title: Using a web-based image quality assurance reporting system to improve image quality.
abstract: OBJECTIVE
  The purpose of this study is to show the impact of a web-based image quality assurance reporting system on the rates of three common image quality errors at our institution.
  
  
  METHODS
  A web-based image quality assurance reporting system was developed and used beginning in April 2009. Image quality endpoints were assessed immediately before deployment (period 1), approximately 18 months after deployment of a prototype reporting system (period 2), and approximately 12 months after deployment of a subsequent upgraded department-wide reporting system (period 3). A total of 3067 axillary shoulder radiographs were reviewed for correct orientation, 355 shoulder CT scans were reviewed for correct reformatting of coronal and sagittal images, and 346 sacral MRI scans were reviewed for correct acquisition plane of axial images. Error rates for each review period were calculated and compared using the Fisher exact test.
  
  
  RESULTS
  Error rates of axillary shoulder radiograph orientation were 35.9%, 7.2%, and 10.0%, respectively, for the three review periods. The decrease in error rate between periods 1 and 2 was statistically significant (p < 0.0001). Error rates of shoulder CT reformats were 9.8%, 2.7%, and 5.8%, respectively, for the three review periods. The decrease in error rate between periods 1 and 2 was statistically significant (p = 0.03). Error rates for sacral MRI axial sequences were 96.5%, 32.5%, and 3.4%, respectively, for the three review periods. The decrease in error rates between periods 1 and 2 and between periods 2 and 3 was statistically significant (p < 0.0001).
  
  
  CONCLUSIONS
  A web-based system for reporting image quality errors may be effective for improving image quality.
authors.affiliation: Division of Abdominal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Czuczman
authors.forename: Stuart R
authors.initials: SR
authors.lastname: Pomerantz
authors.forename: Tarik K
authors.initials: TK
authors.lastname: Alkasab
authors.forename: Ambrose J
authors.initials: AJ
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003951:Diagnostic Errors; D003952:Diagnostic Imaging / Q000592:standards*; D005260:Female; D006801:Humans; D020407:Internet; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D011785:Quality Assurance, Health Care; D011873:Radiology Information Systems; D012189:Retrospective Studies; D012782:Shoulder