Abstract
ObjectivesQuality 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.MethodsA 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.ResultsThe 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).ConclusionThe 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.
Highlights
The progress of communication and diagnostic technologies has created the ability to collect images in one place, transmit themTeleradiology has quite an interesting history, which begun in the 1920s with very simple telecommunications [12]
The theoretical concept of a telemedicine-based peer review represents a cycle of actions that may be presented as a chain: Bdiscrepancies evaluation – routine support – quality improvement activity – discrepancies evaluation^
When the methodology just described is combined with a telemedicine network, a new tool for quality management in radiology is available
Summary
The progress of communication and diagnostic technologies has created the ability to collect images in one place, transmit themTeleradiology has quite an interesting history, which begun in the 1920s with very simple telecommunications [12].
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