Moriarity Andrew K, Hawkins C Matthew, Geis J Raymond, Dreyer Keith J, Kamer Aaron P, Khandheria Paras, Morey Jose, Whitfill James, Wiggins Richard H, Itri Jason N
Advanced Radiology Services, PC, Grand Rapids, Michigan; Division of Radiology and Biomedical Imaging, Michigan State University College of Human Medicine, Grand Rapids, Michigan.
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
J Am Coll Radiol. 2016 Dec;13(12 Pt A):1519-1524. doi: 10.1016/j.jacr.2016.08.005. Epub 2016 Oct 27.
The current practice of peer review within radiology is well developed and widely implemented compared with other medical specialties. However, there are many factors that limit current peer review practices from reducing diagnostic errors and improving patient care. The development of "meaningful peer review" requires a transition away from compliance toward quality improvement, whereby the information and insights gained facilitate education and drive systematic improvements that reduce the frequency and impact of diagnostic error. The next generation of peer review requires significant improvements in IT functionality and integration, enabling features such as anonymization, adjudication by multiple specialists, categorization and analysis of errors, tracking, feedback, and easy export into teaching files and other media that require strong partnerships with vendors. In this article, the authors assess various peer review practices, with focused discussion on current limitations and future needs for meaningful peer review in radiology.
与其他医学专业相比，放射学领域目前的同行评议实践已经相当成熟且广泛应用。然而，有许多因素限制了当前的同行评议实践在减少诊断错误和改善患者护理方面的作用。“有意义的同行评议”的发展需要从注重合规转向注重质量改进，即通过所获得的信息和见解促进教育，并推动系统性改进，以减少诊断错误的频率和影响。下一代同行评议需要在信息技术功能和整合方面有显著改进，实现诸如匿名化、由多名专家进行裁决、对错误进行分类和分析、跟踪、反馈以及轻松导出到教学文件和其他媒体等功能，这需要与供应商建立强有力的合作关系。在本文中，作者评估了各种同行评议实践，重点讨论了放射学领域当前有意义的同行评议的局限性和未来需求。
