Lee Cindy S, Wadhwa Vibhor, Kruskal Jonathan B, Larson David B
From the Department of Radiology and Biomedical Imaging, University of California-San Francisco, 505 Parnassus Ave, Room L374, San Francisco, CA 94143 (C.S.L.); the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, Md (V.W.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (J.B.K.); and Department of Radiology, Stanford University School of Medicine, Stanford, Calif (D.B.L.).
Radiographics. 2015 Oct;35(6):1643-51. doi: 10.1148/rg.2015150024. Epub 2015 Sep 4.
Practice quality improvement (PQI) is a required component of the American Board of Radiology (ABR) Maintenance of Certification (MOC) cycle, with the goal to "improve the quality of health care through diplomate-initiated learning and quality improvement." The essential requirements of PQI projects include relevance to one's practice, achievability in one's clinical setting, results suited for repeat measurements during an ABR MOC cycle, and reasonable expectation to result in quality improvement (QI). PQI projects can be performed by a group or an individual or as part of a participating institution. Given the interdisciplinary nature of radiology, teamwork is critical to ensure patient safety and the success of PQI projects. Additionally, successful QI requires considerable investment of time and resources, coordination, organizational support, and individual engagement. Group PQI projects offer many advantages, especially in larger practices and for processes that cross organizational boundaries, whereas individual projects may be preferred in small practices or for focused projects. In addition to the three-phase "plan, do, study, act" model advocated by the ABR, there are several other improvement models, which are based on continuous data collection and rapid simultaneous testing of multiple interventions. When properly planned, supported, and executed, group PQI projects can improve the value and viability of a radiology practice.
实践质量改进（PQI）是美国放射学会（ABR）继续认证（MOC）周期的一个必要组成部分，其目标是“通过专科医师发起的学习和质量改进来提高医疗保健质量”。PQI项目的基本要求包括与个人实践相关、在临床环境中可实现、结果适合在ABR MOC周期内进行重复测量，以及对质量改进（QI）有合理的预期。PQI项目可以由一个团队或个人执行，也可以作为参与机构的一部分来开展。鉴于放射学的跨学科性质，团队合作对于确保患者安全和PQI项目的成功至关重要。此外，成功的QI需要投入大量的时间和资源、进行协调、获得组织支持以及个人参与。团队PQI项目有很多优势，特别是在规模较大的实践以及涉及跨组织边界的流程中，而个人项目可能更适合小型实践或重点项目。除了ABR倡导的“计划、执行、研究、行动”三相模型外，还有其他几种改进模型，这些模型基于持续的数据收集和对多种干预措施的快速同步测试。如果规划、支持和执行得当，团队PQI项目可以提高放射学实践的价值和可行性。
