Online Error Reporting for Managing Quality Control Within Radiology.
Information technology systems within health care, such as picture archiving and communication system (PACS) in radiology, can have a positive impact on production but can also risk compromising quality. The widespread use of PACS has removed the previous feedback loop between radiologists and technologists. Instead of direct communication of quality discrepancies found for an examination, the radiologist submitted a paper-based quality-control report. A web-based issue-reporting tool can help restore some of the feedback loop and also provide possibilities for more detailed analysis of submitted errors. The purpose of this study was to evaluate the hypothesis that data from use of an online error reporting software for quality control can focus our efforts within our department. For the 372,258 radiologic examinations conducted during the 6-month period study, 930 errors (390 exam protocol, 390 exam validation, and 150 exam technique) were submitted, corresponding to an error rate of 0.25 %. Within the category exam protocol, technologist documentation had the highest number of submitted errors in ultrasonography (77 errors [44 %]), while imaging protocol errors were the highest subtype error for computed tomography modality (35 errors [18 %]). Positioning and incorrect accession had the highest errors in the exam technique and exam validation error category, respectively, for nearly all of the modalities. An error rate less than 1 % could signify a system with a very high quality; however, a more likely explanation is that not all errors were detected or reported. Furthermore, staff reception of the error reporting system could also affect the reporting rate.
Department of Radiology, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Pedram
P
Golnari
Department of Radiology, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.|Sectra, Teknikringen 20, Linköping, SE-583 30, Sweden.
Daniel
D
Forsberg
Department of Radiology, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Beverly
B
Rosipko
Department of Radiology, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA. Jeffrey.Sunshine@UHhospitals.org.
Jeffrey L
JL
Sunshine
D003951:Diagnostic Errors / Q000706:statistics & numerical data; D003952:Diagnostic Imaging / Q000592:standards; D006801:Humans; D011785:Quality Assurance, Health Care / Q000379:methods*; D011786:Quality Control; D011871:Radiology / Q000592:standards*; D011873:Radiology Information Systems / Q000592:standards*; D012308:Risk Management / Q000379:methods / Q000458:organization & administration*; D012984:Software
PACS; Quality assurance; Web technology