Quality Assurance Requirements Research Articles

Demand forecasting and inventory management as requirements for quality assurance in a bakery company

This paper is a case study on the influence of inventory management on the results and profitability of a bakery located in the municipality of Nova Iguaçu, in the state of Rio de Janeiro. As a general objective, this study sought to identify the extent to which demand forecasting influences the inventory management of the bakery studied. To this end, the intermediate objectives were to evaluate how demand forecasting is applied, to verify how information on raw material stock levels is managed at the bakery and, finally, to report on how the adoption of a stock control methodology has a positive impact on the quality of service and the bakery's results. The theoretical reference research used a literature review as its methodology, but as far as the case study is concerned, local observations were made and a questionnaire was applied to the operation's manager, comprising ten discursive questions. Based on the analysis of the data collected, the results of the research made it clear how important it is to optimize stocks at the company in order to obtain better results and reduce freight costs, making it financially healthier and, consequently, increasing its profitability. To this end, the need for theoretical and technical knowledge, updating, integration of information, stock management strategy and investment in technologies and tools for stock control and management has become apparent.

Business Rules Driven Automated Quality Assurance Governance System for Higher Education

Although higher education institutes have paid serious attention to quality assurance, implementation issues have been reported frequently. Since the existing information systems do not adequately support automatic verification, manual verification of quality assurance compliances has become a challenge. Therefore, this study first analysed the prevailing higher education quality assurance context to identify the prevailing issues. Secondly, Quality Assurance Governance System integrated with a quality assurance rule manipulation mechanism was designed based on the business rules concept to address the identified issues. Thirdly, the key modules of the proposed Quality Assurance Governance System were developed as a proof-of-concept. Finally, the proposed quality assurance rules manipulation mechanism and modules of the Quality Assurance Governance System were evaluated. The study found that one of the main issues in the existing systems is the lack of integration among various modules and a rule manipulation mechanism. Therefore, the study concludes that quality assurance requirements could be better captured as rules using the proposed rule templates, while rule manipulations and compliance could be verified in real-time through the proposed Quality Assurance Governance System. Nevertheless, the results of the evaluation suggest that rigid rule implementations may make the system inflexible and create stakeholder resistance. Thus, this can be mitigated by implementing the proposed rule enforcement levels.

Analysis of the Suitability of Fish Auction Place in PPN Pekalongan Based on Kepmen-KP 52A 2013 and Sustainability Development

Development and construction of fisheries port facilities can be done by improving the suitability and optimization of fish auction as one of the functional facilities. Fisheries development can run well if the Fish Auction Place (TPI) has facilities and work systems that are in accordance with applicable regulations. Data were collected using observation, questionnaire, and in-depth interview with 20 respondents. This research aims to analyze the suitability of TPI at PPN Pekalongan based on the Decree of the Minister of Marine Fisheries Number 52 A of 2013 concerning Requirements for Quality Assurance and Safety of Fishery Products in the Process of Production, Processing, and Distribution at TPI PPN Pekalongan. This research used scoring analysis to analyze the suitability of TPI is scoring analysis by observing the physical condition of TPI and then comparing it to Kepmen-KP/52A/Year 2013, while the data analysis of sustainability of fish auction place at PPN Pekalongan was evaluated using RAPFISH method. According to the result a suitability of fish auction place in fish auction Pekalongan fish landing site category in based on Kepmen-KP/52A/2013 obtained an average score of 3.3 which indicates that it is quite suitable but there are still many indicators that are not in accordance with existing regulations. Criteria for fish marketing places obtained an average score of 3.92 which is categorized as appropriate but still needs attention for several aspects of fish marketing places. The status and sustainability index of the management of fish auction place in Pekalongan fish auction for the ecological and technological dimensions are less sustainable, while the economic and social dimensions are quite sustainable. The conclusion that can be drawn is that the condition of the Fish Auction Place at PPN Pekalongan is categorized as quite suitable and still needs improvement in facilities and infrastructure, while for the sustainability status of the Fish Auction Place at PPN Pekalongan also still needs improvement in the ecological, economic, social and technologic dimensions.

