Abstract:
Objective
To explore the application value of the plan-do-check-act (PDCA ) cycle in enhancing the quality of peripheral vascular ultrasound reports (including textual and imaging components)generated by resident physicians in the ultrasound department.
Methods
The PDCA cycle was implemented from January to July 2023.Peripheral vascular ultrasound reports produced by resident physicians were randomly sampled monthly from the Ultrasound Medical Imaging Information System of the Third Central Hospital of Tianjin.These reports were evaluated for textual clarity, image quality, and diagnostic accuracy.We set an improvement target of 95% or more for category A image and text reports and established a continuous quality improvement team to analyze deficiencies and develop corrective measures for substandard reports.After the implementation of the improvement measures from August to December 2023, the image and text scores were rescored.A chi-square test was used to compare the differences in image and text report scores and deficiency items before and after implementation.The improvement results were assessed through ongoing training implementation,discussion within the department, and feedback from resident physicians.
Results
Prior to PDCA implementation,category A images accounted for 66.3% (130/196) of reports, and category A reports constituted 44.9% (88/196).After PDCA intervention, category A images significantly increased to 95.8% (92/96), and category A reports improved to 78.1% (75/96).The enhancements in both image and report quality were statistically significant(χ2=30.797, P＜0.01; χ2=28.849, P＜0.01).After implementing the PDCA cycle, image and report deficiencies were significantly reduced (45 vs 102; 59 vs 164), and the ability of instrument adjustment, disease diagnosis and description, and standardized image storage were improved.
Conclusion
The PDCA cycle effectively improves the quality of peripheral vascular ultrasound reports.
Key words:
Resident physicians,
Standardized residency training,
Quality management,
PDCA cycle,
Peripheral vascular ultrasound
Cui Zhang, Yanmin Kan, Xiang Jing, Dong Wang, Shan Tang. Application of PDCA cycle in vascular ultrasound quality control and residency training[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2025, 22(05): 414-419.