Department of Cancer Prevention, Barretos Cancer Hospital, Barretos, Brazil
Department of Cancer Prevention, Barretos Cancer Hospital, Barretos, Brazil.
Anticancer Res. 2014 Sep;34(9):5057-65.
To evaluate the effect of a clinical quality control program on the final quality of a mammography screening service.
We conducted retrospective assessment of the clinical quality of 5,000 mammograms taken in a Mammography Screening Program between November 2010 and September 2011, following the implementation of a Clinical Quality Control Program based on the European Guidelines.
Among the 105,000 evaluated quality items, there were 8,588 failures (8.2%) - 1.7 failures per examination. Altogether, 89% of the failures were associated with positioning. The recall rate due to a technical error reached a maximum of 0.5% in the early phase of the observation period and subsequently stabilized (0.09%).
The ongoing education and monitoring combined with personalized training increased the critical thinking of the involved professionals, reducing the technical failures and unnecessary exposure of patients to radiation, with substantial improvement in the final quality of mammography.
评估临床质量控制方案对乳腺摄影筛查服务最终质量的影响。
我们对 2010 年 11 月至 2011 年 9 月间实施的乳腺摄影筛查计划中的 5000 张乳腺 X 线照片的临床质量进行了回顾性评估，该计划实施了基于欧洲指南的临床质量控制方案。
在评估的 105000 个质量项目中，有 8588 个失败（8.2%）-每个检查有 1.7 个失败。总的来说，89%的失败与定位有关。由于技术错误导致的召回率在观察期的早期达到了最高的 0.5%，随后稳定在（0.09%）。
持续的教育和监测，结合个性化培训，提高了相关专业人员的批判性思维，减少了技术故障和不必要的患者辐射暴露，使乳腺摄影的最终质量得到了实质性的提高。
