Overview

Dose Management

There has been an increase in public awareness around patient radiation exposure, due to media attention as well as the widely-promoted Image Gently® and Image Wisely® campaigns. Several states passed legislation requiring tracking of radiation dose and recently the Joint Commission released new requirements for monitoring and recording patient exposure.

Developing an effective dose management program takes time, resources and perseverance. There may be significant technical and cultural challenges to surmount. Among the range of issues to be considered:

  • Are adult protocols being used on pediatric patients?
  • Do my pediatric scans meet Image Gently recommendations?
  • What scans are most frequently performed in the ED and what is the typical dose?
  • How accurately are technologists centering patients in the CT?
  • Is iterative reconstruction software being used appropriately in place of higher dose protocols?
  • Do CT studies reflect ACR and AAPM dose guidelines? 
  • Is there a “frequently flyer” problem with CT scans in the ED?
  • How do doses on older systems compare with newer scanners – do we need to upgrade? 
  • What size and age of patient are we typically imaging? Does the dose scale appropriately?
  • How do we ensure identification of all sentinel event or reportable CV/IR studies? 
  • Are CT protocols using mA modulation to appropriately adjust dose and improve image quality?
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GE Healthcare can help.

Our multi-faceted approach includes critical components to help you develop, integrate, and sustain an effective dose management program:  

  • Strategic Blueprint 
  • Analytics 
  • Technology
  • Education 

This program flows from GE Healthcare’s commitment to dose management and leadership resources and industry partnerships.

Getting Started

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Improving dose management starts with a strategy.

The GE Blueprint Program provides insights and recommendations on integrating your leadership, practices and technologies into an effective, high-performance radiation management program. By comparing your current performance against industry guidelines and best/better practices, we can help you balance your dose management priorities throughout your hospital or across your entire healthcare system.

High performance radiation management programs occur at the intersection of three dimensions.

Where do you begin? By looking at your current radiation dose management processes with the GE Blueprint Benchmark.

This comprehensive CT approach provides a starting point for radiation management program implementation: 

  • Developed using industry guidelines, direct observations of best/better practices and GE-sponsored research
  • Consists of 87 elements along three dimensions of dose management: Leadership, Practices and Technology 
  • Completed through an on-site interview process based on input provided by your staff

The GE Blueprint approach focuses on measuring your current radiation dose practices using data and analytics to identify opportunities and focus your efforts on fixing errors and helping you establish a quality improvement plan to deliver uncompromised imaging.

 

Step 1: Measure Radiation Dose
Start with the basics of measuring radiation dose and benchmarking your current dose management processes.
Learn more >>

Step 2: Fix Your Errors
Now that you have access to radiation dose data, what do you do with it? Understand the data and analytics so you can reduce unnecessary radiation by helping to ensure protocols, procedures and best practices are followed.
Learn more >>

Step 3: Uncompromised Imaging
Build a quality improvement plan that enables end-to-end optimization to deliver just the right dose for the right clinical outcomes every time.
Learn more >>

take the lead icon

Step 4: Take the Lead
Create market advantage by leveraging your dose management strategy.
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DoseWatch

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DoseWatch* Overview:

DoseWatch is a web-based dose monitoring software that captures, tracks and reports radiation dose statistics directly from the imaging device. You can produce sharp, focused diagnostic images while keeping dose levels as low as reasonably achievable (ALARA). DoseWatch monitors cumulative dose over time, and prevents excessive medical radiation exposure.

Automatic dose tracking – across modalities and devices.

Multi-modality and vendor agnostic, DoseWatch automatically receives and stores dosimetry information from a variety of imaging systems, including:

  • CT-scanners
  • Interventional Radiology (IR) Systems
  • Cardio-Vascular (CV) Systems
  • Mammography Systems
  • Radiography Systems

Learn more about DoseWatch >> 

Smart Dose Technologies

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Smart Dose technologies help you reduce patient exposures.

Intelligent technology designed to help you acquire high-quality images using lower doses of radiation, contributing to more accurate diagnoses and lower exposures for patients.

Computed Tomography

Our suite of intelligent CT tools are designed to support diagnostic confidence with lower levels of radiation1.

Over 47 million patients to date on more than 4,600 systems worldwide
ASiR*
Veo*
ASiR-V*

Exposure Control
3D mA modulation
Dynamic z-axis tracking
Organ dose modulation
SnapShot* Pulse
SnapShot Freeze

Protocols
Adult and pediatric reference protocols
Color Coding for Kids
Procedure-based protocols

Awareness and Reporting
Pre-scan dose estimates
Dose Check
DICOM Radiation Dose Structured Reporting

Learn more about CT Smart Dose Technologies >>

1. Not all Smart Technologies are available on all products. Ask a GE Healthcare sales representative for details.

Interventional

Optimize and personalize dose settings from the table-side, while maintaining the clinical details to help you make well-informed decisions.

Dose Awareness Solutions
Provides healthcare organizations insightful and comprehensive dose information and enables a proactive approach to radiation management through data and analytics. Learn more >>

Dose Efficient Technologies
Advanced technologies for interventional and cardiovascular suite designed to provide the image clarity you need while helping you keep dose as low as reasonably achievable. Learn more >>

Mammography

Careful attention to a woman’s health — from low-dose imaging to an innovative, interactive approach to mammography — redefines the patient experience.

