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BUSI 418 DB 6 - discussion
board
International Business (Liberty University)
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1 Corinthians 14:40 But all things should be done decently and in order, is compared to
Quality Improvement by the way we analyzed patient care to be improved. “Routine quality
control has been a core radiology principle to identify early problems that may cause equipment
downtime and for radiation safety” (Sedgwick, 2016, p.1020). This week I choose to review a
quality improvement meeting from a month ago within my department. We covered a lot within
a 45 minute time frame. There are always areas of improvements/ projects that can be done. One
of the first things mentioned was us to figure out who was covering call on a holiday at a
particular location. I look at this as quality improvement because if we are not readily available
to patients in any situation, how can we be of quality with our professional expertise.
“Radiologists have been practicing the principles of QI for decades, and they are in a position to
serve as experienced experts in their own institutions” (Sedgwick, 2016, p.1020). Quality
improvement is looked at from many different areas within radiology. “As health care has
moved from volume-based to value-based services, radiologists are placing more emphasis on
quality improvement initiatives targeting the recommendations issued by the Institute of
Medicine in its classic report Crossing The Quality Chasm” (Kado0m, Sloan, Gupte, Golden,
Coleman, Gupta, Moses, 2016, p.319). Another area to be improved was to keeping an eye on
the patients at all times. Doctors come and go and may do things without realizing it. For
example, when doctors examine the patient they may let the rails down to the bed and walk
away. If we are in a procedure we are responsible for making sure that rail is up at all times. If a
patient is sedated they may not know the rail is down and then that would be a big write up for
the people in the room and the department. Another quality improvement project was that a
patient tracking system was added to one of our clinics. The patient tracking system is in place
to know where the patient is and what procedure they are having at the moment. There were
times
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before the tracking system was in place that the patient was with CT and Ultrasound would call
them from the waiting area not knowing the patient was already in the process of a test. “A
number of individuals are contributing to the development of QI and safety science, with key
individuals laying the framework for QI integration into EBP, outcomes, practice variation, and
the exploration of error” (Hall, and Roussel, 2017, p.213). Other areas of quality improvement
projects were adding standardized protocols to follow for all patients (uniform studies), only
having supplies out that are being used on that patient during the exam (no extras), scanning arm
bands with the scanner into the computer system, wear appropriate PPE and use the proper
decontamination process on instruments that are used internally.
References
Hall, H. R., & Roussel, L. A. (Eds.). (2017). Evidence-based practice: An integrative approach
to research, administration, and practice (2nd ed.). Burlington, MA: Jones & Bartlett.
Kadom, N., Sloan, K., Gupte, G., Golden, L., Coleman, S., Gupta, A., Moses, J. (2016).
Radiology residency quality improvement curriculum: Lessons learned. Current
Problems in Diagnostic Radiology, 45(5), 319-323.
Sedgwick, E. L., MD. (2016). Radiology leading the quality improvement culture
change. Journal of the American College of Radiology, 13(8), 1020-1022.
