Telemedicine-based system for quality management and peer review in radiology

Objectives Quality assurance is the key component of modern radiology. A telemedicine-based quality assurance system helps to overcome the “scoring” approach and makes the quality control more accessible and objective. Methods A concept for quality assurance in radiology is developed. Its realizatio...

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Bibliographic Details
Published in:Insights into imaging 2018-06, Vol.9 (3), p.337-341
Main Authors: Morozov, Sergey, Guseva, Ekaterina, Ledikhova, Natalya, Vladzymyrskyy, Anton, Safronov, Dmitry
Format: Article
Language:English
Subjects:
Computed tomography
Diagnostic errors
Diagnostic Radiology
Diagnostic systems
Distance learning
Imaging
Internal Medicine
Interventional Radiology
Magnetic resonance imaging
Medical diagnosis
Medicine
Medicine & Public Health
Neuroradiology
NMR
Nuclear magnetic resonance
Online instruction
Original
Original Article
Peer review
Performance assessment
Quality
Quality assurance
Quality control
Quality management
Radiology
Telemedicine
Teleradiology
Ultrasound
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Summary:Objectives Quality assurance is the key component of modern radiology. A telemedicine-based quality assurance system helps to overcome the “scoring” approach and makes the quality control more accessible and objective. Methods A concept for quality assurance in radiology is developed. Its realization is a set of strategies, actions, and tools. The latter is based on telemedicine-based peer review of 23,199 computed tomography (CT) and magnetic resonance imaging (MRI) images. Results The conception of the system for quality management in radiology represents a chain of actions: “discrepancies evaluation – routine support – quality improvement activity – discrepancies evaluation”. It is realized by an audit methodology, telemedicine, elearning, and other technologies. After a year of systemic telemedicine-based peer reviews, the authors have estimated that clinically significant discrepancies were detected in 6% of all cases, while clinically insignificant ones were found in 19% of cases. Most often, problems appear in musculoskeletal records; 80% of the examinations have diagnostic or technical imperfections. The presence of routine telemedicine support and personalized elearning allowed improving the diagnostics quality. The level of discrepancies has decreased significantly ( p  
ISSN:1869-4101
1869-4101
DOI:10.1007/s13244-018-0629-y