Verification of the analytical performance of the serum total cholesterol assay on Abbott Architect ci8200

Serum total cholesterol measurement is an essential aspect of preventive healthcare as high levels of cholesterol are linked to various diseases such as atherosclerosis, heart attacks, and strokes. Serum cholesterol measurement is a simple blood test that assesses the levels of cholesterol in the bloodstream. It is an important diagnostic tool that helps healthcare professionals evaluate a patient's risk of developing cardiovascular disease and make decisions regarding treatment and lifestyle changes. Our study aims to verify the analytical performance of the serum total cholesterol assay method using an Abbott kit on the Architect ci8200 automated system in the biochemistry laboratory of the Mohammed VI University Hospital of Oujda. The analytical performance of the kit was verified through flexible scope A by performing a performance study on the Architect ci8200. We evaluated the repeatability, the reproducibility, the imprecision of the measurements and the comparison between two Architect ci8200 automatons. All the results obtained are in conformity with the acceptability criteria recommended by the supplier and the Valtec protocol of the ‘Société Française de Biologie Clinique’ (SFBC), and the study is globally satisfactory. The analytical performance of the Architect ci8200 automated system was satisfactory for a reliable determination of total cholesterol. Verification of methods of dosage in the medical laboratory is crucial to ensure the accuracy, precision, and reliability of laboratory test results. Verification involves confirming that the test method employed is appropriate for the intended use, produces results that are consistent with the claimed performance characteristics, and meets the laboratory's quality control and quality assurance requirements.

The Influence of Internal and External Quality Audit on The Sustainability of Surabaya Merchant Marine Polytechnic

Purpose: The era of globalization and free markets forces universities to organize themselves by introducing internal quality assurance to guarantee the quality of education and services. In addition to internal quality assurance, universities as labor producers also require quality assurance from certification bodies outside the university. Several previous studies examined the influence of internal and external quality audits on work productivity and employee performance. In this study, the effect was seen to be different from before, namely knowing the effect of internal and external quality audits on the sustainability of the Surabaya Merchant Marine Polytechnic. The purpose of this study was to determine whether internal and external quality audits affect the sustainability of the Surabaya Merchant Marine Polytechnic.
 Design/methodology/approach: This study uses quantitative research with a population and the sample is a work unit at the Surabaya Merchant Marine Polytechnic which is involved with internal and external quality audits. The data collection method in this study was to use questionnaires using multiple linear regression analysis. Tests in this study used SPSS statistics version 26.
 Findings: The conclusion of this study is that there is a significant influence between internal and external quality audits on the sustainability of the Surabaya Merchant Marine Polytechnic either partially or simultaneously. The variable that has the dominant influence on this study is the internal quality audit.
 Paper type: Research Paper.

Coordination of chemical analyses under the European Human Biomonitoring Initiative (HBM4EU): Concepts, procedures and lessons learnt.

The European Human Biomonitoring Initiative (HBM4EU) ran from 2017 to 2022 with the aim of advancing and harmonizing human biomonitoring in Europe. More than 40,000 analyses were performed on human samples in different human biomonitoring studies in HBM4EU, addressing the chemical exposure of the general population, temporal developments, occupational exposure and a public health intervention on mercury in populations with high fish consumption. The analyses covered 15 priority groups of organic chemicals and metals and were carried out by a network of laboratories meeting the requirements of a comprehensive quality assurance and control system. The coordination of the chemical analyses included establishing contacts between sample owners and qualified laboratories and monitoring the progress of the chemical analyses during the analytical phase, also addressing status and consequences of Covid-19 measures. Other challenges were related to the novelty and complexity of HBM4EU, including administrative and financial matters and implementation of standardized procedures. Many individual contacts were necessary in the initial phase of HBM4EU. However, there is a potential to develop more streamlined and standardized communication and coordination in the analytical phase of a consolidated European HBM programme.

