Practical Suggestions on How to Move From Peer Review to Peer Learning

Donnelly, Lane F.; Larson, David B.; Heller, Richard E.; Kruskal, Jonathan B.

doi:10.2214/ajr.17.18660

Cited by 48 publications

(13 citation statements)

References 24 publications

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“…Our research aims to demonstrate how the quality performance evaluation positively influences radiologists’ and technicians’ skills and affects the healthcare system in general. Due to the combination of technology, learning, and management, the authors have successfully achieved a “transition from a peer-review to a peer-learning approach” [ 3 ] in radiology.…”

Section: Discussionmentioning

confidence: 99%

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

Morozov¹,

Guseva²,

Ледихова³

et al. 2018

Insights Imaging

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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.

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Section: Discussionmentioning

confidence: 99%

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

Morozov¹,

Guseva²,

Ледихова³

et al. 2018

Insights Imaging

View full text Add to dashboard Cite

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“…by harnessing the power of group knowledge, when available (16). Textbooks, review articles, and increasingly searchable digital databases supplement diagnostic expertise when needed during image interpretation.…”

Section: Teaching Pointsmentioning

confidence: 99%

Radiology Report Value Equation

Eberhardt

Heilbrun

2018

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Value in medicine is defined as the ratio of quality and service and health care outcomes to the costs and inefficiencies of providing care. Creating patient-centered value in radiology reporting requires radiologists to provide accurate diagnostic interpretations in an accessible format with useful advice on further imaging, as well as report-embedded reference materials desired by the referring provider. The value-and service-centered radiologist provides urgent communications when appropriate and is readily available for report consultations. Indirect costs or inefficiencies embedded in report style can erode value. Value is preserved when radiologists strive for concise, clear, and timely reporting. ©

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“…The report calls for health care professionals to develop a non-punitive culture that fosters identification of and learning from errors in diagnosis [1,2]. Many radiology practices are rising to this challenge by transitioning radiologist performance feedback from random audit-based peer review to continuous improvement and education-based peer learning [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Despite initial enthusiasm within the radiology community, peer review faltered in its ability to generate meaningful performance data; multiple studies have demonstrated the very low number of discrepancies and learning opportunities that peer review systems have identified [3,4,[6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…In comparison, peer learning focuses on improving diagnostic performance through learning from errors, near misses, and great calls, and by developing a culture of collaboration, respect, and individual betterment [2][3][4]. Peer learning programs within radiology emerged in the early 2010s due to shortcomings in the effectiveness of peer review to drive meaningful quality improvement [2].…”

Section: Introductionmentioning

confidence: 99%

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