The Quality Management Audits in Nuclear Medicine (QUANUM) programme has proven to be applicable to many nuclear medicine services across a variety of economic circumstances. It considers the diversity of nuclear medicine practices around the world and covers multidisciplinary contributions. The present revision, QUANUM 3.0, follows the principle of continuous quality improvement and reflects new scientific developments. It draws on valuable lessons learned from more than a decade of global implementation of QUANUM with the assistance of experienced nuclear medicine professionals.

• 1. INTRODUCTION
  • 1.1. Background
  • 1.2. Objective
  • 1.3. Scope
  • 1.4. Structure
• 2. CONSIDERATIONS FOR THE IMPLEMENTATION OF A QUALITY SYSTEM IN NUCLEAR MEDICINE
  • 2.1. Leadership and management
  • 2.2. Quality management systems in nuclear medicine
  • 2.3. Objective of the audit and composition of the audit team
  • 2.4. Continuing improvement and the role of quality audits
  • 2.5. Prioritization
  • 2.6. Checklist limitations
    • 2.6.1. Responsibility for action
• 3. AUDIT REVIEW STRUCTURE
  • 3.1. Purpose
  • 3.2. Establishing the audit plan
  • 3.3. Composition of the audit team
  • 3.4. Preparation for the quanum audit
  • 3.5. Components of the audit and responsibilities of the team
    • 3.5.1. Entrance briefings
    • 3.5.2. Assessment
    • 3.5.3. Scoring conformance and non-conformance
    • 3.5.4. Minimum requirements
    • 3.5.5. Prioritization of findings
    • 3.5.6. Exit briefing
    • 3.5.7. Reporting
    • 3.5.8. Follow-up
• 4. GUIDE TO THE AUDIT CHECKLISTS
  • 4.1. Management
  • 4.2. Radiation regulations and safety
  • 4.3. Patient radiation protection
  • 4.4. Evaluation and assurance of quality system
  • 4.5. Quality control of equipment
  • 4.6. Computer system and data handling
  • 4.7. Diagnostic clinical services
  • 4.8. Assessment of diagnostic procedures
    • 4.8.1. Summary of imaging procedures
  • 4.9. Radionuclide therapy
  • 4.10. Assessment of therapy
    • 4.10.1. Scoring therapy procedures
  • 4.11. Radiopharmacy
  • 4.12. Hormones and tumour markers
• 5. RADAR SUMMARY
• 6. AUDIT REPORT
  • 6.1. Prioritization of non-conformances
  • 6.2. IAEA external audit final report
• Appendix GLOSSARY
• REFERENCES
• ABBREVIATIONS
• CONTRIBUTORS TO DRAFTING AND REVIEW