+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A new concept in radiology QA in a large setting

A new concept in radiology QA in a large setting

Radiology Management 20(2): 30-37

Determining film quality has traditionally been carried out through review and evaluation of exam retakes. At best, such a system will tell which exam areas the technologist repeated most. Kaiser Permanente Northwest has 80 radiologic technologists and 30 radiologists who rotate through film reading. The program developed at Kaiser is directed toward general diagnostic film quality only and uses the services of two full-time quality assurance (QA) technologists. Working together, the radiologist and QA staff have created a standard of diagnostic image quality. A QA radiologist representative is available to work with the QA technologist if inconsistencies are raised. Every other month, a QA technologist makes a random selection for review of 50 exams performed by each technologist. These evaluations cover view rather than exam, with each view judged on its own merit. The purpose is to look for recurring problems in the technologist's performance. Copies of the review sheet go to each technologist's supervisor who forwards a copy to the technologist. Technologists can request help to understand why certain films meet or fail to meet quality standards. The QA technologists are available to give one-on-one help, and they also offer classes and demonstrations. In turn, radiologist fill out quality control (QC) slips as they read exams. The slips help to educate and correct specific problems, and are a direct communication link between radiologist and technologist. The QA program places importance on having the proper tools for taking quality films. The program also provides several levels of accountability although QA technologists are not responsible for its enforcement. Instead, they give feedback to supervisors who enforce performance levels. An appeals process is also in place. The program helps keep image quality acceptable to both hospital radiologists and customer requirements in the industry. In turn, the technologists use it to further their professional development.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 045079649

Download citation: RISBibTeXText

PMID: 10179190

Related references

The Utility of Concept Maps to Facilitate Higher-Level Learning in a Large Classroom Setting. American Journal of Pharmaceutical Education 78(9): 170, 2015

Co-operative Learning In Clinical Radiology (CLICR): introducing a novel teaching concept in radiology in the context of competence-oriented curricula. Zeitschrift für Evidenz, Fortbildung und Qualitat Im Gesundheitswesen 106(1): 54-61, 2012

Utility of the concept of minor depressive disorder: evidence from a large rural community sample in a developing country setting. Journal of Affective Disorders 104(1-3): 111-118, 2007

The Basics of Interventional Radiology Management in a Large Radiology Group: A Bird's-Eye View. Seminars in Interventional Radiology 23(4): 311-314, 2006

Cost-benefit analysis. V. Interdisciplinary discussions in radiology. Large equipment in radiology--problems of site planning (meeting report). Aktuelle Radiologie 1(2): 79-91, 1991

Stress-relaxation and tension relief system for immediate primary closure of large and huge soft tissue defects: an old-new concept: new concept for direct closure of large defects. Medicine 93(28): E234, 2015

Radiology department organization and radiology education. Reply: How should radiology residencies be structured? How should radiology departments be organized? Proposals for the 1990s. Radiology 172(3): 609, 611-4, 1989

Radiology 2012: radiology and radiologists a decade hence--a strategic analysis for radiology from the second annual American College of Radiology FORUM. Radiology 227(1): 9-14, 2003

Pay-for-performance radiology: a new concept. Radiology Management 21(3): 18-21, 1999

Awareness of interventional radiology among patients referred to the interventional radiology department: a survey of patients in a large Canadian community hospital. Journal of Vascular and Interventional Radiology 18(5): 633-637, 2007

Remedial concept for the industrial waste deposit Sprendlingen, concept by steps and modules, first large scale use of the cut-off wall Zublin system. Contaminated Soil, 1988

The future of radiology. Specialized radiology versus complete radiology--position of the Specialized Radiology Study Group of combined professional societies. Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 66(9): Suppl 210-2, 1995

ESR concept paper on value-based radiology. Insights Into Imaging 8(5): 447-454, 2017

The concept of error and malpractice in radiology. Ultrasound 21(1): 43-43, 2013

The lean concept of waste in radiology. Journal of the American College of Radiology 8(6): 443-445, 2012