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CH 40 - NELDA
| Term | Definition |
|---|---|
| artifact | blemish or unintended radiographic image that is not present in the actual structure |
| confidentiality | never revealing any personal information about the patient |
| disclosure | process of informing the patient about a procedure, for example, the procedure for taking x-rays |
| image receptor | recording medium for an image—a digital sensor, a phosphor storage plate (PSP), or conventional dental x-ray film |
| informed consent | permission granted by a patient after being informed about the risks, benefits, and alternatives of a procedure |
| liability | accountability or legal responsibility |
| malpractice | professional negligence |
| negligence | failure to provide a proper or reasonable level of care |
| phosphor storage plates (PSPs) | reusable film-sized flexible plates coated with phosphor as the image receptor |
| positioning devices | intraoral devices used to position and hold the film, sensor, or PSP |
| quality assurance (QA) | plan to ensure that the dental office produces consistent, high-quality images with a minimum of exposure to patients and personnel |
| quality control tests | specific tests used to ensure quality in dental x-ray equipment, supplies, and film processing |
| risk management | policies and procedures that will reduce the chance that a malpractice lawsuit will be brought against the dentist |
| standard of care | level of knowledge, skill, and care comparable with that of other dentists who are treating similar patients under similar conditions |
| stepwedge | device constructed of layered aluminum steps to demonstrate film densities and contrasts |
| view box | illuminated boxlike device used to view radiographs |
| Federal and State Regulations | Rules governing x-ray equipment, licensing/credentialing of personnel, and prescribing of radiographs. |
| Required Documentation in Patient Record | Informed consent, number and type of radiographs exposed, rationale for exposing them, and diagnostic interpretation. |
| Patient Refusal of Radiographs | Must be documented in the patient record; a patient cannot sign a waiver releasing the dentist from liability for negligent care. |
| Importance of Quality Assurance (QA) | Ensures consistent high-quality images with minimum radiation exposure through regular testing, monitoring, and maintenance. |
| Quality Administration Components | Written QA plan, posted monitoring schedule, maintenance record logs, periodic program evaluation, and staff in-service training. |
| Infection Control Challenges in Radiography | High risk of cross-contamination with blood/salva when touching intraoral receptors, exposure buttons, and computer equipment. |
| Radiographic Surfaces Requiring Barriers/Disinfection | Tubehead, PID, control panel, exposure button, receptor holding devices, dental chair, lead apron, work counters, and PSP black box. |