Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
J Am Coll Radiol. 2019 Mar;16(3):384-388. doi: 10.1016/j.jacr.2018.10.021. Epub 2018 Dec 22.
Peer review is a cornerstone of quality improvement programs and serves to support the peer learning process. Peer review in radiology incorporates the review of diagnostic imaging interpretation, interventional procedures, communication, and the evaluation of untoward patient events. A just culture is an environment in which errors and near-miss events are evaluated in a deliberately nonpunitive framework, avoiding a culture of blame and responsibility and focusing instead on error prevention and fostering a culture of continuous quality improvement. Adoption of a just culture requires careful attention to detail and relies on continuous coaching of individuals and teams to ensure future systems improvements and a culture of safety. The authors describe the practical implementation of a just culture framework for peer review in an academic radiology department and highlight its application to interpretive, noninterpretive, and procedural domains through case examples.
同行评议是质量改进计划的基石，有助于支持同行学习过程。放射科的同行评议包括诊断影像学解释、介入程序、沟通以及不良患者事件的评估。公正文化是一种在非惩罚性框架下评估错误和险些犯错事件的环境，避免了责备和责任文化，而是侧重于预防错误，并培养持续质量改进文化。公正文化的采用需要仔细注意细节，并依靠对个人和团队的持续指导，以确保未来的系统改进和安全文化。作者描述了在学术放射科中实施公正文化框架进行同行评议的实际情况，并通过案例示例强调了其在解释性、非解释性和程序性领域的应用。
