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Quality improvement resources

We support our members by providing radiology-specific training and educational resources in practice assessment and quality improvement (QI). Curated by our Quality Improvement Committee (QIC), the following resources contain links to public and private organizations and institutions that provide educational information focused on QI standards, clinical guidelines and online learning.

Explore the topics covered on this page to get started:

  • RadioGraphics
  • Other news sources
  • Practice resources and guidelines
  • Performance measures and sources of evidence-based medicine
  • Free data for bench marking
  • External quality resources
  • Online learning resources

RadioGraphics

This RSNA journal features a quality initiatives section to help guide radiologists and radiology professionals to develop and implement continuous quality improvement in their practices.

Improving Turnaround Time in a Hospital-based CT Division with the Kaizen Method
Jonathan A. Flug, Jessica A. Stellmaker, Chris D. Tollefson, Elaine M. Comstock, Efren Buelna, Brooke Truman, Lisa Ponce, Amy Milosek, John McCabe, Clinton E. Jokerst (Jul-Aug, 2022)

Kaizen Process Improvement in Radiology: Primer for Creating a Culture of Continuous Quality Improvement
Jonathan A. Flug, Jessica A. Stellmaker, Richard E. Sharpe, Jr, Clinton E. Jokerst, Chris D. Tollefson, Andrew W. Bowman, Michelle Nordland, Cathy L. Hannafin, Adam T. Froemming (May-Jun, 2022)

Lessons Learned
Mohamed M. H. Sayyouh, Edith C. Sella, Prasad R. Shankar, Giselle E. Marshall, Leslie E. Quint, Prachi P. Agarwal (Mar-Apr, 2022)

Increasing the Utilization of Moderate Sedation Services for Pediatric Imaging
Evan J. Zucker, Stephanie Wintch, Young Chang, Lindsey Commerford, Rizza-Belen Diaz, Trista H. Redfern, Tammy N. Wang, Linda Lam, Donald P. Frush, David B. Larson (Nov-Dec, 2021)

Preventing and Mitigating Radiology System Failures: A Guide to Disaster Planning
Brian T. Gibney, James M. Roberts, Robert M. D'Ortenzio, Adnan M. Sheikh, Savvas Nicolaou, Eric A. Roberge, Siobhán B. O'Neill (Nov-Dec, 2021)

CT Noise-Reduction Methods for Lower-Dose Scanning: Strengths and Weaknesses of Iterative Reconstruction Algorithms and New Techniques
Payam Mohammadinejad, Achille Mileto, Lifeng Yu, Shuai Leng, Luis S. Guimaraes, Andrew D. Missert, Corey T. Jensen, Hao Gong, Cynthia H. McCollough, Joel G. Fletcher (Sep-Oct, 2021)

Role of Imaging in Renal Cell Carcinoma: A Multidisciplinary Perspective
Asser M. Abou Elkassem, Simon S. Lo, Andrew J. Gunn, Brian M. Shuch, Molly E. Dewitt-Foy, Robert Abouassaly, Sandeep S. Vaidya, Joseph I. Clark, Alexander V. Louie,  et al. (Sep-Oct, 2021)

Establishing Quality and Safety in Hospital-based 3D Printing Programs: Patient-first Approach
Sarah Bastawrous, Lei Wu, Brian Strzelecki, Dmitry B. Levin, Jing-Sheng Li, James Coburn, Beth Ripley (Jul-Aug, 2021)

Improving MR Image Quality in Patients with Metallic Implants
Elizabeth M. Lee, El-Sayed H. Ibrahim, Nancy Dudek, Jimmy C. Lu, Vivek Kalia, Mason Runge, Ashok Srinivasan, Jadranka Stojanovska, Prachi P. Agarwal (Jul-Aug, 2021)

Decreasing CT Acquisition Time in the Emergency Department through Lean Management Principles
Pratik Rachh, Andrew M. Pendley, Phuong-Anh T. Duong, Tarek N. Hanna, Marta E. Heilbrun (May-Jun, 2021)

Breast MRI: False-Negative Results and Missed Opportunities
Katrina E. Korhonen, Samantha P. Zuckerman, Susan P. Weinstein, Jennifer Tobey, Julia A. Birnbaum, Elizabeth S. McDonald, Emily F. Conant (May-Jun, 2021)

Increasing Median Time between Interruptions in a Busy Reading Room
Ethan A. Smith, Andrew H. Schapiro, Rachel Smith, Sarah E. O’Brien, Sara N. Smith, Amy L. Eckerle, Alexander J. Towbin (Mar-Apr, 2021)

Retained Surgical Items at Chest Imaging
Gabin Yun, Ella A. Kazerooni, Elizabeth M. Lee, Palmi N. Shah, Michael Deeb, Prachi P. Agarwal (Mar-Apr, 2021)

Recognizing and Minimizing Artifacts at Dual-Energy CT
Anushri Parakh, Chansik An, Simon Lennartz, Prabhakar Rajiah, Benjamin M. Yeh, Frank J. Simeone, Dushyant V. Sahani, Avinash R. Kambadakone (Mar-Apr, 2021)

Increasing Patient Access to MRI Examinations in an Integrated Multispecialty Practice
Daniel S. Bor, Richard E. Sharpe, Eric K. Bode, Kandace Hunt, Wendolyn S. Gozansky (Jan-Feb, 2021)

