Auditing an Online Self-reported Interventional Radiology Adverse Event Database for Compliance and Accuracy.
The purpose of this study was to determine whether auditing an online self-reported interventional radiology quality assurance database improves compliance with record entry or improves the accuracy of adverse event (AE) reporting and grading. Physicians were trained in using the database before the study began. An audit of all database entries for the first 3 months, or the first quarter, was performed, at which point physicians were informed of the audit process; entries for the subsequent 3 months, or the second quarter, were again audited. Results between quarters were compared. Compliance with record entry improved from the first to second quarter, but reminders were necessary to ensure 100% compliance with record entry. Knowledge of the audit process did not significantly improve self-reporting of AE or accuracy of AE grading. However, auditing significantly changed the final AE reporting rates and grades.
Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
Ezra A
EA
Burch
Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts. Electronic address: pshyn@bwh.harvard.edu.
Paul B
PB
Shyn
Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
Jeffrey F
JF
Chick
Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
Nikunj R
NR
Chauhan
D039702:Current Procedural Terminology; D016208:Databases, Factual / Q000592:standards*; D004282:Documentation / Q000592:standards; D006302:Health Services Research; D006801:Humans; D008485:Medical Audit; D009862:Online Systems; D011785:Quality Assurance, Health Care; D015641:Radiography, Interventional / Q000009:adverse effects*; D011873:Radiology Information Systems / Q000592:standards; D057566:Self Report; D014481:United States
Quality assurance; adverse events; interventional radiology; quality improvement