C:\Fakepath\OPS Seguridad Paciente Peru Dic 2009

. ,[object Object],First Steering Panel Meeting on the International Action Plan on the Radiological Protection of Patients Madrid, Spain, 19 to 21 January 2004. Pablo Jiménez, Ileana Fleitas Radiological Health Program Essential Medicines and Health Technologies Area of Technology and Health Services Delivery CONTRIBUCION DE LA OPS EN LA SEGURIDAD DEL PACIENTE JORNADA DE PROTECCION RADIOLOGICA DEL PACIENTE Lima, 5 de Diciembre 2009 Pablo Jiménez Regional Advisor in Radiological Health Area of Technology, Health Care and Research

SEGURIDAD DEL PACIENTE ,[object Object],[object Object],[object Object],[object Object]

HSD/CD HSD/NC HSC/NC FCH/IM RADIOLOGICAL HEALTH Conventional Radiology Interventional Radiology Computed Tomography Mammography Ultrasound Magnetic Resonance Nuclear Medicine Cobalt Units Linear Accelerators LDR Brachytherapy HDR Brachytherapy CANCER CONTROL Pregnancy; Breast Pathologies; TB; Cancer; Traumatology; Cerebral, Cardiovascular and Respiratory Diseases, etc Professional Societies ALATRO ALFIM CIR IOMP ISRRT IRPA WHO/HQ IAEA International Commitments IACRS, IARCNA, RASSC IAP for RP of Patients Joint Emergency Plan BSS Secretariat TC NAHU NSRW PACT PHE/RAD EHT/DIL CHP/CPM ACCESS-QUALITY-SAFETY Imaging Services Radiotherapy Services HTA & Management Radiation Safety and Emergencies PAHO/WHO Collaborating Centers Breast Imaging Ultrasound Biological Effects of EMF Radiological Emergencies PEOPLE OF THE AMERICAS PAHO/WHO COUNTRY OFFICES SDE/WC SDE/RA Assessment Planning Purchase Maintenance Cost Analysis Infrastructure Patients Workers Public Environment MOH / NATIONAL HEALTH AUTHORITIES PED PRO

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SITUACION DE ESTOS SERVICIOS

[object Object],[object Object],[object Object],[object Object],[object Object],TECNOLOGÍA

RECURSOS HUMANOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

QA COURSES ON RADIATION THERAPY FOR MEDICAL PHYSICISTS AND/OR RADIATION ONCOLOGISTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Petropolis. BRAZIL. April 2005

QA / QC RADIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

I Central American Workshop on QA of Radiology Services, jointly with the ISRRT San Salvador. EL SALVADOR. October 2005 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Caribbean Workshop on QA of Radiology Services, jointly with the ISRRT Georgetown. GUYANA. November 2005 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

National Courses on QA for Radiological Technologists Jointly with the ISRRT Guatemala City. GUATEMALA. November 2007 32 radiological technologists Asuncion. PARAGUAY. November 2006 32 radiological technologists

National Course on Pediatric Chest X-Ray Radiólogos, pediatras cirujanos, internistas, intensivistas, y técnicos de radiología San Salvador. EL SALVADOR. Nov 2007

National Course on QA for Radiological Technologists Quito. ECUADOR April 2009 22 radiological technologists

ULTRASOUND TRAINING IN THE WHO CC THOMAS JEFFERSON UNIVERSITY JUREI. Philadelphia. USA. August 2005 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

National courses on QA in Mammography With the collaboration of the WHO CC in Argentina 32 radiographers and 16 radiologists San Jose. COSTA RICA. March 2007 40 radiographers and 49 radiologists Lima. PERU. August 2007

QA Courses in the Regional Congress of ALATRA Rosario. ARGENTINA. October 2006 98 Conventional Radiology 80 Mammography 80 Computed Tomography 80 Interventional Radiology San José. COSTA RICA. September 2008 84 Paediatric chest X-ray 27 Mammography 84 Computed Tomography 84 Interventional Radiology

