title: Web-based mammography audit feedback.
abstract: OBJECTIVE
  Interpreting screening mammography accurately is challenging and requires ongoing education to maintain and improve interpretative skills. Recognizing this, many countries with organized breast screening programs have developed audit and feedback systems using national performance data to help radiologists assess and improve their skills. We developed and tested an interactive Website to provide screening and diagnostic mammography audit feedback with comparisons to national and regional benchmarks.
  
  
  METHODS
  Radiologists who participate in three Breast Cancer Surveillance Consortium registries in the United States were invited during 2009 and 2010 to use a Website that provides tabular and graphical displays of mammography audit reports with comparisons to national and regional performance measures. We collected data about the use and perceptions of the Website.
  
  
  RESULTS
  Thirty-five of 111 invited radiologists used the Website from one to five times in a year. The most popular measure was sensitivity for both screening and diagnostic mammography, whereas a table with all measures was the most visited page. Of the 13 radiologists who completed the postuse survey, all found the Website easy to use and navigate, 11 found the benchmarks useful, and nine reported that they intended to improve a specific outcome measure that year.
  
  
  CONCLUSIONS
  An interactive Website to provide customized mammography audit feedback reports to radiologists has the potential to be a powerful tool in improving interpretive performance. The conceptual framework of customized audit feedback reports can also be generalized to other imaging tests.
authors.affiliation: Department of Family Medicine, University of Vermont, Health Promotion Research, Burlington, VT 05401-3444, USA. berta.geller@uvm.edu
authors.forename: Berta M
authors.initials: BM
authors.lastname: Geller
authors.forename: Laura
authors.initials: L
authors.lastname: Ichikawa
authors.forename: Diana L
authors.initials: DL
authors.lastname: Miglioretti
authors.forename: David
authors.initials: D
authors.lastname: Eastman
mesh_terms: D019985:Benchmarking; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D054869:Clinical Audit / Q000706:statistics & numerical data*; D005246:Feedback; D005260:Female; D006801:Humans; D020407:Internet; D008327:Mammography / Q000592:standards* / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011361:Professional Competence; D011871:Radiology / Q000592:standards* / Q000706:statistics & numerical data; D014481:United States