Evaluation of Image for Phantom according to Normalization, Well Counter Correction in PET-CT

Purpose: PET-CT imaging require an appropriate quality assurance system to achieve high efficiency and reliability. Quality control is essential for improving the quality of care and patient safety. Currently, there are performance evaluation methods of UN2-1994 and UN2-2001 proposed by NEMA and IEC for PET-CT image evaluation. In this study, we compare phantom images with the same experiments before and after PET-CT 3D normalization and well counter correction and evaluate the usefulness of quality control. Materials and methods: Discovery 690 (General Electric Healthcare, USA) PET-CT equiptment was used to perform 3D normalization and well counter correction as recommended by GE Healthcare. Based on the recovery coefficients for the six spheres of the NEMA IEC Body Phantom recommended by the EARL. 20kBq/㎖ of 18F was injected into the sphere of the phantom and 2 kBq/㎖ of 18F was injected into the body of phantom. PET-CT scan was performed with a radioacitivity ratio of 10:1. Images were reconstructed by appliying TOF+PSF+TOF, OSEM+PSF, OSEM and Gaussian filter 4.0, 4.5, 5.0, 5.5, 6.0, 6,5 ㎜ with matrix size 128×128, slice thickness 3.75 ㎜, iteration 2, subset 16 conditions. The PET image was attenuation corrected using the CT images and analyzed using software program AW 4.7 (General Electric Healthcare, USA). The ROI was set to fit 6 spheres in the CT image, RC (Recovery Coefficient) was measured after fusion of PET and CT. Statistical analysis was performed wilcoxon signed rank test using R. Results: Overall, after the quality control items were performed, the recovery coefficient of the phantom image increased and measured. Recovery coefficient according to the image reconstruction increased in the order TOF+PSF, TOF, OSEM+PSF, before and after quality control, RCmax increased by OSEM 0.13, OSEM+PSF 0.16, TOF 0.16, TOF+PSF 0.15 and RCmean increased by OSEM 0.09, OSEM+PSF 0.09, TOF 0.106, TOF+PSF 0.10. Both groups showed a statistically significant difference in wilcoxon signed rank test results (P value<0.001). Conclusion: PET-CT system require quality assurance to achieve high efficiency and reliability. Standardized intervals and procedures should be followed for quality control. We hope that this study will be a good opportunity to think about the importance of quality control in PET-CT.

0507 A wireless patch-based polysomnography system for conducting in-lab sleep studies

Abstract Introduction Current attended in-lab polysomnographic sleep studies are time-consuming and costly, primarily due to the time required to “hook-up” a patient to multiple electrodes and sensors and meet the quality assurance and safety requirements of an in-lab study. We developed a wireless PSG system (Onera STS - Onera Health, NL) consisting of four disposable patches and reusable pods to record full polysomnography that may reduce hook-up time while preserving standards of an attended polysomnography in the lab. Methods We used the Onera STS system for monitoring EEG, EOG, EMG, forehead reflectance SaO2, ECG, bioimpedance derived respiratory airflow and effort, airflow via nasal cannula, snoring sounds, body position, actigraphy, and leg movements, and accessory online monitoring of finger SaO2, ECG, nasal cannula airflow and video via RemLogic 4.0 or REM logic MPR system for Q/A and safety monitoring. Seventeen subjects (8 male, 9 female, age 18-to-75 yrs, BMI 29.9±6.0 kg/m2) were monitored for the evaluation of sleep apnea. We measured hook-up times and observed oxygen saturation and cardiac rhythm throughout the night. Results Mean hook-up time for the Onera STS was 5:22±1:17 minutes and for the additional on-line sensors (Finger SaO2, ECG and nasal cannula) was 3:15±1:10 minutes, resulting in an average hook-up time of less than 10 minutes. Onera PSG data revealed a mean oxygen desaturation event rate of >3% (ODI3) of 8.8 (SD 18.6) and a mean fall of oxygen saturation (ΔSaO2/event) of 4.4 (SD 1.2). The accessory online SaO2, ECG and video monitoring showed that no subjects demonstrated sustained nocturnal hypoxia, severe cardiac arrhythmia or parasomnia events that would have required interventions. Conclusion The Onera STS system substantially lowers the burden to conduct attended polysomnographic sleep studies. In combination with standard monitoring of SaO2, ECG and video, it meets the safety requirements for attended sleep studies while reducing the overall operational and capital equipment costs. The ease of application together with the reduced hook-up time makes it now possible to implement polysomnographic sleep studies in the hospital setting, particularly in addition to conventional bedside monitoring units such as ICU-, step-down unit- or hospital beds. Support (if any)

