Walker Eric A, Petscavage-Thomas Jonelle M, Fotos Joseph S, Bruno Michael A
1 Department of Radiology, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
2 Department of Radiology and Nuclear Medicine, Uniformed University of the Health Sciences, Bethesda, MD, USA.
Br J Radiol. 2017 Mar;90(1071):20160827. doi: 10.1259/bjr.20160827. Epub 2017 Jan 24.
We present the results of the 2015 quality metrics (QUALMET) survey, which was designed to assess the commonalities and variability of selected quality and productivity metrics currently employed by a large sample of academic radiology departments representing all regions in the USA.
The survey of key radiology metrics was distributed in March-April of 2015 via personal e-mail to 112 academic radiology departments.
There was a 34.8% institutional response rate. We found that most academic departments of radiology commonly utilize metrics of hand hygiene, report turn around time (RTAT), relative value unit (RVU) productivity, patient satisfaction and participation in peer review. RTAT targets were found to vary widely. The implementation of radiology peer review and the variety of ways in which peer review results are used within academic radiology departments, the use of clinical decision support tools and requirements for radiologist participation in Maintenance of Certification also varied. Policies for hand hygiene and critical results communication were very similar across all institutions reporting, and most departments utilized some form of missed case/difficult case conference as part of their quality and safety programme, as well as some form of periodic radiologist performance reviews.
Results of the QUALMET survey suggest many similarities in tracking and utilization of the selected quality and productivity metrics included in our survey. Use of quality indicators is not a fully standardized process among academic radiology departments. Advances in knowledge: This article examines the current quality and productivity metrics in academic radiology.
我们展示了2015年质量指标(QUALMET)调查的结果,该调查旨在评估美国所有地区大量学术放射科目前使用的选定质量和生产率指标的共性与变异性。
2015年3月至4月,通过个人电子邮件向112个学术放射科发放了关键放射学指标调查问卷。
机构回应率为34.8%。我们发现,大多数学术放射科通常使用手卫生、报告周转时间(RTAT)、相对价值单位(RVU)生产率、患者满意度以及参与同行评议等指标。发现RTAT目标差异很大。学术放射科内部同行评议的实施情况以及使用同行评议结果的方式、临床决策支持工具的使用情况以及放射科医生参与继续医学教育认证的要求也各不相同。所有报告机构的手卫生和危急结果沟通政策非常相似,大多数科室将某种形式的漏诊病例/疑难病例讨论会作为其质量与安全计划的一部分,以及某种形式的定期放射科医生绩效评估。
QUALMET调查结果表明,在我们调查中所选取的质量和生产率指标的跟踪与使用方面存在许多相似之处。在学术放射科中,质量指标的使用并非一个完全标准化的过程。知识进展:本文审视了学术放射学当前的质量和生产率指标。