A Mixed-Methods Systematic Review of the Effectiveness and Experiences of Quality Improvement Interventions in Radiology.
Journal
Journal of patient safety
ISSN: 1549-8425
Titre abrégé: J Patient Saf
Pays: United States
ID NLM: 101233393
Informations de publication
Date de publication:
01 01 2022
01 01 2022
Historique:
pubmed:
21
5
2020
medline:
24
2
2022
entrez:
21
5
2020
Statut:
ppublish
Résumé
This study aimed to compile and synthesize evidence regarding the effectiveness of quality improvement interventions in radiology and the experiences and perspectives of staff and patients. Databases searched for both published and unpublished studies were as follows: EMBASE, MEDLINE, CINAHL, Joanna Briggs Institute, Cochrane Central Register of Controlled Trials, PsycINFO, Scopus, Web of Science, Mednar, Trove, Google Gray, OCLC WorldCat, and Dissertations and Theses. This review included both qualitative and quantitative studies of patients undergoing radiological examinations and/or medical imaging health care professionals; a broad range of quality improvement interventions including introduction of health information technology, effects of training and education, improved reporting, safety programs, and medical devices; the experiences and perspectives of staff and patients; context of radiological setting; a broad range of outcomes including patient safety; and a result-based convergent synthesis design. Eighteen studies were selected from 4846 identified by a systematic literature search. Five groups of interventions were identified: health information technology (n = 6), training and education (n = 6), immediate and critical reporting (n = 3), safety programs (n = 2), and the introduction of mobile radiography (n = 1), with demonstrated improvements in outcomes, such as improved operational and workflow efficiency, report turnaround time, and teamwork and communication. The findings were constrained by the limited range of interventions and outcome measures. Further research should be conducted with study designs that might produce findings that are more generalizable, examine the other dimensions of quality, and address the issues of cost and risk versus benefit.
Identifiants
pubmed: 32433438
pii: 01209203-202201000-00023
doi: 10.1097/PTS.0000000000000709
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e97-e107Informations de copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors disclose no conflict of interest.
Références
Batalden PB, Davidoff F. What is “quality improvement” and how can it transform healthcare? Qual Saf Health Care . 2007;16:2–3.
Kruskal JB, Reedy A, Pascal L, et al. Quality initiatives: lean approach to improving performance and efficiency in a radiology department. Radiographics . 2012;32:573–587.
Runciman WB, Merry A, Walton M. Safety and Ethics in Healthcare . Aldershot, UK: Ashgate Publishing; 2007:1–28.
Zhou Y, Boyd L, Lawson C. Errors in medical imaging and radiography practice: a systematic review. J Med Imaging Radiat Sci . 2015;46:435–441.
Fitzgerald R. Error in radiology. Clin Radiol . 2001;56:938–946.
Goergen S, Schultz T, Deakin A, et al. Investigating errors in medical imaging: lessons for practice from medicolegal closed claims. J Am Coll Radiol . 2015;12:988–997.
Ketai L, Jordan K, Marom EM. Imaging infection. Clin Chest Med . 2008;29:77–105, vi.
Baleato-Gonzalez S, Garcia-Figueiras R, Casais MA, et al. Imaging in drug side effects. Curr Med Imaging Rev . 2015.
Angle JF, Nemcek AA Jr., Cohen AM, et al. Quality improvement guidelines for preventing wrong site, wrong procedure, and wrong person errors: application of the joint commission “Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery” to the practice of interventional radiology. J Vasc Interv Radiol . 2008;19:1145–1151.
Savader SJ, Venbrux AC, Savader BL, et al. Complications of interventional radiology: an imaging overview. Clin Imaging . 1993;17:282–291.
Abujudeh H, Kaewlai R, Shah B, et al. Characteristics of falls in a large academic radiology department: occurrence, associated factors, outcomes, and quality improvement strategies. AJR Am J Roentgenol . 2011;197:154–159.
Pezzullo JA, Tung GA, Rogg JM, et al. Voice recognition dictation: radiologist as transcriptionist. J Digit Imaging . 2008;21:384–389.
