QUIRCC is a coalition of six children’s hospitals whose purpose is to develop a consensus for best practices of optimal CT scan techniques and dose index in children related to patient size undergoing CT scans for common medical indications. Through the use of well-tracked data, this group used a registry and identified the state of CT practice at their own institution as well as within the coalition, promoted transparency of practice within the group through sharing de-identified data, created a process of continuous improvement, enacted change locally through the development of a quality team at each site to standardize performance of the CT scans across the coalition. The coalition continues to work on resources for quality improvement education.
Dose indices for pediatric exams are a part of our Dose Index Registry (DIR). QUIRCC draws on pediatric data from DIR for any registry data needs. DIR participants receive a separate feedback report for pediatric dose indices using data submitted for children age 0 through 18. This report includes comparisons to other pediatric and non-pediatric facilities. If you are a pediatric facility interested in dose monitoring, we invite you to review our most recent DIR pediatric report and to consider joining the Dose Index Registry.
QUIRCC publication: Diagnostic reference ranges and the American College of Radiology Dose Index Registry: the pediatric experience. Goske MJ. Pediatr Radiol. 2014 Oct; 44 Suppl 3:506-10.