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Yield of Learning Opportunities From a Radiology Random Peer Review Program
Tony W Trinh1, Atul B Shinagare1, Ramin Khorasani1
11 Center for Evidence-Based Imaging, Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.
AJR. American Journal of Roentgenology
|July 18, 2018
Summary
A radiology random peer review program showed a low yield of learning opportunities, with a 0.5% discrepancy rate. Program usage also significantly declined over the study period.
Area of Science:
- Radiology
- Medical Education
- Quality Improvement
Background:
- Radiology peer review programs aim to identify discrepancies for learning.
- Assessing the effectiveness and usage of such programs is crucial for quality improvement.
Purpose of the Study:
- To evaluate the yield and usage of a radiology random peer review program.
- To determine the rate of potentially meaningful discrepancies identified as learning opportunities.
Main Methods:
- Retrospective analysis of a workstation-embedded peer review system over 14 quarters (April 2014-September 2017).
- Studies were scored for agreement, minor, moderate, or major discrepancies.
- Potentially meaningful discrepancies (scores 3 or 4) and program usage rates were tracked.
Main Results:
- The overall potentially meaningful discrepancy rate was 0.5% (233/42,891).
- Both the discrepancy rate and program usage significantly decreased over time (p < 0.0001).
- Errors of perception were the most common discrepancy type.
Conclusions:
- A random radiology peer review program demonstrated a low yield in identifying learning opportunities.
- Program usage declined significantly over the study period, suggesting potential sustainability issues.
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