‫‪FOCUS – PDCA‬‬

‫اسم المشروع‬
‫صحة العاملين في قسم االشعه‬
F-O-C-U-S
Find an opportunity to improve

High risk:
Radiology department is one of the most risky area in any
facility, so its need regular chick for staff, machines and the
building itself
During regular annual chick for the facility we notify that their is
an increase in radiation level from the wall of CT room, so we
make double chick from the governmental technicians and the
result was the same, radiation level is higher than normal values
F-O-C-U-S
Find an opportunity to improve

Project mission statement

To decrease the level of radiations to the normal
values

FOCUS-PDCA started on 16th of February 2023

in order to prevent radiations over dose in our
clinic
F-O-C-S
ORGANIZE A TEAM

Team leader

• clinic manager

The team members are:

• Environmental safety coordinator

•Financial officer

•Medical equipment engineer

• Utility engineer

•CT scan operators

F-O-C-S
Clarify the current process
Normal Regular
radiation facility chick

Continue
working

Stop working
Increase in and start
radiation repairing
F-O-C-U-S
Understand the cause of process variation
 Weakness in LEAD layer
 Hales in wall during work process.
 Over radiation of machines itself
 Ray reflection from the ground or sealing.
 Prioritization of risk factors
SEVERITY OUT
Feasibility Cost Impact OF SIX
NO POSSIBLE (SUGGESTED) INDICATED TO THE
CAUSES MOST SEVERITY

 Weakness in LEAD layer 3 3 5

11
1
 Hales in wall during work 1 1 5
2 7
process.
 Over radiation of machines 5 5 5
3 itself
15
 Ray reflection from the 1 1 3
4 5
ground or sealing.

Item 5 1
Feasibility Hardest Easiest
Cost Most Expensive Most Cheap
Impact Highest Lowest
 MAN METHOD
POWER

Ray reflection from the

ground or sealing.
Hales in wall during
work process.

cause effect diagram Radiation

overdose

Over radiation of
machines itself Weakness in LEAD layer

MACHINE
MATERIAL
F-O-C-U-S
Select the process improvement

• To Assess LEAD layer in selected wall

• To assess the selected wall from hales and repair it if
founded
• Chick the radio machines for radio leak from the
manufacturing engineer
• To Assess the ray reflections from the ground and sealing
 P-D-C-A
Plan the improvement
GOAL •To Assess LEAD layer in selected wall

Objective Action Responsible Timeframe Status

Person
LEAD layer • assess the Utility engineer Immediate Don
should be 9 mm layer of lead Lead layer is
in all surfaces from different good but cover
places to find with Gypsum
any weakness boards
or loss of layer
 P-D-C-A
Plan the improvement
GOAL •To assess the selected wall from hales and repair it if founded

Objective Action Responsible Timeframe Status

Person
The whole Make inspections for Utility Immediate Don
wall should the wall to find any engineer No hales or
be assess hales or damage point damaged
from hales in it
area
and damage
point
founded
 P-D-C-A
Plan the improvement
GOAL To Assess the ray reflections from the ground and sealing

Objective Action Responsible Timeframe Status

Person
to make Make radio survey in Radiology One week Don
sure that deferent angel and technician No
the places to assess the reflections
reflections
reflections cross the
from
radiation is
wall
separated
and safe for
the
employee
 P-D-C-A
Plan the improvement
GOAL • To Chick the radio machines for radio
Objective Action Responsible Timeframe status
Person
Chick the call the Medical One week Don
radio
machines for manufacturing equipment No leak from
radio leak company engineer engineer the machine
from the of CT machine to and its safe for
manufacturi
ng engineer chick the radiation use
from the machine The leak is still
itself and the safety in high reading
of use for it
P-D-C-A
Do the improvement
As well as we cannot found the main reason for radiation leakage, so the
team decided to make another wall of LEAD to minimize the radiation
loss
The new layer is put in place in one day and don
P-D-C-A
Check the results
After we put a new layer of LEAD in place, we call
governmental specialist for radio leak and the
result was the same, the leak is still after the
selected wall
The recommendation was to make a concrete wall
in 30cm thickness and cover it by the LEAD
 P-D-C-A
Plan the improvement
GOAL • to decrease radiation leak
Objective Action Responsible Timeframe Status
Person
Decrees making a concrete Utility One week Don
radiation wall in 30cm engineer No radio leak
leaked by thickness and cover it cross the wall
make stronger
by the LEAD
wall
P-D-C-A
Act to hold the gain

1. Monitor the radiation from time to time

Thank you