•    Continue ACR dose index registry efforts and expand them to include additional modalities (e.g., nuclear medicine, computed radiography and digital radiography, interventional radiology) and other sites, particularly outpatient facilities.

•    Within each institution, routinely report dose metrics performance with benchmarks.

•    Create or use existing committees within institutions and outside facilities to ensure that imaging protocols are being followed; create routine reports for this purpose for technologists and radiologists.

•    Work with industry and information technology vendors to incorporate dose metrics directly into medical records; ensure that dose metric information is attached to images.

•    Encourage the performance of national-level clinical trials that quantify the benefits of imaging exams.

•    Implement informed decision support systems at all stages of patient care to optimize procedure use and ensure that only appropriate examinations are performed.

•    Have institutions and ambulatory settings implement or continue to implement comprehensive safety programs and educational tools promoting awareness of radiation doses.

The above mentioned points do not represent a consensus of the workshop participants or the authoring committee. Instead, they represent some of the important points made by individual participants during the workshop.



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