Harmonizing Universities With Globalization by Creating Institutional Adaptability to Internationalization Approaches in Higher Education: A Case Study in Nawroz University

Institutional internationalization arose as a globalized cross-cultural organizational practice in all social sectors. Popularity of the concept in the higher education sector urged authors to present numerous descriptions of internationalization approaches, which differed according to the philosophical references, circumstances of applying in the academic environments, and means–ends analysis. In the Third World countries, universities used to confront enormous challenges hindering internationalization ambitions in the context of structural and functional obstacles facing development in general. Perhaps it can be said that their internationalization is almost impossible in light of the complex socio- economic environments in those countries, political crises, obsolete bureaucracy, institutional inertia, and restricted academic freedoms. In any case, universities around the world are currently dealing with internationalization as an undebatable issue and must be working on it as a competitive requirement and substantive standard for quality assurance in higher education. In this article, the authors argue the success potential of an organizational transformation-based strategy to internationalization established on institutional adaptation and capacity building. This strategy has been adopted as a transitional stage between localization and internationalization in Nawroz University (NZU) which is presented here as a case study. NZU, as one of the private universities that following the local academic administration system in Kurdistan region of Iraq, has been faced complications resulted from the responsibility of tracking balance between fostering international values and policies, on the one hand, as well as maintaining institutional stability and human resources' positive response to the change, on the other hand. The article discusses how this university dealt with the idea of harmonization as a result of awareness of the difficulties implied in the task of internationalization. Therefore, it adopted what it had considered as a consistent, sustainable, and gradual institutional transformation during the period (2016-2019). The article also highlights plans taken up to support skill up-gradation to consolidate implicit transformation without affecting everyday workflow. In addition, it refers to some simulated international approaches and rankings standards which were used as a guide to direct the transformational process. Finally, the article illustrates some preferable outcomes that the university has been achieved.

Best Practice Guideline - DEGUM Recommendations on Breast Ultrasound.

Alongside mammography, breast ultrasound is an important and well-established method in assessment of breast lesions. With the "Best Practice Guideline", the DEGUM Breast Ultrasound (in German, "Mammasonografie") working group, intends to describe the additional and optional application modalities for the diagnostic confirmation of breast findings and to express DEGUM recommendations in this Part II, in addition to the current dignity criteria and assessment categories published in Part I, in order to facilitate the differential diagnosis of ambiguous lesions.The present "Best Practice Guideline" has set itself the goal of meeting the requirements for quality assurance and ensuring quality-controlled performance of breast ultrasound. The most important aspects of quality assurance are explained in this Part II of the Best Practice Guideline.

