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One of the central themes of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) review process involves emphasis on quality assurance of provided services with the goal of high quality patient outcomes. Within nuclear pharmacy practice, quality assurance activities are planned, systematic actions involving radiopharmaceuticals and equipment (and associated record-keeping functions for each) as well as cognitive clinical services. Concerns for appropriate quality assurance activities are voiced by other regulatory agencies (such as the Nuclear Regulatory Commission) and echoed by the JCAHO. The present discussion will highlight selected areas of nuclear pharmacy practice as it pertains to quality assurance of radiopharmaceutical receipt, preparation, and distribution, as well as equipment usage associated with these functions. [ABSTRACT FROM PUBLISHER]