Tourgeman-Bashkin O, Shinar D, Donchin Y, et al. Radiology department, human factors and organizational perspectives: using action research to improve patient safety. Isr J Health Policy Res . 2013;2:40.
Flin R, O’Connor P, Crichton M. Safety at the Sharp End . Aldershot, UK: Ashgate; 2008.
Salvendy G. Handbook of Human Factors and Ergonomics. New York, NY: John Wiley and Sons, Inc.; 2012.
Lipworth W, Taylor N, Braithwaite J. Can the theoretical domains framework account for the implementation of clinical quality interventions? BMC Health Serv Res . 2013;13:530.
Moher D, Liberati A, Tetzlaff J, et al; Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med . 2009;6:e1000097.
Joanna Briggs Institute. User Manual: System for the Unified Management, Assessment and Review of Information. 2016. Available at: https://wiki.joannabriggs.org/display/MANUAL/JBI+Reviewer%27s+Manual . Accessed September 26, 2019.
Jabin SR, Schultz T, Hibbert P, et al. Effectiveness of quality improvement interventions for patient safety in radiology: a systematic review protocol. JBI Database System Rev Implement Rep . 2016;14:65–78.
Etchegaray JM, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf . 2012;21:490–498.
Chen IC, Li HH. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Serv Res . 2010;10:152.
Clements D, Dault M, Priest A. Effective teamwork in healthcare: research and reality. Healthc Pap . 2007;7 Spec No:26–34.
Jackson WL. Why patient satisfaction matters for radiology: diagnostic imaging; 2012. Available at: http://www.diagnosticimaging.com/practice-management/why-patient-satisfaction-matters-radiology . Accessed October 24, 2018.
Brennan TA, Leape LL. Adverse events, negligence in hospitalized patients: results from the Harvard Medical Practice Study. Perspect Healthc Risk Manage . 1991;11:2–8.
Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med . 1991;324:377–384.
Hong QN, Pluye P, Bujold M, et al. Convergent and sequential synthesis designs: implications for conducting and reporting systematic reviews of qualitative and quantitative evidence. Syst Rev . 2017;6:61.
Krishnaraj A, Lee JK, Laws SA, et al. Voice recognition software: effect on radiology report turnaround time at an academic medical center. AJR Am J Roentgenol . 2010;195:194–197.
Halsted MJ, Froehle CM. Design, implementation, and assessment of a radiology workflow management system. Am J Roentgenol . 2008;191:321–327.
O’Connor SD, Dalal AK, Anik Sahni V, et al. Does integrating nonurgent, clinically significant radiology alerts within the electronic health record impact closed-loop communication and follow-up? J Am Med Inform Assoc . 2016;23:333–338.
Lee MH, Schemmel AJ, Pooler BD, et al. Workflow dynamics and the imaging value chain: quantifying the effect of designating a nonimage-interpretive task workflow. Curr Probl Diagn Radiol . 2017;46:275–281.
Carlin L, Smith H, Henwood F, et al. Double vision: an exploration of radiologists’ and general practitioners’ views on using picture archiving and communication systems (PACS). Health Informatics J . 2010;16:75–86.
Aiello Bowles EJ, Geller BM. Best ways to provide feedback to radiologists on mammography performance. AJR Am J Roentgenol . 2009;193:157–164.
Ajam AA, Nguyen XV, Kelly RA, et al. Effects of interpersonal skills training on MRI operations in a saturated market: a randomized trial. J Am Coll Radiol . 2017;14:963–970.
Wang C, Chinnugounder S, Hippe D, et al. Comparative effectiveness of hands-on versus computer simulation-based training for contrast media reactions and teamwork skills. J Am Coll Radiol . 2017;14:103–110.e3.
O’Donoghue M, Ng SH, Suen LK, et al. A quasi-experimental study to determine the effects of a multifaceted educational intervention on hand hygiene compliance in a radiography unit. Antimicrob Resist Infect Control . 2016;5:36.