Senographe Essential
Digital mammography system that is an upgradeable platform designed to deliver clinical confidence and give you what you need to deliver high-quality care. Senographe Essential lets you perform a wide variety of breast procedures from in-office or mobile screening to advanced diagnostic procedures.

The detector provides high DQE due to independent conversion technology for efficient imaging at low dose.

The GE AOP automatic exposure mode based on breast density delivers optimized and consistent image quality while minimizing average glandular dose.

The X-ray tube with exclusive rhodium anode provides a high-purity spectrum for optimum contrast at low dose for dense breasts.

Learn more about Senographe Essential >>

Radiography and Fluoroscopy

Our R&F solutions are designed to help you do more with less—without compromising care. You’ll find performance and productivity enhancing features on systems that deliver outstanding image quality with dose efficiency.

Precision RXi - compact and versatile remote-controlled R&F system to help address clinical needs.

Learn more >>

Dose Education

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Dose Management Education to Help Meet Joint Commission Guidelines

By July 2015, hospitals and critical access hospitals must meet the Joint Commission’s revised guidelines around safety training for imaging professionals. GE Healthcare educational offerings on dose management and radiation safety concepts will support advancement of staff knowledge and practices around radiation dose management to help you achieve the clinical goals of the Joint Commission guidelines and develop a strong dose management culture.

Dose Management Education – Online, Onsite, and Consultative

GE Healthcare educational offerings include online, onsite and consultative programs to build the foundational knowledge to help clinicians understand the importance of radiation safety and dose management, covering such issues as:

  • How does diagnostic imaging equipment work? 
  • What are the measures of dose? 
  • How are dose levels calibrated?

With this foundational knowledge, clinicians can more effectively answer the questions: 

  • How can changing dose level and image parameters impact dose and image quality? 
  • How can I image with less variance?

The Dose Excellence Program – Accelerate Cultural Change

The Dose Excellence Program is a coordinated program of consulting and educational services to help you accelerate improvement, from measuring and tracking radiation dose to managing it. Our experts will help you create a dose team, and customize a multi-step plan aimed at reducing variation, managing risk, streamlining reporting, and enabling quality imaging at the lowest dose possible.

Learn more about the Dose Excellence Program Consultative and Onsite Offerings >>

Learn more about Online Dose Education Offerings >>

GE's Commitment

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GE's commitment to Dose Management

At GE Healthcare we never stop working to maximize the benefits and clarity that medical imaging can bring to patient care. By seeking answers to the questions and challenges related to radiation exposure, we’re using every possible resource – from technology to education to industry partnerships – to give providers the tools they need to achieve quality imaging outcomes at the lowest possible dose. 

Learn more about Dose Management:

Dose Management Outcomes

Patient Dose History

How do I know how many exams my patients have received over time and what their cumulative dose is?

 

“We know the patient’s history & can identify the types of studies they had and when.”

Dose Management Outcomes

Your Best Day... Everyday

How do my technologists compare against different sites and shifts?

 

“Radiologists & technologists have control & can clearly see the result of their exams. It’s an important peace of mind for the staff & safety measure for patients.”

Dose Management Outcomes

Patient ?'s Answered

If a patient calls and asks about a particular exam, how will I respond? Does my staff know our dose management program and how to communicate this to patients?

 

We monitor your dose & our goal is to provide the best quality of care with the least amount of dose possible.”

Dose Management Outcomes

No Sweat Execs

Do we have a compliant process in place to manage dose across our healthcare system?

 

“We are following the regulations, meeting changing guidelines & benchmarking our performance.”

Dose Management Outcomes

Pass the Audit

Do I have a plan to meet legislative guidelines? Am I keeping the right documentation?

 

“We can prove we meet legislative guidelines: Dose information in the patient record, interpretive report, identification of dose outliers, education on ALARA & participation in DIR.”

Dose Management Outcomes

Patient Size Matters

Do I have protocols in place for pediatrics vs. adult patients? Do I know why a patient received more dose than should have?

 

“We have a monitoring tool to show how to adjust, as patient size varies which impacts the level of dose a patient is receiving.”

Dose Management Outcomes

Operational Visibility

How do the doses in my outpatient centers compare? Is my older equipment giving higher doses to my patients?

 

“I can finally see what my people are doing and how we can do it better.”

Dose Management Outcomes

Referral Provider of Choice

“Our referring physicians know we are leading the way in dose management from ASiR, to VEO in our ED to monitoring radiation dose across our network.”


Related

Downloads

Saint Joseph's Imaging Department Case Study

PDF 1MB
  • Date Created: 11/19/2013
  • Document ID: JB16101USa

Protocol Management in Computed Tomography

PDF 41KB
  • Date Created: 11/19/2013
  • Document ID: JB16221USc

Radiation Dose in Interventional Radiology

PDF 66KB
  • Date Created: 11/19/2013
  • Document ID: JB16221USb

Gathering Radiation Dose Data

PDF 124KB
  • Date Created: 11/19/2013
  • Document ID: JB16221USa

Oaklawn Hospital Dose Management Case Study

PDF 778KB
  • Date Created: 7/12/2013
  • Document ID: DOC1414336

Delivering the Right Dose

PDF 431KB
  • Date Created: 11/26/2013
  • Document ID: DOC1313447

Dose Excellence Program Sell Sheet

PDF 419KB
  • Date Created: 7/24/2014
  • Document ID: JB18785FRa

Video Testimonials