Department of Radiology, Seattle Children's Hospital, WA 98105, USA.
AJR Am J Roentgenol. 2012 May;198(5):1121-5. doi: 10.2214/AJR.11.6724.
Peer review has become an essential component of a comprehensive radiology department quality assurance program. Multiple commercial programs, such as RADPEER, are available to fill this need but may be limited by low radiologist compliance and delayed or limited feedback. Consequently, these peer review programs may not achieve the greater goal of improving diagnostic quality. This article presents data from a peer review system implemented in an academic radiology group at a large urban multidisciplinary children's hospital. The peer review system offered instantaneous feedback with an enhanced comment feature for peer radiologists.
Peer review data were collected on 5278 radiologic studies over a 12-month period including 15 radiologists. The data were analyzed for compliance rate, discrepancy rate, and comment usage.
The compliance rate for peer review averaged 52% for the 12-month period. The compliance rate trended upward over the course of the year, with a final month's compliance rate of 76%. The discrepancy rate between original interpretation and peer review was 3.6%. Comments were voluntarily included in 7.3% of nondiscrepant peer review scores.
Our peer review process was enhanced by real-time comment-enriched feedback on both discrepant and nondiscrepant peer reviews. We show improved radiologist compliance over the course of a year in a peer review program with no incentives or penalties for performing reviews. To our knowledge, no compliance rates exist in current literature for comparison.
同行评议已成为全面放射科质量保证计划的重要组成部分。有多个商业程序，如 RADPEER，可以满足这一需求，但可能受到低放射科医生遵从性以及延迟或有限反馈的限制。因此，这些同行评审计划可能无法实现提高诊断质量的更大目标。本文介绍了在大型城市多学科儿童医院的学术放射科组中实施的同行评审系统的数据。该同行评审系统为同行放射科医生提供了即时反馈和增强的注释功能。
在 12 个月的时间里，对包括 15 名放射科医生在内的 5278 项放射学研究进行了同行评审数据收集。对符合率、差异率和评论使用情况进行了数据分析。
同行评审的符合率在 12 个月的时间内平均为 52%。在这一年中，符合率呈上升趋势，最后一个月的符合率为 76%。原始解释与同行评审之间的差异率为 3.6%。在非差异同行评审评分中，自愿包含评论的比例为 7.3%。
我们的同行评审过程通过对差异和非差异同行评审的实时注释丰富反馈得到了增强。我们在没有进行评审的奖励或惩罚的情况下，在同行评审计划中展示了放射科医生在一年中的遵从率得到了提高。据我们所知，目前的文献中不存在比较的遵从率。
