[Audit procedure of radiology reports in a hospital service].
OBJECTIVE
Presentation of a clinical audit of the radiology reports in our institution.


METHODS
and methods: This audit has been performed in several steps: launching the project, elaboration of the reference book, elaboration of the protocol, analysis of the results, improvements made.


RESULTS
Several dysfunctions were detected: typing errors, the lack of sentences explaining the procedure of examination, the lack of negative pertinent elements, the lack of synthesis. Several interventions were made: checking on the screen of the computer the report before signing it, purchase of personal voice recorders, restructuring the interpretation room. Other interventions are considered: structured data entry, P.A.C.S. systems


CONCLUSIONS
This audit has allowed the modification of the process for realisation of the radiology reports and the stimulation of the medical team, thus improving the quality of our work.
Barrau
V
V
Service de radiologie, Hôpital Beaujon, 100, boulevard du Général Leclerc, 92118 Clichy, France.
Rufat
P
P
Charrada
L
L
Menu
Y
Y
D002985:Clinical Protocols / Q000592:standards; D003938:Diagnostic Techniques, Digestive System / Q000592:standards*; D005602:France; D019983:Guideline Adherence / Q000592:standards; D006751:Hospital Information Systems / Q000592:standards; D006785:Hospitals, University; D006801:Humans; D008485:Medical Audit / Q000458:organization & administration*; D008499:Medical Records / Q000592:standards*; D016347:Medical Records Systems, Computerized / Q000592:standards; D018579:Patient Selection; D017410:Practice Guidelines as Topic / Q000592:standards; D011859:Radiography / Q000592:standards*; D011872:Radiology Department, Hospital / Q000592:standards*; D011873:Radiology Information Systems / Q000592:standards; D012189:Retrospective Studies; D017749:Total Quality Management / Q000458:organization & administration