scholarly journals Peer Review Tool for General Radiography Technologists Improves Image Quality

2020 ◽  
Vol 71 (1) ◽  
pp. 48-57 ◽  
Author(s):  
Andrew M. Hsiao ◽  
Annemarie Budau-Bymoen ◽  
Petar Seslija ◽  
Charlotte J. Yong-Hing ◽  
Yogesh Thakur

Purpose: Quality improvement is vital to ensure health-care providers meet optimal patient care standards. Within our jurisdiction, accreditation requires image peer review as part of the quality assurance program. We propose a method to improve quality assurance in radiography by implementing a novel software-based peer review system for radiography technologists. Methods: This is a retrospective study. A peer review tool was developed in Microsoft Excel and Visual Basic. The tool has 14 image quality criteria, which were selected based on national and international criteria, each containing standardized answers ensuring a common scoring regime. The tool provides data analysis and storage of all peer reviews performed. Radiography supervisors utilized the tool to evaluate image quality of various body parts at 28 hospitals. The tool enabled each Medical Imaging Department to objectively score images at their own hospital. Approximately 2% of all radiographs were randomly chosen for peer review. Additionally, the tool allowed for regional analysis based on hospital, body part, and quality criterion. Results: Initial findings exposed equipment-related issues such as worn imaging plates, artifacts, and poor exposures, which prompted increased preventative maintenance. Other documented issues included foreign objects, inadequate collimation and centering, and inconsistent usage of lead markers. After identifying quality assurance-related issues, hospitals implemented education, resulting in improved overall image quality scores in subsequent audits. Conclusion: The peer review tool helped identify and correct various issues affecting image quality and ensures our program meets required accreditation standards. Furthermore, staff found utilizing the tool to identify areas for improvement improved collaboration, ongoing education, and support between staff.

2008 ◽  
Vol 35 (5) ◽  
pp. 1807-1815 ◽  
Author(s):  
Jean-Pierre Bissonnette ◽  
Douglas J. Moseley ◽  
David A. Jaffray

2021 ◽  
Vol 11 (9) ◽  
pp. 172-177
Author(s):  
Padmini Kumari B ◽  
G Vijay Kumar ◽  
K. Ravi Babu

Purpose of Study: To study the radiological and imaging services in terms of Quality Assurance in relation to accreditation norms. Methods: We performed cross sectional evaluation of the data obtained from the participants in the study Semi structured both open and closed ended questionnaire were administered among the participants who were agreed to participate in the study. The questionnaire was formulated to evaluate different parameters of Quality Assurance Programme (QAP). The parameters were divided into structure, process and outcome measures and were derived from literature [National Accreditation Board for Hospitals and Health care Providers during accreditation of healthcare institutions]. Results: The radiology and imaging services of Vydehi Medical College Hospital was established in the year 2002, and was approved by AERB (Atomic Energy Regulatory Board) in the year 2007. The department was renewed by AERB in the year 2012. Checklist was formulated which includes several parameters in terms of structure, process and outcome measures. Conclusion: Quality assurance programme is to provide good patient timely care and the policies adopted by the department of radiology and imaging service in terms of quality are on par with standard guidelines in our study. Safe and sustainable quality care is the need of the hour and it can be practically achieved by regular monitoring of the quality assurance programme. Key words: Quality assurance; Imaging services; Utilisation; Guidelines; Healthcare


2013 ◽  
pp. 207-211
Author(s):  
Franco Berti

The Italian Charter for Quality Assurance in Internal Medicine is a response to the European Charter of Patients’ Rights presented in Brussels in 2002. It is the product of collaborative efforts by Cittadinanza Attiva (a nonprofit citizens’ rights group), the National Association of Hospital Nurses (ANIMO), and the Federation of Associations of Executive-Level Hospital Internists (FADOI). Its objectives are to enhance respect for patients’ rights and promote uniformity in the quality of care delivered in Italy’s health-care facilities, which is currently characterized by marked inter-regional and inter-hospital variability. This article describes the reasons and principles that have guided the Charter’s elaboration and the benefits of partnership between citizens and health-care providers.


