Harvey H Benjamin, Hassanzadeh Elmira, Aran Shima, Rosenthal Daniel I, Thrall James H, Abujudeh Hani H
Department of Radiology, Massachusetts General Hospital, Boston, MA; Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Department of Radiology, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Curr Probl Diagn Radiol. 2016 Mar-Apr;45(2):115-21. doi: 10.1067/j.cpradiol.2015.07.014. Epub 2015 Jul 29.
Quality assurance (QA) is a fundamental component of every successful radiology operation. A radiology QA program must be able to efficiently and effectively monitor and respond to quality problems. However, as radiology QA has expanded into the depths of radiology operations, the task of defining and measuring quality has become more difficult. Key performance indicators (KPIs) are highly valuable data points and measurement tools that can be used to monitor and evaluate the quality of services provided by a radiology operation. As such, KPIs empower a radiology QA program to bridge normative understandings of health care quality with on-the-ground quality management. This review introduces the importance of KPIs in health care QA, a framework for structuring KPIs, a method to identify and tailor KPIs, and strategies to analyze and communicate KPI data that would drive process improvement. Adopting a KPI-driven QA program is both good for patient care and allows a radiology operation to demonstrate measurable value to other health care stakeholders.
质量保证(QA)是每一次成功的放射学操作的基本组成部分。放射学质量保证计划必须能够高效且有效地监测质量问题并做出应对。然而,随着放射学质量保证深入到放射学操作的各个层面,定义和衡量质量的任务变得更加困难。关键绩效指标(KPI)是非常有价值的数据点和测量工具,可用于监测和评估放射学操作所提供服务的质量。因此,关键绩效指标使放射学质量保证计划能够将对医疗保健质量的规范性理解与实际质量管理联系起来。本综述介绍了关键绩效指标在医疗保健质量保证中的重要性、构建关键绩效指标的框架、识别和定制关键绩效指标的方法,以及分析和传达关键绩效指标数据以推动流程改进的策略。采用以关键绩效指标驱动的质量保证计划既有利于患者护理,又能让放射学操作向其他医疗保健利益相关者展示可衡量的价值。