Evidence map›Paper›PMID 39964267›Full record

ReviewRadiology2025

Six Steps to Improving Health Equity Using Quality Improvement and Patient Safety Tools.

Anand K Narayan, Nia Foster, Nadja Kadom, Jinel A Scott, Efren J Flores, Jennifer C Broder, Charlotte J Yong-Hing, Dania Daye, Nolan J Kagetsu, Helen Burstin

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Marginal Inequities in Perioperative Medicine.Anesthesia and analgesia · 2026
    Article
  2. Review
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

10 authors.

Anand K NarayanFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).ORCID 0000-0001-8879-2038
Nia FosterFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).ORCID 0009-0001-6174-4738
Nadja KadomFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).
Jinel A ScottFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).
Efren J FloresFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).ORCID 0000-0003-1398-0426
Jennifer C BroderFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).ORCID 0000-0002-2781-7198
Charlotte J Yong-HingFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).ORCID 0000-0001-5014-1651
Dania DayeFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).ORCID 0000-0002-2230-7199
Nolan J KagetsuFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).ORCID 0000-0001-8515-1278
Helen BurstinFrom the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Justine Yang Bruce · 1985 to 2026
$142.6M
Research Diversity Supplement Assessing the Integration of Tobacco Cessation Treatment into Lung Cancer ScreeningR01CA218123 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HAAS, JENNIFER S, PARK, ELYSE R. · 2018 to 2022
$4.4M
Health Opportunities & Promoters to Enhance Screening for Lung Cancer (Hopes for Lung Cancer)K08CA270430 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Efren Flores · 2023 to 2026
$1.1M
NCI NIH HHS K08 CA270430NCI NIH HHS P30 CA014520NCI NIH HHS R01 CA218123
6 · The paper itself

Abstract

Health equity is a foundational principle for providing high-quality care. The COVID-19 pandemic has increased the urgency of health systems and regulatory agencies to address longstanding health disparities. Imaging disparities have been documented in the imaging literature for decades, but there is paucity of published interventions to successfully reduce disparities in imaging. Quality and safety approaches can be successfully employed to catalyze and rigorously evaluate interventions to reduce imaging disparities. Emerging from the Toyota Production System, the lean management framework focuses on continuous quality improvement to improve efficiency and reduce waste. Lean approaches have been successfully adopted by quality and safety experts in health care for problem-solving and process improvement. This article provides readers with step-by-step guidance on how to address health equity issues by adapting selected lean tools for quality improvement and patient safety. Core steps include

Indexed as

COVID-19Diagnostic ImagingHealth EquityPatient SafetyQuality ImprovementHumansPandemicsSARS-CoV-2

Identifiers

PMID39964267
PMCPMC11868847

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.