title: [Practical usage of a quality management system according to ISO 9001 : 2000 focusing on the double contrast (barium) enema].
abstract: OBJECTIVE
  We describe the implementation of quality improvement measures in a quality management system.
  
  
  METHODS
  With questionnaires for radiologists and patients, we investigated the relations between patient preparation and diagnostic quality serving the main purpose, to improve diagnostic quality with the help of more detailed patient information (e.g., changing preparation sheets and handling out "peri-med" information sheets to the patients). Furthermore, a comparative data ascertainment at other institutes was integrated.
  
  
  RESULTS
  For the group of outpatients, increasing process quality (patient information) and outcome (diagnostic quality) could be achieved. Taking aspects of quality costs into consideration, a decrease in costs due to failures was achieved.
  
  
  CONCLUSIONS
  More detailed patient information has positive effects on diagnostic quality of the double contrast (barium) enema.
authors.affiliation: Zentrales Institut für Radiologie, Landeskrankenhaus Feldkirch, Feldkirch, Osterreich, Germany. gerald.heinzle@gmx.at
authors.forename: G
authors.initials: G
authors.lastname: Heinzle
authors.forename: K
authors.initials: K
authors.lastname: Hergan
authors.forename: M
authors.initials: M
authors.lastname: Fleisch
authors.forename: M
authors.initials: M
authors.lastname: Hubmann
authors.forename: W
authors.initials: W
authors.lastname: Oser
mesh_terms: D001291:Attitude of Health Personnel; D001466:Barium Sulfate; D003106:Colon / Q000000981:diagnostic imaging*; D003108:Colonic Diseases / Q000000981:diagnostic imaging; D003113:Colonoscopy; D003287:Contrast Media; D003362:Cost-Benefit Analysis; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D010349:Patient Compliance; D010353:Patient Education as Topic; D011859:Radiography; D011795:Surveys and Questionnaires; D007507:Therapeutic Irrigation; D017749:Total Quality Management / Q000191:economics
chemical_list: D003287:Contrast Media; D001466:Barium Sulfate