Quality Management in Musculoskeletal Imaging: Form, Content, and Diagnosis of Knee MRI Reports and Effectiveness of Three Different Quality Improvement Measures

• DOI: 10.2214/ajr.14.13216
• Publication Date: 2015-04-23T16:10:04Z
• Authors: Andrea B. Rosskopf; Tobias J. Dietrich; Anna Hirschmann; Florian M. Buck; Reto Sutter; Christian W. A. P...
• Keywords: Content (measure theory)

The purpose of this article is to evaluate the quality reports knee MRI examinations in form, content, and diagnosis assess effect three different improvement measures.Reports 500 (first round, or baseline) were reviewed retrospectively by five musculoskeletal radiologists. Fifteen criteria assessed for formal content-related reports. Diagnostic discrepancies categorized using a 5-point scale, as follows: I, no deviation; II, undetected finding, clinically irrelevant; III, wrong interpretation IV, relevant; V, relevant. Then measures applied prospectively total 510 consecutive reports: quiet work environment, double reading, use structured report template. These (second round) evaluated same criteria.A statistically significant 13 15 was found second-round orthographic errors improved from 32.4% 22.0% (p < 0.001) digital speech recognition 8.4% 7.6% = 0.660). Missing anatomic structures decreased 6.3% 0.4%. less frequently (12.9% vs 20.8%; p 0.001), along with following changes categorization (first-round results are parentheses): 87.1% (79.2%); 9.2% (16.8%); 2.3% (1.0%); 1.0% (2.6%); 0.4% (0.4%). Quality all measure groups, without statistical significance among except which most common template group.All significantly reports, but clearly superior others.