To analyze the current situation and regional differences of ultrasound medical quality control in Hebei Province by collecting and sorting out the quality control data of hospitals based on a quality control network platform, in order to find the problems and propose solutions.

In 2022, a total of 402 medical institutions with ultrasound medicine specialty in Hebei Province participated in reporting the data to a quality control network platform. The reported data included 12 ultrasound quality control indicators mentioned in the Expert Consensus on the Quality Management and Control Indicators of Ultrasound Medicine ( 2022 Edition): ultrasound physician per capita workload, ultrasonic instrument quality inspection rate, completion rate of ultrasound examination within 48 hours of admission, completion rate of ultrasound critical value report within 10 minutes, qualified rate of ultrasound report writing, classification rate of breast imaging reporting and data system (BI-RADS) for ultrasound report of breast lesions, positive rate of ultrasound report, detection rate of fetal major lethal malformations in ultrasound screening, coincidence rate of ultrasound diagnosis, accuracy of ultrasound diagnosis of breast lesions, coincidence rate of ultrasound diagnosis of carotid stenosis (≥50%), and incidence of major complications related to ultrasound intervention. These data were compared and analyzed.

The average number of daily ultrasound examinations in the whole province was lower than the national average level (23.50 vs 29.99). Among cities in the province, Tangshan had the highest average number of daily ultrasound examinations (30.11 person-times), Handan had the lowest number (17.98 person-times), and 8 cities had a number below the average. The average quality inspection rate of ultrasonic instruments in the whole province was close to the national average level (97.13% vs 97.14%). This rate reached 100% in Cangzhou, Hengshui, and Qinhuangdao, 3 cities had a rate lower than the average, and Tangshan City had the lowest rate at 87.04%. The average completion rate of ultrasound examination within 48 hours of admission in the whole province was slightly higher than the national average level (93.22 % vs 93.07 %). Hengshui had the highest completion rate at 99.93 %, Zhangjiakou had the lowest rate at 79.19%, and three cities had a rate lower than the average. The completion rate of ultrasound critical value report within 10 minutes in the whole province was lower than the national average level (96.87% vs 97.33%). Hengshui and Qinhuangdao had the highest completion rate at 100%, and Cangzhou had the lowest completion rate at 87.63%. The average qualified rate of ultrasound report writing in the whole province was slightly higher than the national average (99.37% vs 99.11%). Qinhuangdao had the highest rate at 99.91%, Chengde had the lowest rate at 95.75%, and 4 cities had a rate below the average. The classification rate of BI-RADS in the ultrasound report of breast lesions in the overall province was lower than the national average level (75.34 % vs 83.95%). Qinhuangdao had the highest classification rate at 98.59%, Shijiazhuang had the lowest rate at 57.03%, and 5 cities had a rate below the average. The positive rate of ultrasound in medical institutions in the province was slightly higher than the national average level (75.37% vs 74.42%). Qinhuangdao had the highest positive rate at 87.83%, Xingtai had the lowest rate at 68.60%, and 6 cities had a rate below the average. The detection rate of fetal major lethal malformations in ultrasound screening in medical institutions in the province was slightly lower than the national average level (0.04% vs 0.06%). Langfang had the highest positive rate at 0.09%, Xingtai had the lowest positive rate at 0.01%, and 5 cities had a rate below the average. The coincidence rate of ultrasound diagnosis in medical institutions in the province was lower than the national average level (86.75 % vs 87.78 %). Chengde had the highest coincidence rate at 94.40%, Handan had the lowest rate at 71.59%, and 4 cities had a rate lower than the average. The accuracy of ultrasound diagnosis of breast masses in medical institutions in the province was higher than the national average level (85.96% vs 82.49%). Chengde had the highest accuracy at 91.98%, Handan had the lowest accuracy at 81.95%, and 5 cities had an accuracy below the average. The accuracy of ultrasound diagnosis of carotid artery stenosis (≥50%) in medical institutions in the province was higher than the national average level (91.84% vs 83.76%). Handan had the highest accuracy at 97.75%, Langfang had the lowest accuracy at 85.39%, and 7 cities had an accuracy below the average. The incidence of major complications related to medical ultrasound intervention in the province was lower than the national average level (0.20% vs 0.41%). Chengde had the highest incidence at 1.15%, Qinhuangdao had the lowest incidence at 0.03%, and 6 cities had an incidence higher than the average.

Based on the data of a quality control network platform, we summarize the current situation and regional differences in ultrasonic medical quality control in Hebei Province, so that we can find problems in time and solve problems to further improve the professional level of ultrasound in the province.