A Comprehensive Approach Towards Quality and Safety in Diagnostic Imaging Services: Our Experience at a Rural Tertiary Health Care CenterCorrespondence Address :
Dr. Viral Patel,
Associate Professor, Department of Radiodiagnosis, Pramukhswami Medical College and Shree Krishna Hospital,
Anand-388325, Gujarat, India.
Introduction: An organizationís transformation from imple-mentation of small, distinct Quality Improvement (QI) efforts to complete incorporation of Quality Improvement Program (QIP) into its culture occurs through a process of churning the foundational elements over time.
Aim: To develop a quality culture across the employees, identify measurable indicators and various tools to impart effective quality care and develop a learning culture for continuous quality improvement in the field of imaging services.
Materials and Methods: To establish a QIP, the bare minimum requirement started with forming a quality committee. The committee identified the areas of improvement and ascertaining the core principle of Quality Management System (QMS) by having a Quality Manual, Standard Operating Procedures (SOPís), work-instructions, identification and monitoring of quality indicators and a training calendar. Appropriate tools like formatted daily registers, periodic check lists, run charts etc., were developed to collect the data followed by multiple PDSA cycles (Plan, Do, Study and Act) which helped identify the process bottlenecks, followed by implementing solutions and reanalysis.
Results: A total of 17 measurable key performance indicators were identified from the four major quality tasks namely Safety, Process Improvement, Professional Outcome and Satisfaction, to assess the performance measures and targets of QIP.
Conclusion: Diagnostic services should evaluate how to choose the most appropriate method and develop a comprehensive QIP to meet the needs of the staff and the end users, thus, creating a working environment, where people constitutes the intrinsic value in attaining the ultimate quality and safety.
Continuous quality improvement, Diagnostic imaging, Key performance indicators, Quality improvement programme, Radiology
Viral Patel, Geetika Sindhwani, Monica Gupta, Sweta Arora, Arpita Mishra, Jayesh Bhatt, et al.. A COMPREHENSIVE APPROACH TOWARDS QUALITY AND SAFETY IN DIAGNOSTIC IMAGING SERVICES: OUR EXPERIENCE AT A RURAL TERTIARY HEALTH CARE CENTER. Journal of Clinical and Diagnostic Research [serial online] 2017 August [cited: 2018 Feb 18 ]; 11:TC10-TC16. Available from
Date of Submission: Apr 25, 2017
Date of Peer Review: May 24, 2017
Date of Acceptance: Jul 12, 2017
Date of Publishing: Aug 01, 2017
FINANCIAL OR OTHER COMPETING INTERESTS: None
- Emerging Sources Citation Index (Web of Science, thomsonreuters),
- Index Copernicus ICV 2016: 132.37,
- Academic Search Complete Database,
- Directory of Open Access Journals (DOAJ),
- Embase & EMbiology ,
- Google Scholar,
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA),
- Journal seek Database,
- Popline (reproductive health literature),