Alpert Hillel R, Hillman Bruce J
Vital Science & Health, Newton, Massachusetts 02460, USA.
J Am Coll Radiol. 2004 Feb;1(2):127-32. doi: 10.1016/j.jacr.2003.11.001.
Achieving and delivering optimal quality of care in radiology requires continual self-examination by the profession, particularly with regard to technical, interpretive, and communication skills. The importance of empirical data pertaining to quality and variability in radiology, the underlying causes of error, and the sources of variability are discussed. Key measures (e.g., receiver operating characteristics, kappa) and approaches (professional audits and peer reviews, surveys, inspections, and risk management programs) used in improvement efforts are reviewed, and data from key studies are highlighted. Diagnostic errors are important because of their connection to outcomes and the wide variability observed with modalities such as chest radiography and mammography.
在放射学领域实现并提供最佳护理质量需要该行业持续进行自我检查，特别是在技术、解读和沟通技巧方面。文中讨论了与放射学质量和变异性、错误的潜在原因以及变异性来源相关的实证数据的重要性。回顾了在改进工作中使用的关键指标（如接受者操作特征、kappa值）和方法（专业审核和同行评审、调查、检查以及风险管理计划），并突出了关键研究的数据。诊断错误很重要，因为它们与结果相关，并且在胸部X光和乳房X光造影等检查方式中存在广泛的变异性。