Impact(s) of Quality Assurance Requirements for Private Higher Education Institutions in South Africa

The surge and expansion of Private Higher Education Institutions (PHEIs) in South Africa is an indication that the private sector education is making significant progress. As a result, the PHEIs are considered as being in competition with Public Higher Institutions. This situation is envisaged to influence the Department of Higher Education and Training (DHET) to tighten its policies in order to control the PHEIS. Using the Octet quality theory, developed by Zaki and Zaki Rashidi. and the documentary content analysis research method, this study analyses ways in which quality assurance is used to curtail the growth of PHEIS. The findings of the study showed that some of the contributions of PHEIs are driven by the demand for higher learning opportunities in the republic, though faced by various challenges and barriers in fulfilling the quality assurance requirements in respect of accreditation the DHET. The paper submits that PHEIS are not in competition with Public Higher Educational Institutions, rather they are to be seen as complementing the vision of the DHET in its efforts to improve the South African Higher Education System. Thus, partnership between the private and the public institutions is recommended for the achievement of desired positive impacts.

Condition Assessment of HVDC Cables during their Lifecycle

Recent market developments towards power generation in remote renewable power plants such as concentrated solar power plants in deserts or large off-shore wind parks, raise an interest for long distance power transmission via extruded HVDC cables. HVDC cables require quality assurance during the complete product lifecycle, mainly: a) R&D activities for design verification and - validation b) routine tests in the factory for confirmation of proper manufacturing c) acceptance test after erection and commissioning to exclude defects caused during transport and installation d) ageing monitoring and quick fault detection and location detection during service life. Considering increasing voltage levels, increasing cable lengths and ground or even offshore installation, the dielectric testing of extruded HVDC cables in the factory and on site remains challenging. The long-term validation of insulation coordination requires high voltages for quality assurance tests which represent typical expectable stresses during service. Typical examples are wave shape, partial discharge behavior and dielectric field stress in the insulation medium. Hence, different technical solutions are available to generate these required high voltages for testing of HVDC cables. This paper discusses essential technical and commercial aspects of HVDC cable quality assurance and presents suitable methods for HVDC cable testing.

Analysis of the Advances of RDC 330/19 in relation to Ordinance 453/98 under the Radiation Protection Focus

Almost twenty years after the publication of Ordinance 453, the National Health Surveillance Agency (ANVISA) approved the Collegiate Board Resolution 330 (RDC 330), which establishes the basic guidelines for Radiation Protection (RP) in diagnostic and interventional radiology and regulates the use of X-ray diagnostic methods throughout the national territory. Therefore, when observing the radiodiagnostic service and its changes suffered in recent decades, the addition of new modalities is noticeable, as well as changes in the service flow, brought about as a result of the advancement of new technologies. The RDC 330 came with several changes even in its format: a document with the basic guidelines for radioprotection and several Normative Instructions (INs) - one for each technology in diagnostic imaging. Among the INs, IN58 and IN59 can be mentioned, which provide for sanitary requirements for quality assurance and safety in ultrasound and magnetic resonance systems, respectively, which now makes quality control mandatory. The RDC 330 and its respective IN were developed to meet all these needs, contextualizing the principles already established for the elevation of the RP culture and diagnostic quality. Therefore, the implementation of RDC 330 is defended, in view of the need for agile adaptation that can ensure improvements in the quality of imaging services, dose optimization and in the quality control of radiodiagnostic equipment, promoting the safety of patients, population and workers exposed to ionizing radiation.

Understanding the importance of quality control and quality assurance in preclinical PET/CT imaging