Work & Stress ◽  
1992 ◽  
Vol 6 (3) ◽  
pp. 229-238 ◽  
Author(s):  
Jesús Rodríguez-marín ◽  
José J. Mira ◽  
Jesús Aranaz ◽  
Julian Vitaller

2019 ◽  
Author(s):  
Robab Abdolkhani ◽  
Kathleen Gray ◽  
Ann Borda ◽  
Ruth DeSouza

BACKGROUND The ubiquity of health wearables and the consequent production of patient-generated health data (PGHD) are rapidly escalating. However, the utilization of PGHD in routine clinical practices is still low because of data quality issues. There is no agreed approach to PGHD quality assurance; therefore, realizing the promise of PGHD requires in-depth discussion among diverse stakeholders to identify the data quality assurance challenges they face and understand their needs for PGHD quality assurance. OBJECTIVE This paper reports findings from a workshop aimed to explore stakeholders’ data quality challenges, identify their needs and expectations, and offer practical solutions. METHODS A qualitative multi-stakeholder workshop was conducted as a half-day event on the campus of an Australian University located in a major health care precinct, namely the Melbourne Parkville Precinct. The 18 participants had experience of PGHD use in clinical care, including people who identified as health care consumers, clinical care providers, wearables suppliers, and health information specialists. Data collection was done by facilitators capturing written notes of the proceedings as attendees engaged in participatory design activities in written and oral formats, using a range of whole-group and small-group interactive methods. The collected data were analyzed thematically, using deductive and inductive coding. RESULTS The participants’ discussions revealed a range of technical, behavioral, operational, and organizational challenges surrounding PGHD, from the time when data are collected by patients to the time data are used by health care providers for clinical decision making. PGHD stakeholders found consensus on training and engagement needs, continuous collaboration among stakeholders, and development of technical and policy standards to assure PGHD quality. CONCLUSIONS Assuring PGHD quality is a complex process that requires the contribution of all PGHD stakeholders. The variety and depth of inputs in our workshop highlighted the importance of co-designing guidance for PGHD quality guidance.


Author(s):  
Solmaz P. Manuel ◽  
Christine L. Mai

The scope of professional issues in pediatric anesthesia presents challenges for the anesthesiologist because the care involves both the child and the family. Ethical issues can arise with questions about informed consent, informed permission, and assent in minors. Children of Jehovah’s Witnesses parents can present ethical challenges for the anesthesiologist. The Institute of Medicine’s (IOM) 1999 report, “To Err Is Human: Building a Safer Health System,” brought attention to the problem of preventable medical errors occurring in US hospitals each year. These errors resulted in up to 98,000 patient deaths and were more likely to occur in operating rooms, emergency departments, and intensive care units. The report called for a comprehensive effort by health care providers, government, and consumers to make drastic reductions in these errors. Patient safety and quality assurance have become pinnacle motivators for anesthesiologists to strive for quality improvement in patient care.


2020 ◽  
pp. 105566562094618
Author(s):  
Justine S. Kim ◽  
Wendy Chen ◽  
Lorelei Grunwaldt ◽  
Joseph E. Losee ◽  
Christopher Bise ◽  
...  

Objective: Determine prevalence and characteristics of musculoskeletal pain and pathology in cleft providers. Design: An IRB-exempt survey based on previously validated surveys was administered. Data collected included demographics, practice description, musculoskeletal pain history, formal diagnoses, and interventions. Setting: Survey was sent to all cleft centers approved by the American Cleft Palate-Craniofacial Association worldwide. Patients, Participants: All cleft surgeons and orthodontists at these centers met entry criteria. Eighty-three providers responded. Cleft center coordinators were unable to confirm the number of survey recipients. Main Outcome Measures: The hypothesis formulated prior to data collection was that prevalence would be comparable to general plastic surgeons and other at-risk health care providers. Results: Average age of respondents was 49.8 ± 11.3 years; 33.9% of respondents were female. Average body mass index was 24.8 ± 3.5 kg/m2. Headaches were observed in 62.7% of surveyed respondents while musculoskeletal symptoms were reported in 89.8%. Of the 12 body parts addressed, most commonly affected were the neck (71.2%), shoulders (52.5%), and lower back (67.8%). Pain interfered with hobbies and home life in the majority of respondents (62.7%). Those who reported a formal diagnosis were more likely to undergo treatment including surgery ( P < .01), medication ( P = .03), and physical therapies ( P < .01). Conclusions: Cleft surgeons and orthodontists experience a higher frequency of headaches compared to the general population, and musculoskeletal disorders are more prevalent than reported by general plastic surgeons. Pain interferes with hobbies and home life. Formal diagnosis leads to treatment. Preventative exercises and interventions are presented.


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