Quality Initiative Program in Its Sixth Year: Has It Become Part of Our Radiology Culture?

• Published in: Canadian Association of Radiologists journal 2017-08, Vol.68 (3), p.243-248
• Main Authors: Ritchie, Heather, BSc, Kielar, Ania Z., MD, FRCPC, Hill, Fraser, O'Sullivan, Joseph P., MD, FRCPC
• Format: Article
• Language: English
• Subjects: Abdomen; Cross-sectional imaging; Diagnostic Errors - statistics & numerical data; Electronic Mail; Errors; Female; Humans; Male; Medical personnel; Organizational Culture; Pelvis; Quality; Quality Assurance, Health Care; Quality Improvement; Radiology; Radiology - education; Radiology - standards; Response rates; Retrospective Studies; Surveys and Questionnaires
• ISSN: 0846-5371; 1488-2361
• DOI: 10.1016/j.carj.2016.08.003

Abstract Purpose The study sought to determine if the Quality Initiative Program (QUIP) has become part of the radiology culture at our institution. Methods After Research Ethics approval, QUIPs from January 2009 to December 2014 were assessed. We evaluated the response rates of radiologists receiving QUIPs to ensure they reviewed them. We performed a survey of radiologists and trainees to gain feedback regarding their perception of QUIPs in February 2014 and in June 2015. Results Response rates of radiologists receiving a QUIP improved, with 76% response rate in 2014 up from 66% in the first year and 42% in the second year. Based on the 2015 survey including radiologists and trainees, 75% agreed that QUIPs were educational, compared with 67% 16 months earlier. Fifty percent of respondents had changed their overall practice of reporting based on feedback from the QUIP in 2015 compared with 32% in 2014. In both surveys, 100% of respondents indicated that QUIPs have not been used against them for any disciplinary measure (or other negatively perceived action). When asked if there was a perceived decrease in stigma felt when a QUIP was received, 71% agreed or were neutral and 28% disagreed. Conclusions The QUIP is educational to radiologists and trainees, leading to positive changes in clinical practice. The majority accepts this program but there is still a stigma felt when a QUIP is received, particularly among residents. Nevertheless, we feel that QUIP has been integrated into our radiology culture and, hopefully, imminent transition to commercial quality software will be smooth.