Cargando…

Telemedicine-based system for quality management and peer review in radiology

OBJECTIVES: Quality assurance is the key component of modern radiology. A telemedicine-based quality assurance system helps to overcome the “scoring” approach and makes the quality control more accessible and objective. METHODS: A concept for quality assurance in radiology is developed. Its realizat...

Descripción completa

Detalles Bibliográficos
Autores principales: Morozov, Sergey, Guseva, Ekaterina, Ledikhova, Natalya, Vladzymyrskyy, Anton, Safronov, Dmitry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991002/
https://www.ncbi.nlm.nih.gov/pubmed/29777451
http://dx.doi.org/10.1007/s13244-018-0629-y
_version_ 1783329716166459392
author Morozov, Sergey
Guseva, Ekaterina
Ledikhova, Natalya
Vladzymyrskyy, Anton
Safronov, Dmitry
author_facet Morozov, Sergey
Guseva, Ekaterina
Ledikhova, Natalya
Vladzymyrskyy, Anton
Safronov, Dmitry
author_sort Morozov, Sergey
collection PubMed
description OBJECTIVES: Quality assurance is the key component of modern radiology. A telemedicine-based quality assurance system helps to overcome the “scoring” approach and makes the quality control more accessible and objective. METHODS: A concept for quality assurance in radiology is developed. Its realization is a set of strategies, actions, and tools. The latter is based on telemedicine-based peer review of 23,199 computed tomography (CT) and magnetic resonance imaging (MRI) images. RESULTS: The conception of the system for quality management in radiology represents a chain of actions: “discrepancies evaluation – routine support – quality improvement activity – discrepancies evaluation”. It is realized by an audit methodology, telemedicine, elearning, and other technologies. After a year of systemic telemedicine-based peer reviews, the authors have estimated that clinically significant discrepancies were detected in 6% of all cases, while clinically insignificant ones were found in 19% of cases. Most often, problems appear in musculoskeletal records; 80% of the examinations have diagnostic or technical imperfections. The presence of routine telemedicine support and personalized elearning allowed improving the diagnostics quality. The level of discrepancies has decreased significantly (p < 0.05). CONCLUSION: The telemedicine-based peer review system allows improving radiology departments’ network effectiveness. MAIN MESSAGES: • “Scoring” approach to radiologists’ performance assessment must be changed. • Telemedicine peer review and personalized elearning significantly decrease the number of discrepancies. • Teleradiology allows linking all primary-level hospitals to a common peer review network.
format Online
Article
Text
id pubmed-5991002
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-59910022018-06-18 Telemedicine-based system for quality management and peer review in radiology Morozov, Sergey Guseva, Ekaterina Ledikhova, Natalya Vladzymyrskyy, Anton Safronov, Dmitry Insights Imaging Original Article OBJECTIVES: Quality assurance is the key component of modern radiology. A telemedicine-based quality assurance system helps to overcome the “scoring” approach and makes the quality control more accessible and objective. METHODS: A concept for quality assurance in radiology is developed. Its realization is a set of strategies, actions, and tools. The latter is based on telemedicine-based peer review of 23,199 computed tomography (CT) and magnetic resonance imaging (MRI) images. RESULTS: The conception of the system for quality management in radiology represents a chain of actions: “discrepancies evaluation – routine support – quality improvement activity – discrepancies evaluation”. It is realized by an audit methodology, telemedicine, elearning, and other technologies. After a year of systemic telemedicine-based peer reviews, the authors have estimated that clinically significant discrepancies were detected in 6% of all cases, while clinically insignificant ones were found in 19% of cases. Most often, problems appear in musculoskeletal records; 80% of the examinations have diagnostic or technical imperfections. The presence of routine telemedicine support and personalized elearning allowed improving the diagnostics quality. The level of discrepancies has decreased significantly (p < 0.05). CONCLUSION: The telemedicine-based peer review system allows improving radiology departments’ network effectiveness. MAIN MESSAGES: • “Scoring” approach to radiologists’ performance assessment must be changed. • Telemedicine peer review and personalized elearning significantly decrease the number of discrepancies. • Teleradiology allows linking all primary-level hospitals to a common peer review network. Springer Berlin Heidelberg 2018-05-18 /pmc/articles/PMC5991002/ /pubmed/29777451 http://dx.doi.org/10.1007/s13244-018-0629-y Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Morozov, Sergey
Guseva, Ekaterina
Ledikhova, Natalya
Vladzymyrskyy, Anton
Safronov, Dmitry
Telemedicine-based system for quality management and peer review in radiology
title Telemedicine-based system for quality management and peer review in radiology
title_full Telemedicine-based system for quality management and peer review in radiology
title_fullStr Telemedicine-based system for quality management and peer review in radiology
title_full_unstemmed Telemedicine-based system for quality management and peer review in radiology
title_short Telemedicine-based system for quality management and peer review in radiology
title_sort telemedicine-based system for quality management and peer review in radiology
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991002/
https://www.ncbi.nlm.nih.gov/pubmed/29777451
http://dx.doi.org/10.1007/s13244-018-0629-y
work_keys_str_mv AT morozovsergey telemedicinebasedsystemforqualitymanagementandpeerreviewinradiology
AT gusevaekaterina telemedicinebasedsystemforqualitymanagementandpeerreviewinradiology
AT ledikhovanatalya telemedicinebasedsystemforqualitymanagementandpeerreviewinradiology
AT vladzymyrskyyanton telemedicinebasedsystemforqualitymanagementandpeerreviewinradiology
AT safronovdmitry telemedicinebasedsystemforqualitymanagementandpeerreviewinradiology