Quality of Management in the Modern Radiology Department

Objective: to develop and introduce a modern system of quality management in radiology. Materials and methods. The base of system there was a comprehensive quality management program by J. Juran (1989). For the purpose of development of the system of quality, questioning of 1837 patients of hospital and 421 Moscow general practitioners was carried out. The standard tools of quality management were used: questionnaires, macro- and micro-flowcharts, diagrams of cause and effect, Pareto technique. Results. Using the questionnaire results of 1837 patients and 421 of general practice doctors, quality criteria have been determined: the divergence of diagnoses in cross-and external control, the cost of diagnosis ascertainment, period of diagnosis, the waiting time of the study, the radiation dose of the patient at diagnosis, the rate of complications during the diagnostic procedures, frequency of high-tech methods using, undue repeated diagnostic procedures, the patient waiting time of the study. Comparing these figures with data from other medical facilities, “critical” values of quality criteria have been identified. During a comparison of the quality criteria of the radiology departments, Main clinical hospital of the Ministry of internal Affairs of Russia “critical” quality indicators weak points were identified: the divergence of diagnoses in crosscontrol studies was 0.09% (vs. 0.06% “critical” value) and the cost of diagnosis - 12876 rubles (vs. 5201 rubles). To eliminate these disadvantages standardized protocols examination for the major pathological conditions have been developed, the introduction of which resulted in a decrease of the divergence of diagnoses during cross control to 0.03% and reduce the cost of diagnosis until 5257 rubles. Conclusion. Implementation of the quality management system demonstrate a high practical efficiency, wich expresses in increasing diagnostic confidence and reducing the cost of the survey.

управление качеством лучевой диагностики, критерии качества, инструменты управления качеством, непрерывное улучшение качества, quality management in radiology, quality criteria, quality management tools, continuous quality improvement

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