title: Risk-informed, performance-based inspections at medical facilities.
abstract: During the past couple of years, radiation safety professionals have observed a significant change with regard to the inspection philosophy of regulators. The NRC and many Agreement State agencies have implemented a performance-based, risk-informed approach for inspecting medical Radiation Safety Programs. This new, less prescriptive approach originates from the necessity to produce safety benefits commensurate with their cost to the industry and still maintain health and safety performance. While compliance with regulatory requirements is important, regulatory agencies have been focusing on areas that provide greater safety benefit, such as protecting the radiation worker, members of the general public and the environment. This paper discusses simple and practical measures that may assist licensees in preparing for performance-based, risk informed inspections.
authors.affiliation: VA San Diego Healthcare System, San Diego, CA, USA. rene.michel@med.va.gov
authors.forename: René
authors.initials: R
authors.lastname: Michel
authors.forename: Ninni
authors.initials: N
authors.lastname: Jacob
authors.forename: Ken
authors.initials: K
authors.lastname: Miller
authors.forename: Michael
authors.initials: M
authors.lastname: Zorn
mesh_terms: D004650:Employee Performance Appraisal / Q000379:methods / Q000458:organization & administration*; D006268:Health Facilities / Q000331:legislation & jurisprudence / Q000592:standards; D058016:Health Facility Administration; D008330:Management Audit / Q000379:methods / Q000458:organization & administration*; D008485:Medical Audit / Q000379:methods / Q000458:organization & administration*; D016272:Occupational Health / Q000331:legislation & jurisprudence; D011835:Radiation Protection / Q000331:legislation & jurisprudence / Q000379:methods* / Q000592:standards; D018570:Risk Assessment / Q000379:methods / Q000458:organization & administration*; D017751:Safety Management / Q000379:methods / Q000458:organization & administration*; D014481:United States