Browsing by Author "Ubeda, Carlos"

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    Quality management in imaging services
    (2025) Ubeda, Carlos; Soffia, Pablo; Inzulza, Alonso; Khoury, Helen; Khoury, Viviane; Wunderlen, Kevin; Donoso, Sigrid; Pérez, María; Franco, María
    In an imaging procedure with ionizing radiation, different elements are involved, and each possible failure in one of them can be associated with a detriment to its quality. The loss of quality has ethical and economic implications, which is why it must be managed intentionally. Therefore, it is recommended to establish a quality management system (QMS), which represents a standard framework for the administration that ensures correct execution and the desired results through compliance with a series of requirements on the different aspects or components of the service. To guarantee the success of a QMS, actions based on quality assurance (QA) and quality control (QC) must be established. When reviewing the Chilean regulations that regulate the use of ionizing radiation in medicine, we found that there is a deficiency in the concepts and applications in the requirements that refer to QMS, QA and QC. The purpose of this narrative review is to present an updated revision for health administrators and professionals on the rationale and purpose of a QMS, and QA and QC as its essential components, in imaging services. En un procedimiento imagenológico con radiaciones ionizantes intervienen diferentes elementos, y a cada posible fallo en alguno de ellos cabe asociar un detrimento en la calidad del mismo. La pérdida de calidad tiene implicancias éticas y económicas, razón por la cual esta debe ser gestionada con intencionalidad. Así, se recomienda establecer un sistema de gestión de la calidad (SGC), que representa un marco estándar para la administración que asegura la correcta ejecución y los resultados deseados mediante el cumplimiento de una serie de requisitos sobre los diferentes aspectos o componentes de la atención. Para garantizar el éxito de un SGC se deben establecer acciones sustentadas en la garantía de calidad (GC) y el control de calidad (CC). Al revisar la normativa chilena que regula el uso de las radiaciones ionizantes en medicina, constatamos que existe un vacío de conceptos y aplicaciones en los requerimientos que hacen referencia a SGC, GC y CC. La presente revisión narrativa tiene como propósito presentar una revisión actualizada para administradores y profesionales de la salud sobre la justificación y el propósito de un SGC, y de la GC y el CC como sus componentes esenciales, en los servicios de imagenología.
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    Radioprotección al día en radiología diagnóstica: Conclusiones de la Conferencia Iberoamericana de Protección Radiológica en Medicina (CIPRaM) 2016
    (Sociedad Chilena de Radiología, 2017) Soffia, Pablo; Ubeda, Carlos; Miranda, Patricia; Rodríguez, Jose
    The aim of this article was to summarize the conclusions reached by a panel of Ibero-American experts regarding the five most relevant problems in the area of Radiological Protection (RP) in diagnostic radiology in Latin America. The topic was analyzed within the framework of the Ibero-American Conference on Radiological Protection in Medicine (CIPRaM) 2016, held in Madrid, Spain, between October 18 and 20, 2016, together with an analysis of the current situation of our country in these issues. The CIPRaM was addressed to all those involved in RP in medicine, including physicians, technicians, physicists, regulatory agents, health authorities and the general public. In conclusion, the most relevant problems were the lack of justification for the studies, the lack of culture of dose optimization of radiological techniques, the need to deepen the educational efforts of health personnel, the need to establish diagnostic reference levels in the region and further promote a PR culture and greater risk-benefit dialogue. As indicators of follow-up, it was proposed to quantify the number of countries with clinical guidelines for referral clinicians, the number of countries with quality manuals in use, the number of guidelines for conducting examinations adopted, the number of countries in the region with national diagnostic reference levels, the number of Educational programs, actions and campaigns in RP for each national society and finally, the number of countries with an updated regulatory framework according to the international basic safety standards.

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