Insights Imaging. 2020 Dec 9;11(1):134. doi: 10.1186/s13244-020-00923-1.
In 2013, the new European Basic Safety Standards Directive 2013/59/Euratom (BSS Directive), which defines the new legal framework for the use of ionising radiation in medical imaging and radiotherapy, was published. In 2014, the ESR EuroSafe Imaging Initiative was founded with a goal in mind "to support and strengthen medical radiation protection across Europe following a holistic, inclusive approach". To support radiology departments in developing a programme of clinical audit, the ESR developed a Guide to Clinical Audit and an accompanying audit tool in 2017, with an expanded second edition released in 2019 and published under the name of Esperanto - ESR Guide to Clinical Audit in Radiology and the ESR Clinical Audit Tool, 2019. Audits represent specific aspects at a certain point in time, usually with retrospective evaluation of data. Key performance indicators (KPIs), on the other hand, are intended to enable continuous monitoring of relevant parameters, for example to provide warnings or a dashboard. KPIs, which can, for example, be recorded automatically and visualised in dashboards, are suitable for this purpose. This paper will discuss a selection of indicators covering different areas and include suggestions for their implementation.
2013年，新的欧洲基本安全标准指令2013/59/Euratom（BSS指令）发布，该指令为医学成像和放射治疗中电离辐射的使用定义了新的法律框架。2014年，欧洲放射学会（ESR）发起了欧洲安全成像倡议，其目标是“采用全面、包容的方法支持和加强全欧洲的医学辐射防护”。为了支持放射科制定临床审计计划，ESR在2017年制定了《临床审计指南》及配套的审计工具，并于2019年发布了扩展的第二版，以《世界语——ESR放射学临床审计指南和ESR临床审计工具，2019》为名出版。审计代表特定时间点的具体方面，通常是对数据进行回顾性评估。另一方面，关键绩效指标（KPI）旨在对相关参数进行持续监测，例如发出警告或提供数据总览。例如，可以自动记录并在数据总览中可视化的KPI适用于此目的。本文将讨论一系列涵盖不同领域的指标，并给出实施建议。
