Quality Management of Radiology Diagnosis at Medical Emergencies

Objective: to explore the possibility of quality control in the processes of radiation diagnosis of emergency conditions. Materials and methods. For definition of requirements of the main consumers of services, questioning of 3125 patients, 334 doctors-clinical physicians and 32 experts of insurance companies was carried out. Results. According to the results of the survey analysis needs of consumers of radiation diagnosis (patients, insurance companies, clinicians). In accordance with the requirements of customers, developed quality indicators of radiation diagnosis and their critical values: - discrepancy between diagnoses when cross-checking - 0.06%; - the divergence of diagnoses with external control - 0.01%; - the cost of the established diagnosis - 4286 rubles; - timing of diagnosis - 3 days; - waiting time assigned study - 20 min / 1 day; - the radiation dose to the patient and diagnosis - 4.6 mSv; - the complication rate for diagnostic procedures - 0.0004%; - the frequency of the use of high-tech methods - 60%; - repeated diagnostic procedures - 0.02%; - standby time study - 15 minutes. Examine the reasons for marriage and mechanisms to improve the quality of basic processes in radiation diagnosis. When this process is defined as a set of interrelated activities that transform labor contribution to the creation of services (ray studies). Considered as simple processes (manufacturing X-ray) and complex (the study). Develop standardized study protocols for patients with major urgency syndromes: “Acute abdomen”, “renal colic”, “Head injury”, “acute stroke”, “Obstructive jaundice”. Conclusion. The use of a quality management system, including the use of standardized protocols for patients with urgent conditions led to a decrease in the time of examination, cost savings, as well as increased sensitivity and specificity

управление качеством лучевой диагностики, неотложные состояния брюшной полости, стандартизированные протоколы, индикаторы качества, quality control radiation diagnosis, emergency conditions abdomen, standardized protocols, quality indicators

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