Zygmont Matthew E, Itri Jason N, Rosenkrantz Andrew B, Duong Phuong-Anh T, Mankowski Gettle Lori, Mendiratta-Lala Mishal, Scali Elena P, Winokur Ronald S, Probyn Linda, Kung Justin W, Bakow Eric, Kadom Nadja
Department of Radiology and Imaging Sciences, Emory University Hospital Midtown, 550 Peachtree St, Atlanta, Georgia 30308.
Department of Radiology, University of Virginia, Charlottesville, Virginia.
Acad Radiol. 2017 Mar;24(3):263-272. doi: 10.1016/j.acra.2016.07.021. Epub 2016 Nov 29.
Promoting quality and safety research is now essential for radiology as reimbursement is increasingly tied to measures of quality, patient safety, efficiency, and appropriateness of imaging. This article provides an overview of key features necessary to promote successful quality improvement efforts in radiology. Emphasis is given to current trends and future opportunities for directing research. Establishing and maintaining a culture of safety is paramount to organizations wishing to improve patient care. The correct culture must be in place to support quality initiatives and create accountability for patient care. Focused educational curricula are necessary to teach quality and safety-related skills and behaviors to trainees, staff members, and physicians. The increasingly complex healthcare landscape requires that organizations build effective data infrastructures to support quality and safety research. Incident reporting systems designed specifically for medical imaging will benefit quality improvement initiatives by identifying and learning from system errors, enhancing knowledge about safety, and creating safer systems through the implementation of standardized practices and standards. Finally, validated performance measures must be developed to accurately reflect the value of the care we provide for our patients and referring providers. Common metrics used in radiology are reviewed with focus on current and future opportunities for investigation.
随着报销越来越多地与质量、患者安全、效率以及影像检查的适宜性等指标挂钩，推动质量与安全研究如今对放射学而言至关重要。本文概述了在放射学领域推动成功的质量改进工作所需的关键特征。重点介绍了指导研究的当前趋势和未来机遇。对于希望改善患者护理的组织来说，建立并维持安全文化至关重要。必须具备正确的文化来支持质量改进举措，并为患者护理建立问责制。需要有针对性的教育课程，向实习生、工作人员和医生传授与质量和安全相关的技能及行为。日益复杂的医疗环境要求各组织构建有效的数据基础设施，以支持质量与安全研究。专门为医学影像设计的事件报告系统将通过识别系统错误并从中吸取教训、增强安全知识以及通过实施标准化操作和标准创建更安全的系统，从而使质量改进举措受益。最后，必须制定经过验证的绩效指标，以准确反映我们为患者和转诊机构提供的护理的价值。文中回顾了放射学中常用的指标，并重点关注当前和未来的研究机遇。
