By Ognyan Ivanov
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An example of the use of this method in medicine may be found in an intensive care unitPilcher et al. (2010). 2 Monitoring a process from an out of control to an in control state: the LC-CUSUM test Often physicians are interested in determining the time at which point we can assume a trainee has reached a certain level of performance so that supervision, or even training, may stop and resources be redirected to another trainee Biau et al. (2007). The LC-CUSUM test has been developped for that purposeBiau & Porcher (2010); Biau et al.
6(4): p. 50-64.  R. Nath, L. L. Anderson, G. Luxton, K. A. Weaver, J. F. Williamson and A. S. Meigooni, Dosimetry of interstitial brachytherapy sources: recommendations of the AAPM Radiation Therapy Committee Task Group No. 43. American Association of Physicists in Medicine, Med. Phys. 22, 209-234.  M. J. Rivard, B. M. Coursey, L. A. DeWerd, W. F. Hanson, M. S. Huq, G. S. Ibbott, M. Mitch, R. Nath and J. F. Williamson, Update of AAPM Task Group No. 43 Report: A revised AAPM protocol for brachytherapy dose calculations, Med Phys (2004)31, 633-674.
An important component of safety is the proper training of the staff to deal with unexpected situations. 4, may help to speed the resolution of a particular incident. 19 The Need for Quality Control in High Dose Rate Brachytherapy Description Minimum requirements Test frequency Action level Safety systems Warning lights Daily/3M* - Room monitor Daily/3M* - Communication equipment Daily/3M* - Emergency stop 3M - Treatment interrupt 3M - Door interlock W - Power loss 3M - Applicator and catheter attachment W - Obstructed catheter W - Integrity of transfer tubes and applicators 3M - Timer termination Daily - Contamination test A - Leakage Radiation A - Emergency equipment (forceps, survey meter) Daily/3M* - Practicing emergency procedures 6M - Hand crank functioning *** A - Hand-held monitor 3M/A** - Source calibration SE/3M >5% Source position Daily/3M* >2 mm Length of treatment tubes 6M >1 mm Irradiation timer Date, time and source strength in treatment unit Transit time effect 6M >1 % Physics parameters Daily - 3M - (3M–quarterly; 6M–biannual; A–annual; SE–source exchange; W=weekly Adapted from  *Daily checks are assumed to be an implicit part of normal operation and registered in a logbook.
Applications and Experiences of Quality Control by Ognyan Ivanov