Level One Mammography Violations
2008MCI-Framingham (prison) in Framingham Performed mammograms even though a quality control test was outside limits Processed mammograms even though processor exceeded control limits Facility failed to follow film manufacturer's temp recommendations for April and May 2007 Facility failed to perform quality assurance test properly Records for two quality control tests were missing See Level 1 Violations for 2007 and 2006 South Cove Community Health Center Responsible Physician failed to review results of quality control tests Facility failed to perform several quality control tests See Level 1 Violations for 2007 and 2006 20071180 Beacon Imaging in Brookline Failed to notify state within 30 days of change in Responsible Physician See Level 1 Violations in 2005 Anna Jaques Hospital at Parkway Imaging in Haverhill Failed to notify state within 30 days of change in Responsible Physician, Interpreting Physicians, and mammographers Interpreting Physician did not have required continuing education units Responsible Physician did not conduct initial review of Quality Assurance program No initial optimization on new x-ray system No annual review No group orientation Biocare Diagnostics in Fall River No policies to retain records No written fire safety plan No valid certificate of registration Facility is not accessible to individuals with disabilities Responsible Physician did not establish a Quality Assurance program Responsible Physician did not have a group orientation Quality Assurance procedural manual not provided to the facility Emerson Breast Health Center at 133 Old Road to Nine Acre Corner in Concord Interpreting Physician did not meet interpretation requirements Failed to follow policies for taking corrective action when quality control data exceeded limits See Level 1 Violations for 2006 Great Brook Valley Health Center in Worcester Responsible Physician failed to review report from Medical Physicist within 30 days Radiological technologist failed to perform proper mammograms. In one case, all areas were not visualized on the image. Another case had wrong patient info in the ID section of the film. Technicians continued to image patients and process mammograms even though the unit exceeded quality control limits Quality assurance tests were not recorded properly See Level 1 Violations in 2006 and 2005 Hallmark Health Services in Stoneham Failed to notify state within 30 days of change in Responsible Physician MCI-Framingham (prison) in Framingham Technicians imaged patients and processed films even though the unit exceeded quality control limits Responsible Physician did not review quality control procedures quarterly Technicians did not plot quality control data correctly Qualifications of Medical Physicist were not available during inspection Mammography unit was not calibrated when it should have been Certificate of registration expired See Level 1 Violations in 2008 and 2006 Mass General Hospital Avon Foundation Comprehensive Breast Center in Boston Failed to notify state within 30 days of change in Responsible Physician An Interpreting Physician - rather than the Responsible Physician - reviewed medical physicist's report An Interpreting Physician - rather than the Responsible Physician - quality control Mass General Hospital Health Care Center in Revere Failed to notify state within 30 days of change in Responsible Physician Morton Health Services in Middleborough Processed patient films through processor that had had no quality control checks for two weeks. Nantucket Cottage Hospital in Nantucket Processed mammograms during a 17-day period when data exceeded control limits South Cove Community Health Center in Boston No record of calibration for the equipment used in quality assurance checks One Interpreting Physician had an expired medical license Another Interpreting Physician didn't have required CEUs No annual review No group orientation Records of employee qualifications were outdated See Level 1 Violations for 2008 and 2006 Women's Health Center of the North Shore in Danvers Two radiologic technicians not licensed specifically for mammography 2006Biocare Diagnostics in Quincy Failed to notify state within 30 days of change in Responsible Physician Certain quality control tests not performed at required frequency Mammography screens had artifacts visible Cape Diagnostic Imaging in West Yarmouth Facility failed to fulfill prior plan of correction Responsible Physician failed to conduct annual review of policy and procedure manual Quality control test for uniformity of screen speed not done at the required frequency Failed to keep screens free from artifacts Failed to perform quality assurance tests for view boxes at the required frequency Medical Physicist failed to evaluate several quality control tests See Level 1 Violations for 2005 Emerson Breast Health Center at 133 Old Road to Nine Acre Corner in Concord Mammography phantom cracked so that the minimum number of fibers were not visible See Level 1 Violations for 2007 Great Brook Valley Health Center in Worcester Processed mammograms even though data exceeded control limits See Level 1 Violations for 2007 and 2005 Lynn Community Health Center in Lynn Certificate of registration expired MCI-Framingham (prison) in Framingham Several quality control tests not performed at the required frequency Processed mammograms even though quality control tests were not performed See Level 1 Violations for 2008 and 2007 Merrimack Valley Hospital in Haverhill Failed to notify state of installation of new mammography unit Responsible Physician failed to conduct performance evaluation on Mammography Technologist for the first three months of employment Patient letters did not include the addresses of the physicians who referred them Salem Radiology dba North Andover Radiology I in North Andover Failed to notify state within 30 days of change in Responsible Physician Somerville Hospital in Somerville No annual review of policy and procedure manual Responsible Physician failed to review report from Medical Physicist Responsible Physician failed to conduct performance evaluation on Mammography Technologist for the first three months of employment Responsible Physician failed to conduct annual performance evaluation of Medical Physicist Responsible Physician failed to conduct quarterly reviews of quality control tests South Cove Community Health Center in Boston Processed mammograms even though quality control data exceeded control limits Failed to plot processor and phantom data correctly Failed to plot any processor control data for 13-day period Failed to plot any phantom control data at the required frequency Calibration records for sensitometer were unavailable on day of inspection Failed to post safelight information in darkroom Failed to post manufacturer's temperature recommendations for film Failed to take corrective action when quality control tests exceeded limits and patients were still imaged Mammography technician failed to perform procedures in accordance with facility policies Responsible Physician failed to conduct annual review of policy and procedure manual Responsible Physician failed to conduct quarterly reviews of quality control tests Responsible Physician failed to conduct performance evaluation on Mammography Technologist for the first three months of employment Responsible Physician failed to date the Medical Physicist report within 30 days See Level 1 Violations for 2008 and 2007 South Shore Hospital Women's Specialty Services in South Weymouth Failed to notify state within 30 days of change in Responsible Physician 20051180 Beacon Imaging in Brookline Failed to perform quality control test at required frequency Radiological technician not licensed specifically for mammography No preventive maintenance performed for nearly two years See Level 1 Violations in 2007 Great Brook Valley Health Center in Worcester Processed mammograms even though data exceeded control limits See Level 1 Violations for 2007 and 2006 InMed Diagnostic Women's Center in South Dennis No group orientation No written fire safety plan Failed to post licenses for radiological technologists Facility did not have a valid Certificate of Registration Wing Memorial Hospital in Palmer Failed to notify state within 30 days of change in Responsible Physician 2004Emerson Breast Health Center II at 747 Main Street in Concord Operated for one month without a state license St. Vincent Hospital at Worcester Medical Center in Worcester Interpreting Physician did not have enough continuing education credits Source: Massachusetts Department Of Public Health
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