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The pitfalls of a QA programme in radiology are also identified particularly: (1) the tendency to carry out a large programme and acquire a considerable amount of data so that the original aims are obscured; (2) the possibility of carrying out tests which are expensive to perform and are not cost effective and (3) the failure to adapt constantly the content of the QA programme to the ever changing needs of the local department and the radiological community generally. Radiology quality assurance. The various components of a QA programme are presented together with illustrations of their possible impact on the standard of work of the X-ray department. These include: (1) resource management through film reject analysis; (2) patient dose measurements; (3) equipment inspection programme; (4) equipment maintenance programme; (5) training and education of staff.