QuADRANT: a study on uptake and implementation of clinical audit of medical radiological procedures in Europe—expert recommendations for improvement, endorsed by the ESR

Insights into Imaging

Statement

Mary Coffey¹  Wolfgang Wadsak²  David C. Howlett³  Francesco Giammarile⁴  Monika Hierath⁵  Jonathan Clark⁵  Adrian P. Brady⁶  Núria Jornet⁷ 

[1] Discipline of Radiation Therapy, School of Medicine, Trinity Centre for Health Sciences, St. James’ Hospital, Dublin, Ireland;EANM - European Association of Nuclear Medicine, Vienna, Austria;Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria;Eastbourne Hospital, King’s Drive, BN21 2UD, Eastbourne, East Sussex, UK;European Association of Nuclear Medicine, Centre Leon Berard, Lyon, France;European Society of Radiology, Vienna, Austria;Mercy University Hospital, University College Cork, Cork, Ireland;Servei de Radiofisica I Radioprotecció, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain;

关键词: Clinical audit;    Patient centred care;    Diagnostic radiology;    Radiotherapy;    Nuclear medicine;   

DOI  :  10.1186/s13244-023-01416-7

 received in 2023-02-08, accepted in 2023-03-24,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundQuADRANT was a study funded by the European Commission to evaluate clinical audit uptake and implementation across Europe, with an emphasis on clinical audit as mandated within the BSSD (Basic Safety Standards Directive).AIMSQuADRANT objectives—obtain an overview of European clinical audit activity; identify good practices and resources, barriers and challenges; provide guidance and recommendations going forwards; identify the potential for European Union action on quality and safety in the three core project specialties, radiology, radiotherapy and nuclear medicine.Findings and recommendationsQuADRANT identified that developments in national clinical audit infrastructure are required. National professional societies can be pivotal in improving clinical audit implementation, but resource allocation and national prioritisation of clinical audit are needed in many countries. Lack of staff time and expertise are also barriers. Enablers to enhance clinical audit participation are not widely employed. Development of hospital accreditation programmes can facilitate clinical audit uptake. An active and formalised role for patients in clinical audit practice and policy development is recommended. There is persisting variation in European awareness of BSSD clinical audit requirements. Work is needed to improve dissemination of information on the legislative requirements relating to clinical audit in the BSSD and in relation to inspection processes to ensure these include clinical audit and that they encompass all clinics and specialties involved in medical applications using ionising radiation.ConclusionQuADRANT provides an important step towards enhancing clinical audit uptake and implementation across Europe and improving patient safety and outcomes.

【 授权许可】

CC BY   
© The Author(s) 2023