The fundamental principle of experimental design is to ensure efficiency and efficacy of the performed experiments. Therefore, it behoves the researcher to gain knowledge of the technological equipment to be used. This should include an understanding of the instrument quality control and assurance requirements to avoid inadequate or spurious results due to instrumentation bias whilst improving reproducibility. Here, the important role of preclinical positron emission tomography/computed tomography and the scanner's required quality control and assurance is presented along with the suggested guidelines for quality control and assurance. There are a multitude of factors impeding the continuity and reproducibility of preclinical research data within a single laboratory as well as across laboratories. A more robust experimental design incorporating validation or accreditation of the scanner performance can reduce inconsistencies. Moreover, the well-being and welfare of the laboratory animals being imaged is prime justification for refining experimental designs to include verification of instrumentation quality control and assurance. Suboptimal scanner performance is not consistent with the 3R principle (Replacement, Reduction, and Refinement) and potentially subjects animals to unnecessary harm. Thus, quality assurance and control should be of paramount interest to any scientist conducting animal studies. For this reason, through this work, we intend to raise the awareness of researchers using PET/CT regarding quality control/quality assurance (QC/QA) guidelines and instil the importance of confirming that these are routinely followed. We introduce a basic understanding of the PET/CT scanner, present the purpose of QC/QA as well as provide evidence of imaging data biases caused by lack of QC/QA. This is shown through a review of the literature, QC/QA accepted standard protocols and our research. We also want to encourage researchers to have discussions with the PET/CT facilities manager and/or technicians to develop the optimal designed PET/CT experiment for obtaining their scientific objective. Additionally, this work provides an easy gateway to multiple resources not only for PET/CT knowledge but for guidelines and assistance in preclinical experimental design to enhance scientific integrity of the data and ensure animal welfare.

Frontiers in Breast Pathology.

Frontiers in Breast Pathology.

The National Institute for Health and Care Excellence information specialist development pathway: Developing the skills, knowledge and confidence to quality assure search strategies.

Quality assurance (QA) is an important process in ensuring that systematic reviews and other evidence syntheses are supported by a high-quality search. This paper describes how the National Institute for Health and Care Excellence (NICE) in the UK established a development pathway to ensure its information specialists had the skills, knowledge and confidence to undertake search QA. The key component of the pathway is that it blends technical knowledge with interpersonal skills. The pathway develops technical skills in the early steps before using peer support activities to build confidence while undertaking a range of searches. QA is effective when the search lead communicates the contextual information that has influenced search development. QA is treated as a collaboration to get the right search for the review. The key requirements for search QA, alongside technical knowledge, are communication, collaboration and negotiation skills.

Preparation of a university teacher for solving innovative methodological problems in the system of advanced training

Current trends in higher education define new requirements for quality assurance. Improving the quality of education becomes the goal and result of the activities of higher educational institutions, a guarantor in providing demanded graduates in the labor market. At the same time, the teacher is personally responsible for the learning outcomes in the form of general and professional competencies. There is a transformation of the functions of the teacher, his tasks are changing, taking into account new innovative functions in the activity, and there is also a need for their readiness to manage professional training. The article considers an innovative methodological task: conducting intra-university monitoring of the quality of student education. When studying the readiness of a university teacher to solve innovative methodological problems, it is necessary to analyze the trends in the development of education, to identify the main directions. The analysis showed that there is a need for teachers who implement new innovative tasks that can be set for a teacher on the basis of intra-university monitoring.

Versatile Test Reactor Conceptual Core Design

The VTR is a 300-MW(thermal) sodium-cooled fast reactor (SFR) designed for the specific purpose of delivering unique testing capabilities to enable the advancement of all reactor technologies. With its flux level, irradiation volume, and operational flexibility, the VTR will enable accelerated testing of materials, fuels, and various components needing irradiation testing. Proven SFR technologies and design approaches have been leveraged in designing the VTR core, ensuring the highest possible readiness level. This resulted in the VTR using ternary metallic fuel and delivering fast flux levels in excess of 4 × 1015 n/cm2·s over large useful volumes, corresponding to about 60 dpa/year in steel. As part of the design efforts, the VTR core performance has been determined for a representative configuration, ensuring that the reactivity control systems offer sufficient shutdown margins, that the core can be safely cooled in all situations, and that reactivity feedback coefficients are conducive to a favorable safety behavior. Furthermore, the incorporation of features such as fuel assembly storage in the shield region supports the flexible and reliable operation of the VTR. Additional design work has been ongoing as well. This includes thorough shielding performance evaluations to ensure safe operation of the VTR, verification and validation of the design tools used to achieve compliance with Nuclear Quality Assurance (NQA-1) requirements, early assessment of the impact of irradiation experiments on the core performance envelope and associated margins, and in-depth uncertainty quantification efforts to quantify the anticipated range of performance characteristics. An experimental program supporting the VTR core design has been set up, with the current focus being on thermal-hydraulic experiments. The purpose of this experimental program is to obtain confirmatory measurements to serve directly as part of the core design basis or as part of the validation cases supporting the simulation tools used.

