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Web-based mammography audit feedback
Berta M Geller1, Laura Ichikawa, Diana L Miglioretti
1Department of Family Medicine, University of Vermont, Health Promotion Research, Burlington, VT 05401-3444, USA. berta.geller@uvm.edu
AJR. American Journal of Roentgenology
|May 25, 2012
Summary
An interactive website was developed to provide radiologists with mammography audit feedback. This tool shows potential for improving interpretive skills by offering customized reports and national benchmark comparisons.
Area of Science:
- Radiology
- Medical Informatics
- Public Health
Background:
- Accurate interpretation of screening mammography is crucial but challenging, necessitating continuous professional development.
- National audit and feedback systems are utilized in organized breast screening programs to enhance radiologists' interpretive skills.
- An interactive website was created to deliver customized audit feedback for mammography, including comparisons to benchmarks.
Purpose of the Study:
- To develop and evaluate an interactive website for providing screening and diagnostic mammography audit feedback.
- To assess the usability and perceived usefulness of the website among radiologists.
- To gauge radiologists' intentions to improve performance based on feedback.
Main Methods:
- An interactive website was developed, offering tabular and graphical displays of mammography audit reports.
- Radiologists from three Breast Cancer Surveillance Consortium registries were invited to use the website.
- Data on website usage and user perceptions were collected through surveys.
Main Results:
- Thirty-five out of 111 invited radiologists utilized the website.
- The most frequently accessed feature was sensitivity analysis for both screening and diagnostic mammography.
- Post-use surveys indicated high usability, usefulness of benchmarks, and intent to improve performance.
Conclusions:
- An interactive website providing customized mammography audit feedback shows promise as a tool for enhancing radiologist interpretive performance.
- The framework for customized audit feedback reports is adaptable for other diagnostic imaging tests.
- This approach supports continuous quality improvement in mammography interpretation.