Dual-Energy CT Images: Pearls and Pitfalls
Anushri Parakh, Simon Lennartz, Chansik An, Prabhakar Rajiah, Benjamin M. Yeh, Frank J. Simeone, Dushyant V. Sahani, Avinash R. Kambadakone (Jan-Feb, 2021)

Case-based Review of Migrated Devices Seen at Cardiothoracic Imaging
Elizabeth M. Lee, Gabin Yun, Ella A. Kazerooni, Palmi N. Shah, Michael Deeb, Prachi P. Agarwal (Jan-Feb, 2021)

RESPECT: Radiology Employees Striving for Productive and Effective Communication
Alexander J. Towbin, Rachel L. Smith, Ethan A. Smith, , Jordan Brown, Marguerite M. Care, Maria A. Calvo-Garcia, Brian D. Coley, Jonathan R. Dillman, Darin England, et al. (Nov-Dec, 2020)
 
Ashley S. Rosier, Laura C. Tibor, Mara A. Turner, Carrie J. Phillips, A. Nicholas Kurup (Sept-Oct, 2020)
 
Gurinder Nandra, Oliver Duxbury, Pawan Patel, Jaymin H. Patel, Nirav Patel, Ioannis Vlahos (Jul-Aug, 2020)
 
James H. Boyum, Ashley S. Rosier, Laura C. Tibor, Mara A. Turner, Amberly R. Hess, A. Nicholas Kurup (Jul-Aug, 2020)
 
Leslie R. Lamb, Marina Mohallem Fonseca, Raman Verma, Jean M. Seely (Jul-Aug, 2020)
 
Arzu Canan, Praveen Ranganath, Harold Goerne, Suhny Abbara, Luis Landeras, Prabhakar Rajiah
(May-Jun, 2020)
 
MRI Techniques to Decrease Imaging Times in Children
Benjamin M. Kozak, Camilo Jaimes, John Kirsch, Michael S. Gee
(Mar-Apr, 2020)

Implementing a Radiology Residency Quality Curriculum to Develop
Physician Leaders and Increase Value for Patients

A. Nicholas Kurup, Ashley S. Rosier, Tara L. Henrichsen, Julie L.
Cravath, Karl N. Krecke (Mar-Apr, 2020)

Gadolinium Deposition and Nephrogenic Systemic Fibrosis: A
Radiologist’s Primer

Mahan Mathur, Jason R. Jones, Jeffrey C. Weinreb (Jan-Feb, 2020)

Performance measures and sources of evidence-based medicine

Links to various clinical guidelines and measures for use in providing evidence-based practice and in designing systems to support quality care.

National Committee for Quality Assurance (NCQA): Accredits, certifies and publicly recognizes organizations and physicians who participate in NCQA measurement activities; develops process measures that are used by health plans for the purposes of reporting the quality of care delivered to their enrollees.

National Quality Forum (NQF): Identifies national priorities and goals for performance improvement, endorses national consensus standards for measuring and publicly reporting on performance and promotes the attainment of national goals through education and outreach programs.

Center for Evidence-Based Medicine (CEBM): Tools to implement a project that evaluates practice against evidence-based medicine.

Free data for bench marking

Several national and federal organizations provide free access to limited administrative data that can be useful in bench marking process and outcomes within your own environment.

National Center for Health Statistics: Descriptive statistics on the general health of the American population.

Consumer Assessment of Healthcare Providers and Systems (CAHPS®): Data from here can be used to assess patient satisfaction, compare and report on performance, and quality improvement assessment.

Center for Medicare and Medicaid Services: National Medicare and Medicaid population statistics, trends and reports.

Dartmouth Atlas of Health Care: Contains public data that can be used to produce reports on medical resources consumption at national, regional or local levels.

External quality resources

National and international resources that provide examples or templates of tools that can be used to maximize quality improvement.

Institute for Healthcare Improvement (IHI): Provides users with the ability to set up and document individual or team improvement projects, including data collection and track or trend changes over time.

Quality Knowledge on Syque: Provides detailed explanations and examples of quality tools, including control charts.

"Improving Diagnosis in Health Care": National Academies of Science, Engineering and Medicine study report that can be purchased or downloaded for free with an account or as a guest.

Agency for Healthcare Research and Quality (AHRQ): U.S. Department of Health & Human Services agency providing tools to help design and support quality improvement programs and projects including:

International Atomic Energy Agency (IAEA): International agency promoting basic safety standards in radiation protection and safety.

The International Society of Radiology (ISR): Facilitator for continental, regional and national quality and safety campaigns in radiation protection. Its ISR Quality and Safety Alliance (ISRQSA) drives the ISR’s quality and safety agenda.

Online learning resources

Radiology Non-interpretive Skills Review: ABR Core Quality & Safety Study Guide: Series of 10 videos by David B. Larson, MD, MBA, Associate Chair of Performance Improvement, Department of Radiology, Stanford University.

Open School at the Institute for Healthcare Improvement: A global learning community working to build core skills in improvement, safety, system design and leadership.

  • Online courses
  • Video library
  • IHI Open School Change Agent Network (I-CAN)