Implementation of a point-of-care radiologist-technologist communication tool in a quality assurance program Journal Article


Authors: Ong, L.; Elnajjar, P.; Nyman, C. G.; Mair, T.; Juluru, K.
Article Title: Implementation of a point-of-care radiologist-technologist communication tool in a quality assurance program
Abstract: OBJECTIVE. We implemented an Image Quality Reporting and Tracking Solution (IQuaRTS), directly linked from the PACS, to improve communication between radiologists and technologists. MATERIALS AND METHODS. IQuaRTS launched in May 2015. We compared MRI issues filed in the period before IQuaRTS implementation (May-September 2014) using a manual system with MRI issues filed in the IQuaRTS period (May-September 2015). The unpaired t test was used for analysis. For assessment of overall results in the IQuaRTS period alone, all issues filed across all modalities were included. Summary statistics and charts were generated using Excel and Tableau. RESULTS. For MRI issues, the number of issues filed during the IQuaRTS period was 498 (2.5% of overall MRI examination volume) compared with 78 issues filed during the period before IQuaRTS implementation (0.4% of total examination volume) (p = 0.0001), representing a 625% relative increase. Tickets that documented excellent work were 8%. Other issues included images not pushed to PACS (20%), film library issues (19%), and documentation or labeling (8%). Of the issues filed, 55% were MRI-related and 25% were CT-related. The issues were stratified across six sites within our institution. Staff requiring additional training could be readily identified, and 80% of the issues were resolved within 72 hours. CONCLUSION. IQuaRTS is a cost-effective online issue reporting tool that enables robust data collection and analytics to be incorporated into quality improvement programs. One limitation of the system is that it must be implemented in an environment where staff are receptive to quality improvement. © American Roentgen Ray Society.
Keywords: point of care; quality improvement; open source; radiologist-technologist communication; web tools
Journal Title: American Journal of Roentgenology
Volume: 209
Issue: 1
ISSN: 0361-803X
Publisher: American Roentgen Ray Society  
Date Published: 2017-07-01
Start Page: W18
End Page: W25
Language: English
DOI: 10.2214/ajr.16.17517
PROVIDER: scopus
PUBMED: 28402126
PMCID: PMC5565840
DOI/URL:
Notes: Article -- Export Date: 2 August 2017 -- Source: Scopus
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MSK Authors
  1. Leonard Tsung-Wei Ong
    23 Ong
  2. Charles Nyman
    6 Nyman
  3. Krishna   Juluru
    33 Juluru
  4. Thomas Mair
    1 Mair