Stakeholders’ perspectives on “miracle examination centres” in Nigeria

PurposeThe purpose of this study is to describe the nature and operations of schools commonly regarded as “Miracle Examination Centres (MECs)” in Nigeria, through the lens of stakeholders in education. This study also assessed stakeholders’ perspectives on the possible solutions to the problem of MECs.Design/methodology/approachThe study design was a stakeholders’ approach involving 39 key actors within the examination system from northern and southern Nigeria. The stakeholders comprised people from the Ministries of Education (MoE), Examination Councils (EC), school owners and teachers, security agencies and Civil Society Organisations (CSOs) who were invited to interact, interrogate and debate the subject of MECs in Nigeria. Using thematic analysis, recurrent themes were identified from the data and used for a narrative synthesis of the findings.FindingsMECs may attempt to circumvent quality assurance and regulatory requirements and may find support from prominent leaders and members of the communities through a wider informal economy. Interventions against MECs might only yield incremental results and must involve various groups like CSOs, anti-corruption agencies, EC and faith- and community-based groups. These interventions will be even more effective if the MoE will strengthen its integrity and improve its monitoring and regulatory functions without political interference.Originality/valueThis paper revealed that improving examination integrity and building a solid and reliable secondary educational level in Nigeria will be achieved through the combination of horizontal and vertical approaches that involve local actors and those in authority.

An evaluation of quality assurance guidelines comparing the American College of Radiology and American Association of Physicists in Medicine task group 284 for magnetic resonance simulation.

PurposeThe purpose of this study was to evaluate similarities and differences in quality assurance (QA) guidelines for a conventional diagnostic magnetic resonance (MR) system and a MR simulator (MR‐SIM) system used for radiotherapy.MethodsIn this study, we compared QA testing guidelines from the American College of Radiology (ACR) MR Quality Control (MR QC) Manual to the QA section of the American Association of Physicists in Medicine (AAPM) Task Group 284 report (TG‐284). Differences and similarities were identified in testing scope, frequency, and tolerances. QA testing results from an ACR accredited clinical diagnostic MR system following ACR MR QC instructions were then evaluated using TG‐284 tolerances.ResultsFive tests from the ACR MR QC Manual were not included in TG‐284. Five new tests were identified for MR‐SIM systems in TG‐284 and pertained exclusively to the external laser positioning system of MR‐SIM systems. “Low‐contrast object detectability” (LCD), “table motion smoothness and accuracy,” “transmitter gain,” and “geometric accuracy” tests differed between the two QA guides. Tighter tolerances were required in TG‐284 for “table motion smoothness and accuracy” and “low contrast object detectability.” “Transmitter gain” tolerance was dependent on initial baseline measurements, and TG‐284 required that geometric accuracy be tested over a larger field of view than the ACR testing method. All tests from the ACR MR QC Manual for a conventional MR system passed ACR tolerances. The T2‐weighted image acquired with ACR sequences failed the 40‐spoke requirement from TG‐284, transmitter gain was at the 5% tolerance of TG‐284, and geometric accuracy could not be evaluated because of required equipment differences. Table motion passed both TG‐284 and ACR required tolerances.ConclusionOur study evaluated QA guidelines for an MR‐SIM and demonstrated the additional QA requirements of a clinical diagnostic MR system to be used as an MR‐SIM in radiotherapy as recommended by TG‐284.