scholarly journals Statement of the German Roentgen Society, German Society of Neuroradiology, and Society of German-speaking Pediatric Radiologists on Requirements for the Performance and Reporting of MR Imaging Examinations Outside of Radiology

2021 ◽  
Author(s):  
Peter Hunold ◽  
Andreas Michael Bucher ◽  
Jörn Sandstede ◽  
Rolf Janka ◽  
Lars Benjamin Fritz ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Medical Specialty ◽  
German Society ◽  
Position Statement ◽  
Image Evaluation ◽  
Management Quality ◽  
Medical Associations ◽  
Additional Qualification ◽  
German Speaking ◽  
Magnetic Resonance Imaging Mri

Background Magnetic Resonance Imaging (MRI) is a very innovative, but at the same time complex and technically demanding diagnostic method in radiology. It plays an increasing role in high-quality and efficient patient management. Quality assurance in MRI is of utmost importance to avoid patient risks due to errors before and during the examination and when reporting the results. Therefore, MRI requires higher physician qualification and expertise than any other diagnostic imaging technique in medicine. This holds true for indication, performance of the examination itself, and in particular for image evaluation and writing of the report. In Germany, the radiologist is the only specialist who is systematically educated in all aspects of MRI during medical specialty training and who must document a specified, high number of examinations during this training. However, also non-radiologist physicians are increasingly endeavoring to conduct and bill MRI examinations on their own. Method In this position statement, the following aspects of quality assurance for MRI examinations and billing by radiologists and non-radiologist physician specialists are examined scientifically: Requirements for specialist physician training, MRI risks and contraindications, radiation protection in the case of non-ionizing radiation, application of MR contrast agents, requirements regarding image quality, significance of image artifacts and incidental findings, image evaluation and reporting, interdisciplinary communication and multiple-eyes principle, and impact on healthcare system costs. Conclusion The German Roentgen Society, German Society of Neuroradiology, and Society of German-speaking Pediatric Radiologists are critical with regard to MRI performance by non-radiologists in the interest of quality standards, patient welfare, and healthcare payers. The 24-month additional qualification in MRI as defined by the physician specialization regulations (Weiterbildungsordnung) through the German state medical associations (Landesärztekammern) is the only competence-based and quality-assured training program for board-certified specialist physicians outside radiology. This has to be required as the minimum standard for performance and reporting of MRI exams. Exclusively unstructured MRI training outside the physician specialization regulations has to be strictly rejected for reasons of patient safety. The performance and reporting of MRI examinations must be reserved for adequately trained and continuously educated specialist physicians. Key Points: Citation Format

Quality assurance and quality improvement in medical practice – Part 1. Definition and importance of quality in medical practice

2012 ◽  
Vol 153 (3) ◽  
pp. 83-92
Author(s):  
Sándor Gődény
Keyword(s):  
Quality Assurance ◽  
Health Status ◽  
Quality Management ◽  
Medical Practice ◽  
Quality Measurement ◽  
The European Union ◽  
Management Quality ◽  
Hungarian Population ◽  
Healthcare Finance

In Hungary healthcare finance has decreased in proportion with the GDP, while the health status of the population is still ranks among the worst in the European Union. Since healthcare finance is not expected to increase, the number of practicing doctors per capita is continuously decreasing. In the coming years it is an important question that in this situation what methods can be used to prevent further deterioration of the health status of the Hungarian population, and within this is the role of the quality approach, and different methods of quality management. In the present and the forthcoming two articles those standpoints will be summarized which support the need for the integration of quality assurance in the everyday medical practice. In the first part the importance of quality thinking, quality management, quality assurance, necessity of quality measurement and improvement, furthermore, advantages of the quality systems will be discussed. Orv. Hetil., 2012, 153, 83–92.

A Study on Relationships Among Software Engineering Capabilities in Japan Using Panel Analysis

2013 ◽  
pp. 180-192
Author(s):  
Yasuo Kadono
Keyword(s):  
Quality Assurance ◽  
Project Management ◽  
Software Engineering ◽  
Research And Development ◽  
Business Performance ◽  
Social Research ◽  
Positive Influence ◽  
Panel Analysis ◽  
Management Quality ◽  
Assurance Process

To understand how software engineering capabilities relate to IT vendors’ business performance and business environment, the author designed social research on software engineering excellence (SEE) and administered it in 2005, 2006 and 2007 with the Japanese Ministry of Economy, Trade and Industry. The author measured the SEE survey results with regard to seven factors including service science characteristics: deliverables, project management, quality assurance, process improvement, research and development, human development, and contact with customers. This paper integrates 233 responses to the SEE surveys into a new database and identified 151 unique IT firms. Based on the results of the panel analysis, most SEE factors for a year had significant positive influences on the same factors the next year. Three paths existed to improving the level of deliverables through project management, quality assurance and research and development. Some SEE factors had significant positive influence on different factors in the following year diagonally. Some negative paths existed, implying that effort put toward a particular factor did not pay off during the research. These efforts may have longer-term effects on other SEE factors. In comparison to the overall structure, stratified analysis on the relationships among the seven factors suggested that year-to-year relationships of the independent vendors tend to be strengthened due to enhancement of series correlation.

