Evidence map›Paper›PMID 29777451›Full record

ArticleInsights into imaging2018

Telemedicine-based system for quality management and peer review in radiology.

Sergey Morozov, Ekaterina Guseva, Natalya Ledikhova, Anton Vladzymyrskyy, Dmitry Safronov

Abstract read
In one paragraph

Article in Insights into imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Auditing the Audits: A Systematic Review on Different Procedures in Telemedicine.International journal of environmental research and public health · 2023
    Pooled it
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sergey MorozovResearch and Practical Center of Medical Radiology, Department of Health Care of Moscow, 28-1, ul. Srednyaya Kalitnikovskaya, Moscow, 109029, Russia. npcmr@zdrav.mos.ru.
Ekaterina GusevaResearch and Practical Center of Medical Radiology, Department of Health Care of Moscow, 28-1, ul. Srednyaya Kalitnikovskaya, Moscow, 109029, Russia.
Natalya LedikhovaResearch and Practical Center of Medical Radiology, Department of Health Care of Moscow, 28-1, ul. Srednyaya Kalitnikovskaya, Moscow, 109029, Russia.
Anton VladzymyrskyyResearch and Practical Center of Medical Radiology, Department of Health Care of Moscow, 28-1, ul. Srednyaya Kalitnikovskaya, Moscow, 109029, Russia.
Dmitry SafronovResearch and Practical Center of Medical Radiology, Department of Health Care of Moscow, 28-1, ul. Srednyaya Kalitnikovskaya, Moscow, 109029, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesQuality assurance is the key component of modern radiology. A telemedicine-based quality assurance system helps to overcome the "scoring" approach and makes the quality control more accessible and objective.

methodsA concept for quality assurance in radiology is developed. Its realization is a set of strategies, actions, and tools. The latter is based on telemedicine-based peer review of 23,199 computed tomography (CT) and magnetic resonance imaging (MRI) images.

resultsThe conception of the system for quality management in radiology represents a chain of actions: "discrepancies evaluation - routine support - quality improvement activity - discrepancies evaluation". It is realized by an audit methodology, telemedicine, elearning, and other technologies. After a year of systemic telemedicine-based peer reviews, the authors have estimated that clinically significant discrepancies were detected in 6% of all cases, while clinically insignificant ones were found in 19% of cases. Most often, problems appear in musculoskeletal records; 80% of the examinations have diagnostic or technical imperfections. The presence of routine telemedicine support and personalized elearning allowed improving the diagnostics quality. The level of discrepancies has decreased significantly (p < 0.05).

conclusionThe telemedicine-based peer review system allows improving radiology departments' network effectiveness. MAIN MESSAGES: • "Scoring" approach to radiologists' performance assessment must be changed. • Telemedicine peer review and personalized elearning significantly decrease the number of discrepancies. • Teleradiology allows linking all primary-level hospitals to a common peer review network.

Indexed as

Diagnostic errorsPeer reviewQualityRadiologyTeleradiology

Identifiers

PMID29777451
PMCPMC5991002

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.