Implementation of online radiology quality assurance reporting system for performance improvement: initial evaluation. Export

@article{citeulike:2498822, abstract = {PURPOSE: To evaluate an online system developed and implemented for reporting and managing quality assurance (QA) events occurring in a radiology department. MATERIALS AND METHODS: This HIPAA-compliant study had institutional review board approval; informed consent was not required. Using repeated plan-do-study-act cycles, a radiology quality management team applied a 10-step process to implement an online reporting system. The system permits remote submission of cases by staff members. The number of weekly submissions to the system over a 9-month period was evaluated and compared with that for the preceding 6 months by using the Mann-Whitney test. Sources and nature of data, actions initiated, and final outcomes were also analyzed. Recorded data included forum of discussion, dimension of care, action items, monitoring of follow-up and compliance, and notification status. RESULTS: During the first 9 months of implementation, 605 cases were submitted (mean, 21.4 cases per week), a significant increase (P < .005) compared with the preceding 6 months (mean, 3.2 cases per week). Cases, which were submitted by residents (121 cases [20.0\%]), fellows (94 cases [15.5\%]), faculty members (319 cases [52.7\%]), or technologists (54 cases [8.9\%]), reported technical (33.1\%) or administrative (8.0\%) issues. The 329 clinical cases (54.4\%) included 60 errors in communication (18.2\%), 67 errors in interpretation (20.4\%), 78 diagnostic delays (23.7\%), 99 missed diagnoses (30.1\%), and 54 procedural complications (16.4\%); some cases were in more than one category. Twenty-three cases (3.8\%) resulted in submission-related QA projects, and 69 cases (11.4\%) resulted in individuals or sections of the hospital undergoing additional training. CONCLUSION: A secure online QA reporting system promotes reporting of QA events and serves as a database for identifying and managing trends, initiating performance improvement projects, and providing feedback to staff members who submit cases.}, address = {Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 1 Deaconess Rd, Boston, MA 02215, USA. jkruskal@bidmc.harvard.edu}, author = {Kruskal, J. B. and Yam, C. S. and Sosna, J. and Hallett, D. T. and Milliman, Y. J. and Kressel, H. Y.}, citeulike-article-id = {2498822}, citeulike-linkout-0 = {http://dx.doi.org/10.1148/radiol.2412051400}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/17057072}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=17057072}, doi = {10.1148/radiol.2412051400}, issn = {0033-8419}, journal = {Radiology}, keywords = {cqi, quality, radiology}, month = {November}, number = {2}, pages = {518--527}, posted-at = {2008-03-10 04:14:23}, priority = {2}, title = {Implementation of online radiology quality assurance reporting system for performance improvement: initial evaluation.}, url = {http://dx.doi.org/10.1148/radiol.2412051400}, volume = {241}, year = {2006} }

TY - JOUR ID - citeulike:2498822 L3 - citeulike-article-id:2498822 N2 - PURPOSE: To evaluate an online system developed and implemented for reporting and managing quality assurance (QA) events occurring in a radiology department. MATERIALS AND METHODS: This HIPAA-compliant study had institutional review board approval; informed consent was not required. Using repeated plan-do-study-act cycles, a radiology quality management team applied a 10-step process to implement an online reporting system. The system permits remote submission of cases by staff members. The number of weekly submissions to the system over a 9-month period was evaluated and compared with that for the preceding 6 months by using the Mann-Whitney test. Sources and nature of data, actions initiated, and final outcomes were also analyzed. Recorded data included forum of discussion, dimension of care, action items, monitoring of follow-up and compliance, and notification status. RESULTS: During the first 9 months of implementation, 605 cases were submitted (mean, 21.4 cases per week), a significant increase (P < .005) compared with the preceding 6 months (mean, 3.2 cases per week). Cases, which were submitted by residents (121 cases [20.0%]), fellows (94 cases [15.5%]), faculty members (319 cases [52.7%]), or technologists (54 cases [8.9%]), reported technical (33.1%) or administrative (8.0%) issues. The 329 clinical cases (54.4%) included 60 errors in communication (18.2%), 67 errors in interpretation (20.4%), 78 diagnostic delays (23.7%), 99 missed diagnoses (30.1%), and 54 procedural complications (16.4%); some cases were in more than one category. Twenty-three cases (3.8%) resulted in submission-related QA projects, and 69 cases (11.4%) resulted in individuals or sections of the hospital undergoing additional training. CONCLUSION: A secure online QA reporting system promotes reporting of QA events and serves as a database for identifying and managing trends, initiating performance improvement projects, and providing feedback to staff members who submit cases. IS - 2 JF - Radiology SN - 0033-8419 AD - Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 1 Deaconess Rd, Boston, MA 02215, USA. jkruskal@bidmc.harvard.edu EP - 527 TI - Implementation of online radiology quality assurance reporting system for performance improvement: initial evaluation. VL - 241 SP - 518 KW - cqi KW - quality KW - radiology AU - Kruskal, JB AU - Yam, CS AU - Sosna, J AU - Hallett, DT AU - Milliman, YJ AU - Kressel, HY PY - 2006/11// UR - http://dx.doi.org/10.1148/radiol.2412051400 ER -