Impact of a novel web-based quality-reporting tool (QatchAll) embedded into the workflow in vascular and interventional radiology

Purpose The purpose of this study was to determine the feasibility and the impact of using QatchAll to identify the frequency and type of technical issues reported in the Division of Vascular Imaging and Intervention at our institution. Materials and Methods To assess, document and improve the technical quality of imaging studies and image guided interventions, our department has developed a novel information technology system called QatchAll embedded into our current workflow to report and track technical issues. The QatchAll database was reviewed August 2011 to September 2012 time period for technical issues reported by radiologists in the Division of Vascular Imaging and Intervention. The frequency and the types of quality issues reported were examined. As a measure of improvement in the quality of care achieved through the use of QatchAll, the frequency of quality issues over the time period of the study was also assessed. Results 130 quality events were reported using the QatchAll interface integrated into the hospital Picture Archiving and Communication System (PACS) by 13 Vascular and Interventional Radiologists. 16% of the reports involved CT, 49% US, 16% MR, and 19% Procedures. During the study period, the average number of quality issues raised by the radiologists per month decreased in the second half of the study period (7.6 events) as compared to the first half (13 events). As a result of such reporting, there was increased frequency of communication between technologists and the radiologists, immediate correction of errors and a significant decrease in the number of call-backs for repeat examinations. Conclusion Monitoring and improving quality in interventional radiology is greatly assisted by the QatchAll reporting tool embedded into the daily workflow. Utilizing QatchAll allows for better communication between technologists and radiologists with overall improvement in the quality of imaging studies.