Lown BA, Sasson JP, Hinrichs P. Patients as partners in radiology education: an innovative approach to teaching and assessing patient-centered communication. Acad Radiol . 2008;15:425–432.
Lunden M, Lundgren SM, Morrison-Helme M, et al. Professional development for radiographers and post graduate nurses in radiological interventions: building teamwork and collaboration through drama. Radiography . 2017;23:330–336.
Snaith B, Hardy M. Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. Int Emerg Nurs . 2014;22:63–68.
Shahriari M, Liu L, Yousem D. Critical findings: attempts at reducing notification errors. J Am Coll Radiol . 2016;13:1354–1358. Available at: http://cochranelibrary-wiley.com/o/cochrane/clcentral/articles/493/CN-01248493/frame.html . Accessed July 15, 2018.
Abujudeh HH, Aran S, Daftari Besheli L, et al. Outpatient falls prevention program outcome: an increase, a plateau, and a decrease in incident reports. AJR Am J Roentgenol . 2014;203:620–626.
Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiology. AJR Am J Roentgenol . 2009;193:165–171.
Eklund K, Klefsgard R, Ivarsson B, et al. Positive experience of a mobile radiography service in nursing homes. Gerontology . 2012;58:107–111.
Richardson RS. A Phenomenological Hermeneutic Study of Radiology Managers’ Experience With Trust Within Shared Leadership Teams . Tempe, AZ: University of Phoenix; 2015.
Hardy M, Snaith B, Scally A. The impact of immediate reporting on interpretive discrepancies and patient referral pathways within the emergency department: a randomised controlled trial. Br J Radiol . 2013;86:20120112.
Pressman BD, Roy LT. Developing a culture of safety in an imaging department. J Am Coll Radiol . 2015;12:198–200.
Bardach NS, Cabana MD. The unintended consequences of quality improvement. Curr Opin Pediatr . 2009;21:777–782.
Hodler J, Strehle J, Schilling J, et al. Patient throughput times for orthopedic outpatients in a department of radiology: results of an interdisciplinary quality management program. Eur Radiol . 1999;9:1381–1384.
Khatib M. Improving emergency department and imaging throughput. Radiol Today Mag . 2009;10:42.
Singh H, Naik AD, Rao R, et al. Reducing diagnostic errors through effective communication: harnessing the power of information technology. J Gen Intern Med . 2008;23:489–494.
Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care . 2010;19(Suppl 3):i68–i74.
Lang EV, Sood A, Anderson B, et al. Interpersonal and communication skills training for radiology trainees using a rotating peer supervision model (microteaching). Acad Radiol . 2005;12:901–908.
Donovan A. Views of radiology program directors on the role of mentorship in the training of radiology residents. AJR Am J Roentgenol . 2010;194:704–708.
Hannaford N, Mandel C, Crock C, et al. Learning from incident reports in the Australian medical imaging setting: handover and communication errors. Br J Radiol . 2013;86:20120336.
King HB, Battles J, Baker DP, et al. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safet. In: Henriksen K, Battles JB, Keyes MA, et al., eds. Advances in Patient Safety: New Directions and Alternative Approaches (Vol 3: Performance and Tools) . Rockville, MD: Agency for Healthcare Research and Quality; 2008.
Sickles EA, Miglioretti DL, Ballard-Barbash R, et al. Performance benchmarks for diagnostic mammography. Radiology . 2005;235:775–790.
Plsek PE, Greenhalgh T. Complexity science: the challenge of complexity in health care. BMJ . 2001;323:625–628.
Eyrolle H, Cellier JM. The effects of interruptions in work activity: field and laboratory results. Appl Ergon . 2000;31:537–543.
Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol . 2014;21:1623–1628.
Boland GW. Stakeholder expectations for radiologists: obstacles or opportunities? J Am Coll Radiol . 2006;3:156–163.
Ralston MD, Coleman RM, Beaulieu DM, et al. Progress toward paperless radiology in the digital environment: planning, implementation, and benefits. J Digit Imaging . 2004;17:134–143.