Muench Gloria, Witham Denis, Rubarth Kerstin, Zimmermann Elke, Marz Susanne, Praeger Damaris, Wegener Viktor, Nee Jens, Dewey Marc, Pohlan Julian
Department of Radiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Sci Rep. 2025 Jan 7;15(1):1197. doi: 10.1038/s41598-024-83978-0.
This study aims to assess the effectiveness of digital multidisciplinary conferences (MDCs) in preventing imaging-related quality management (QM) events during the coronavirus-disease-19 (COVID-19) pandemic. COVID-19 challenged interdisciplinary exchange and QM measures for patient safety. Regular MDCs between radiologists and intensive care unit (ICU) physicians, introduced in our hospital in 2018, enable re-evaluation of imaging examinations and bilateral feedback. MDC protocols from 2020 to 2021 were analysed regarding imaging-related QM events. Epidemiological data on COVID-19 were matched with MDCs. 333 MDCs including 1324 radiological examinations in 857 patients (median age = 64 (IQR = 55-73) years, 66.7% male) were analysed. MDCs were held within a median of 1 day after imaging (IQR = 1-3). QM events were identified in 2.7% (n = 36/1324) of examinations. This represented a significant decrease compared to a control group from 2018/2019 (QM events identified in 14.0%, p < 0.001). QM incidence remained consistent in the pandemic cohort (regression coefficient estimate = -0.01, 95% confidence interval = [0.000, 0.000], p = 0.68). 81% (n = 29/36) of QM events were report-related, 19% process-related (n = 6/36), and 2.8% indication-related (n = 1/36). In 7.3% (n = 97/1324) of examinations, the patient was affected by COVID-19. With MDCs as an effective feedback mechanism in place, the challenges of the COVID-19 pandemic led to no increase in QM incidence. Notably, COVID status did not impact QM event occurrence.
本研究旨在评估数字化多学科会议（MDC）在预防2019冠状病毒病（COVID-19）大流行期间与影像相关的质量管理（QM）事件方面的有效性。COVID-19对跨学科交流和患者安全的质量管理措施构成了挑战。2018年我院引入放射科医生与重症监护病房（ICU）医生之间定期举行的MDC，能够对影像检查进行重新评估并提供双向反馈。对2020年至2021年的MDC协议进行了与影像相关的QM事件分析。将COVID-19的流行病学数据与MDC进行匹配。分析了333次MDC，包括857例患者的1324次放射学检查（中位年龄=64岁（四分位间距=55-73岁），男性占66.7%）。MDC在影像检查后中位1天内举行（四分位间距=1-3）。在2.7%（n=36/1324）的检查中发现了QM事件。与2018/2019年的对照组相比，这一比例显著下降（在对照组中发现QM事件的比例为14.0%，p<0.001）。在大流行队列中，QM发生率保持一致（回归系数估计值=-0.01，95%置信区间=[0.000，0.000]，p=0.68）。81%（n=29/36）的QM事件与报告相关，19%与流程相关（n=6/36），2.8%与指征相关（n=1/36）。在7.3%（n=97/1324）的检查中，患者感染了COVID-19。由于MDC作为一种有效的反馈机制，COVID-19大流行带来的挑战并未导致QM发生率增加。值得注意的是，COVID状态并未影响QM事件的发生。