The Israeli Diaspora in Berlin

2019 ◽  
Vol 34 (1) ◽  
pp. 88-109 ◽  
Author(s):  
Larissa Remennick
Keyword(s):  
Participant Observation ◽  
Community Organizations ◽  
German Society ◽  
Present Condition ◽  
Community Networks ◽  
Educational Institutions ◽  
Small Minority ◽  
German Speaking ◽  
Life Journey

In this ethnographic essay, I reflect on the origins and present condition of the new (post-2010) Israeli diaspora in Berlin. Based on 10 months of participant observation, I map out the main sub-streams of this emigration; elicit the economic, professional, and political reasons for leaving Israel; and explore these émigrés’ initial encounter with German society. My observations suggest that many Israeli residents of Berlin (mostly secular) rediscover their Jewishness along diasporic lines and forge ties with the local religious and community organizations. Being a small minority in the German-speaking milieu, Israelis invest in building their own Hebrew-based community networks, including media outlets and cultural and educational institutions. Lastly, I explore these émigrés’ ties with Israel and conclude that many Israelis in Berlin are sojourners rather than immigrants and that Berlin is but one phase in their life journey.

Psychiatry and Psychosomatic Medicine in Germany: Lessons to be Learned?

2005 ◽  
Vol 39 (9) ◽  
pp. 782-794 ◽  
Author(s):  
Albert Diefenbacher
Keyword(s):  
Objective Assessment ◽  
Psychotherapy Training ◽  
Medical Specialty ◽  
German Society ◽  
Liaison Psychiatry ◽  
Ongoing Debate ◽  
Psychotherapeutic Medicine ◽  
History Of ◽  
Consultation Liaison Psychiatry ◽  
International Social

Objective: To describe the reshaping of the German system of psychiatric services in the wake of the international social psychiatric movement and the beginnings of separate consultation–liaison (C-L) psychiatry and C-L psychosomatics services, to outline the differences and similarities of these two disciplines, and to see whether there are lessons to be learned from this unique development that may be relevant to other countries. Method: The author draws on material published in German and international publications, and on his experience as co-chair of the Section of Behavioral Medicine and Consultation Liaison Psychiatry of the German Society for Psychiatry, Psychotherapy and Neurology. Results: Consultation–liaison psychiatry services are provided in virtually all German general hospitals, mainly by the medical specialty of psychiatry and psychotherapy and to a lesser extent by the specialty of psychosomatics and psychotherapeutic medicine, exclusively so in 5%. The latter specialty includes non-psychiatric physicians. The unique history of combined neurology and psychiatry training until 1992, and of mandated psychotherapy training in both specialties shapes the service provided but also sets up tensions. Conclusions: Lack of empirical evidence prevents objective assessment of the advantages and/or shortcomings of this two-stranded system, but its existence may sharpen the ongoing debate about how C-L services should be structured in other countries.

Study on Management of Software Engineering Capability in Japan through Cross-Section Analysis and Panel Analysis

2012 ◽  
Vol 601 ◽  
pp. 576-583
Author(s):  
Kadono Yasuo
Keyword(s):  
Quality Assurance ◽  
Project Management ◽  
Software Engineering ◽  
Research And Development ◽  
Human Resource Development ◽  
Cross Section ◽  
Process Improvement ◽  
Panel Analysis ◽  
Management Quality ◽  
Section Analysis

Surveys on software engineering excellence (SEE) were designed and administrated in 2005, 2006, and 2007 in conjunction with the Japanese Ministry of Economy, Trade and Industry. In the survey, the software engineering capability was measured from the seven viewpoints of deliverables, project management, quality assurance, process improvement, research and development, human development, and customer contacts. In the present paper, we present the results of a cross-section analysis and a panel analysis. Through a cross-section analysis of the SEE data, we found superior deliverables and business performance to be significantly correlated with the effort expended on human resource development, quality assurance, research and development, and process improvement. For the panel analysis, we integrated 233 valid responses for the three years into a new database and identified 151 unique IT firms. Based on the results of the panel analysis, first, most SEE factors for a particular year had significant positive influences on the same factors the following year. Second, there were three paths to improving the level of deliverables, namely, through project management, quality assurance, and research and development, in a particular year. Third, some SEE factors had a significant positive influence on different SEE factors in the following year. Finally, several negative paths were observed, which implies that the effort put into a particular factor did not pay off in the short-term.

scholarly journals Pancreatic diseases register of the German society for general and visceral surgery

2019 ◽  
Vol 42 (1) ◽  
pp. 5-9
Author(s):  
A. A. Litvin ◽  
S. I. Sychev ◽  
A. A. Miroshnichenko ◽  
Y. A. Kolokoltseva
Keyword(s):  
Organizational Support ◽  
Medical Information ◽  
Statistical Processing ◽  
German Society ◽  
Pancreatic Disease ◽  
Visceral Surgery ◽  
Pancreatic Diseases ◽  
Surgical Interventions ◽  
German Speaking ◽  
General And Visceral Surgery

Modern standards of registering the medical information involve a creation of registers of patients with various nosologicalentities, which allows to standardize the services provided by the health care system, as well as to increase the efficiency and safety of treatment in actual clinical practice. The Pancreatic Disease Register of the German Society of General and Visceral Surgery, which is a database of patients with pancreatic diseases and their surgeries, has become very popular in the medical field. The register is a multidisciplinary database with its own infrastructure, coordination center and it contains information on surgical diseases and surgical interventions performed on the pancreas. The register is used to collect and analyze information online and integrates clinics of German-speaking countries (Germany, Switzerland, Austria), as well as doctors from other countries after receiving the relevant permission. The review analyzes the features of information collection and the creation of own register infrastructure, aspects of the implementation of methodological and organizational support, as well as the nuances of its logistics. The ways of statistical processing and validation of the collected information are listed, the possibility of autonomous functioning of the system and the presence of strict measures to protect the confidentiality of data are emphasized. The register is an optimal set of possibilities for correct, full-fledged introduction and analysis of extensive medical data, which is a prerequisite for conducting the prospective randomized studies in the field of pancreatic surgery.

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