Kelly Aine Marie, Cronin Paul
From the Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan Medical Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109.
Radiographics. 2015 Oct;35(6):1630-42. doi: 10.1148/rg.2015150057.
Continuous quality improvement is a fundamental attribute of high-performing health care systems. Quality improvement is an essential component of health care, with the current emphasis on adding value. It is also a regulatory requirement, with reimbursements increasingly being linked to practice performance metrics. Practice quality improvement efforts must be demonstrated for credentialing purposes and for certification of radiologists in practice. Continuous quality improvement must occur for radiologists to remain competitive in an increasingly diverse health care market. This review provides an introduction to the main approaches available to undertake practice quality improvement, which will be useful for busy radiologists. Quality improvement plays multiple roles in radiology services, including ensuring and improving patient safety, providing a framework for implementing and improving processes to increase efficiency and reduce waste, analyzing and depicting performance data, monitoring performance and implementing change, enabling personnel assessment and development through continued education, and optimizing customer service and patient outcomes. The quality improvement approaches and underlying principles overlap, which is not surprising given that they all align with good patient care. The application of these principles to radiology practices not only benefits patients but also enhances practice performance through promotion of teamwork and achievement of goals.
持续质量改进是高效医疗系统的基本属性。质量改进是医疗保健的重要组成部分，当前强调增加价值。它也是一项监管要求，报销越来越多地与实践绩效指标挂钩。为了资格认证目的以及放射科医生执业认证，必须展示实践质量改进努力。为了在日益多元化的医疗市场中保持竞争力，放射科医生必须进行持续质量改进。本综述介绍了进行实践质量改进的主要方法，这对忙碌的放射科医生会很有用。质量改进在放射科服务中发挥多种作用，包括确保和提高患者安全、提供实施和改进流程以提高效率和减少浪费的框架、分析和描述绩效数据、监测绩效并实施变革、通过继续教育实现人员评估和发展，以及优化客户服务和患者结局。质量改进方法和基本原则相互重叠，鉴于它们都与优质患者护理相一致，这并不奇怪。将这些原则应用于放射科实践不仅使患者受益，还通过促进团队合作和实现目标来提高实践绩效。
