanding this, QUAADRIL audits have overall contributed to significant improvements.