Resources for Digital Imaging QC Auditing

2021

Clinical audit is a quality improvement process that seeks to improve imaging standards through a systematic review of the practice. In radiography, clinical audits have been part of quality assurance (QA) for a long time, but less attention was paid to this important quality improvement activity. Nonetheless, in the last decade, it has received more attention globally due patient’s concerns and demands for quality of imaging services. This has resulted in the publications of guidelines from the International Atomic Energy Agency (IAEA) and the European Commission (EC). Despite this, literature from a radiography perspective on how to conduct a successful clinical audit to impact knowledge and skills to radiographers is limited. This article discusses the process involved in conducting a successful clinical audit, with the aim of providing guidelines to radiographers and other healthcare professionals, such as medical doctors and nurses. Keywords—Clinical audit, Quality assurance, R...

Quality Control Procedure for Statutory Financial Audit

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Archives of Pathology & Laboratory Medicine

Objective.—To demonstrate the feasibility of the use of digital images to document routine cases and to perform diagnostic quality assessment. Methods.—Pathologists documented cases by acquiring up to 12 digital images per case. The images were sampled at 25:1, 50:1, 100:1, 200:1, or 400:1 magnifications, according to adequacy in aiding diagnosis. After each acquisition, the referral pathologist marked a region of interest within each acquired image in order to evaluate intrinsic redundancy. The extrinsic redundancy was determined by counting the unnecessary images. Cases were randomly selected and reviewed by one pathologist. The quality of each image, the possibility of accomplishing a diagnosis based on images, and the degree of agreement was evaluated. Results.—During routine practice, 1469 cases were documented using 3902 images. Most of the images were acquired at higher power magnifications. From all acquired cases, 143 cases and their 373 related images were randomly selecte...

Second International Conference on Document Image Analysis for Libraries (DIAL'06), 2006

This report summarizes the discussions of the Working Group on Acquisition Quality at the International Workshop on Document Image Analysis for Libraries, Palo Alto, CA, 23-24 January 2004. Acquisition of the image is one of the most time intensive components of forming a digital library, and the quality of the acquisition will affect all later stages of the digital library project. The current state of the art in acquisition is analyzed. Problems and suggested improvements for image acquisition and storage formats and the special problems associated with acquisition from microfilm follows. A list of general suggestions was developed which was complemented by a wish list of things the Working Group would like to see followed in acquisition discussions in the future.

International Journal for Quality in Health Care, 1999

Objective. To pilot the development of a scale measuring the quality of audit projects through audit project reports. Design. Statements about clinical audit projects were selected from existing instruments, assessing the quality of clinical audit projects, to form a Likert scale. Setting. The audit facilitators were based in Scottish health boards and trusts. Study participants. The participants were audit facilitators known to have over 2 years experience of supporting clinical audit. The response at first test was 11 out of 14 and at the second test it was 27 out of 46. Interventions. The draft scale was tested by 27 audit facilitators who expressed their strength of agreement or disagreement with each statement for three reports. Main outcome measures. Validity was assessed by test-re-test, item-total, and total-global indicator correlations. Results. Of the 20 statements, 15 had satisfactory correlations with scale totals. Scale totals had good correlations with global indicators. Test-re-test correlation was modest. Conclusions. The wide range of responses means further research is needed to measure the consistency of audit facilitators' interpretations, perhaps comparing a trained group with an untrained group. There may be a need for a separate scale for reaudits. Educational impact is distinct from project impact generally. It may be more meaningful to treat the selection of projects and aims, methodology and impact separately as subscales and take a project profiling approach rather than attempting to produce a global quality index.

The Australian Journal of Medical Science, 2016

This applied tool comprises document review checklists for Clauses 4 and 5 of ISO 15189:2012 that assist medical laboratories to determine whether their documented information adequately addresses the core administrative requirements (n = 119). The implementation of ISO 15189:2012 requires laboratory management and medical laboratories to fulfil many mandatory requirements. One way to ensure the relevant requirements are being addressed adequately is to conduct a comprehensive document review. The document review fulfils a vital role in preparation for the evaluation and internal audit processes by identifying shortfalls in documents associated with the implemented processes. Conducting the document review using administrative requirements enables internal auditors to identify documents and information that relate to planning, operation and control processes. The document review checklists presented in this paper have been formulated using the administrative requirement headings (n ...

BJOG: An International Journal of Obstetrics and Gynaecology, 1995

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