Performance results for a workstation-integrated radiology peer review quality assurance program

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Margaret M O'KeeffeKerry Siminoski

Abstract

To assess review completion rates, RADPEER score distribution, and sources of disagreement when using a workstation-integrated radiology peer review program, and to evaluate radiologist perceptions of the program. Retrospective review of prospectively collected data. Large private outpatient radiology practice. Radiologists (n = 66) with a mean of 16.0 (standard deviation, 9.2) years of experience. Prior studies and reports of cases being actively reported were randomly selected for peer review using the RADPEER scoring system (a 4-point scale, with a score of 1 indicating agreement and scores of 2-4 indicating increasing levels of disagreement). Assigned peer review completion rates, review scores, sources of disagreement and radiologist survey responses. Of 31 293 assigned cases, 29 044 (92.8%; 95% CI 92.5-93.1%) were reviewed. Discrepant scores (score = 2, 3 or 4) were given in 0.69% (95% CI 0.60-0.79%) of cases and clinically significant discrepancy (score = 3 or 4) was assigned in 0.42% (95% CI 0.35-0.50%). The most common cause of disagreement was missed diagnosis (75.2%; 95% CI 66.8-82.1%). By anonymous survey, 94% of radiologists felt that peer review was worthwhile, 90% reported that the scores they received were appro...Continue Reading

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Citations

Dec 18, 2019·AJR. American Journal of Roentgenology·Joseph H YacoubDavide Bova
Mar 30, 2018·Insights Into Imaging·Håkan Geijer, Mats Geijer

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