Virtual Course on Onco-Radiology, in collaboration with the ICR July/August 2009 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Training Courses Organized and programmed Argentina Barbados Belize Brazil Colombia Cuba El Salvador Guyana Venezuela Uruguay Trinidad & Tobago Peru Panama Netherlands Antilles Mexico Jamaica Honduras Paraguay Ecuador 5 National courses planned for 2010-2011 on QA in Mammography in: Panama, Honduras, Dominican Republic, Nicaragua and El Salvador Paediatric chest X-ray Bolivia 8-11 Sep 2009 QA in Mammography Guatemala 11-13 Nov 2009

SEGURIDAD RADIOLOGICA ,[object Object],[object Object],[object Object]

[object Object],PATIENT MEDICAL EXPOSURE PHYSICIAN OCCUPATIONAL EXPOSURE X RAY TUBE

NORMAS BASICAS INTERNACIONALES DE SEGURIDAD (AEN/OCDE, OIEA, FAO, OIT, OMS Y OPS) RESOLUCION OPS CSP24.R9 “… deberán establecer un amplio programa de garantía de calidad en las exposiciones médicas teniendo en cuenta los principios establecidos por la OMS y la OPS .” En el 2005 se constituyó una Secretaría formada por los copatrocinadores (FAO, OMS, OPS , OIEA, OIT y NEA/OCDE) y los potenciales (CE y PNUMA) que estamos revisando las Normas. Deberán ser enviadas y presentadas a los Cuerpos Directivos 2011.

JUSTIFICACION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

OPTIMIZACION ,[object Object],[object Object],[object Object]

LIMITE DE DOSIS ,[object Object],[object Object],[object Object],[object Object]

Regulación de los Servicios de Radiomedicina Normas Seguridad Normas de Calidad Agencia Reguladora Autoridades de Salud Vigilar la seguridad radiológica y requerir que existan PGC en las instalaciones médicas (porque GC incluye seguridad radiológica) Habilitar los servicios Implementar PGC (mejorar el resultado clínico, optimizar dosis de radiación al paciente y justificar la exposición) Asegurar la Calidad y la Seguridad

H & E Venezuela E Uruguay E Dominican Republic E Peru H & E Paraguay H Panama H Nicaragua H & E Mexico E Guatemala H & E USA H El Salvador E Ecuador H & E Cuba H Costa Rica H & E Colombia H & E Chile H & E Canada H & E Brazil E Bolivia H Barbados H & E Argentina REGULATORY BODY COUNTRY

Ministries of Health Consultations to PAHO Changing Radiation Safety Regulations (1996-2009) Argentina Bolivia Brazil Chile Colombia Costa Rica Cuba Dominican Republic Ecuador El Salvador Guatemala Mexico Nicaragua Panama Paraguay Peru Uruguay Venezuela Trinidad & Tobago in progress Guyana in progress Bahamas Honduras in progress

[object Object],[object Object],[object Object],[object Object],ESTRATEGIAS GENERALES

EVALUACION DE SERVICIOS DE RADIOMEDICINA ,[object Object],[object Object],[object Object],[object Object]

SERVICIO OIEA/OPS DE VERIFICACION DE DOSIS MEDIANTE TLD POSTAL EN AMERICA LATINA Y EL CARIBE Actualmente verificamos más de 180 haces de radiación de radioterapia en 20 países Aprox. el 3% están fuera de tolerancia del ± 5%

ESTRATEGIAS EN RECURSOS HUMANOS ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ESTRATEGIAS EN REGULACIÓN

RECENT RELATED PUBLICATIONS ,[object Object],Health in the Americas 2007 http://journal.paho.org/?issueID=78 http://www.paho.org/HIA/index.html ,[object Object],[object Object],[object Object]

COSPONSORING RELATED PUBLICATIONS

DISTRIBUTION OF SCIENTIFIC PUBLICATIONS FROM OTHER ORGANIZATIONS

50 años respondiendo a las necesidades de los Estados Miembros en Imagenología, Radioterapia y Protección Radiológica ORGANIZACIÓN PANAMERICANA DE LA SALUD Salud Radiológica 1960-2010

C:\Fakepath\OPS Seguridad Paciente Peru Dic 2009

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C:\Fakepath\OPS Seguridad Paciente Peru Dic 2009

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