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Some historical papers will be presented and an example will be detailed. 2. 1 Control charts Walter A. Shewart developped a control chart in the nineteen-twenties while working for Bell Telephone LaboratoriesShewhart (1931). A control chart is a graphical representation of the measure of some characteristics of a product, or of a sample of products, against the sequence of these measures. Usually a control chart has a central line which corresponds to the expected value of the characteristics when the process monitored is in control and one or two control limits which define in and out of control zones.

The main sources of detectable errors and preventive actions recommended in orderto avoid unnecessary sources of errors. Adapted from [3] Safety aspects Protection of the patient and the staff is the most important objective to be considered in the proper treatment to the patient. One shall consider the physical conditions and the calibration certificates of the physics equipment and review the current procedures performed, as well as the emergency procedures, drills, source storage disposal issues, posting, surveys including the results of the wipe tests and its appropriate register.

However, there are caveats in using such a procedure. We have found no practical interest so far in detecting, at the same time, a shift towards inadequate or adequate performance. It is one or the other that is of interest. If the performance monitored is assumed to be in control, then we are interested in detecting when it becomes inadequate and there is no need in detecting adequate performance only to continue the monitoring. If the performance is assumed to be out of control, such as for a trainee for instance (see below), there is no need for a test that indicates that the performance is indeed inadequate and we are only interested in knowing when it reaches a certain level of adequacy.

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