Countess of Chester Health Park, Chester, UK.
Countess of Chester Health Park, Chester, UK.
Clin Radiol. 2014 Jan;69(1):18-22. doi: 10.1016/j.crad.2013.05.105. Epub 2013 Aug 19.
To present the findings of the UK national discrepancy meeting survey of radiology departments across England, Wales, Scotland, and Northern Ireland regarding the way in which discrepancy meetings are currently conducted. This is in the setting of impending changes required for revalidation.
One hundred and fourteen (114) out of 195 (55%) of departments surveyed replied to an anonymous survey of 10 questions requesting information regarding the proportion of departments adopting a regular meeting, the consultant hours spent at the meeting, the system used and people involved in the identification of discrepancies, whether a grading system was used, and whether discrepancies were recorded on consultants appraisals.
Ninety-seven percent of responders reported that their department has a regular discrepancy meeting. Among the responders, the average consultant attendance was 68%. Seven percent of departments did not record attendance. In departments that conduct discrepancy meetings, the number of cases discussed per month averaged 10. The average time spent per case was 6 min. Seventeen percent of departments ensure discrepancies form part of a consultant's appraisal. Twenty-seven percent reported not having a grading system, whereas those that do, use varying systems. Ninety-four percent reported that the majority of errors were identified by radiologists. Ten percent of departments undertake a systematic consultant review of random reported cases.
Discrepancy meetings provide a crucial role in clinical governance by facilitating an improvement in the quality of service provided by the radiology department. After more than a decade since the introduction of discrepancy meetings in the UK, there remains a great variety in implementation across the country, and important considerations, such as the need for grading and recording discrepancies in consultant appraisals. Reflection on discrepancies and also attendance at discrepancy meetings is required for impending revalidation.
呈现英国全国差异会议调查结果，该调查涉及英格兰、威尔士、苏格兰和北爱尔兰的放射科部门，旨在了解当前进行差异会议的方式。这是在即将进行重新认证所要求的变革背景下进行的。
在接受调查的 195 个部门中，有 114 个（55%）部门对 10 个问题的匿名调查做出了回应，这些问题涉及部门采用定期会议的比例、会议中顾问花费的时间、使用的系统以及参与差异识别的人员、是否使用分级系统以及差异是否记录在顾问评估中。
97%的应答者报告称，他们的部门有定期的差异会议。在应答者中，顾问平均出席率为 68%。7%的部门没有记录出席情况。在进行差异会议的部门中，每月讨论的病例数平均为 10 例。每个病例的平均耗时为 6 分钟。17%的部门确保差异形成顾问评估的一部分。27%的部门报告没有分级系统，而那些有分级系统的部门则使用不同的系统。94%的部门报告称，大多数错误是由放射科医生发现的。10%的部门对随机报告的病例进行系统的顾问审查。
差异会议通过促进放射科部门提供服务质量的提高，在临床治理中发挥着至关重要的作用。自英国引入差异会议十多年以来，全国范围内的实施情况仍然存在很大差异，需要考虑重要问题，例如需要在顾问评估中对差异进行分级和记录。为了即将进行的重新认证，需要对差异进行反思，也需要参加差异会议。
