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核医学技术人员对质量的认知与当前评估:核医学与分子影像技术人员协会分会调查

Nuclear Medicine Technologists' Perception and Current Assessment of Quality: A Society of Nuclear Medicine and Molecular Imaging Technologist Section Survey.

作者信息

Mann April, Farrell Mary Beth, Williams Jessica, Basso Danny

机构信息

Hartford HealthCare Corporation, Hartford, Connecticut

Intersocietal Accreditation Commission, Ellicott City, Maryland.

出版信息

J Nucl Med Technol. 2017 Jun;45(2):67-74. doi: 10.2967/jnmt.117.194704. Epub 2017 May 4.

Abstract

In 2015, the Society of Nuclear Medicine and Molecular Imaging Technologist Section (SNMMI-TS) launched a multiyear quality initiative to help prepare the technologist workforce for an evidence-based health-care delivery system that focuses on quality. To best implement the quality strategy, the SNMMI-TS first surveyed technologists to ascertain their perception of quality and current measurement of quality indicators. An internet survey was sent to 27,989 e-mail contacts. Questions related to demographic data, perceptions of quality, quality measurement, and opinions on the minimum level of education are discussed in this article. A total of 4,007 (14.3%) responses were received. When asked to list 3 words or phrases that represent quality, there were a plethora of different responses. The top 3 responses were image quality, quality control, and technologist education or competency. Surveying patient satisfaction was the most common quality measure (80.9%), followed by evaluation of image quality (78.2%). Evaluation of image quality (90.3%) and equipment functionality (89.4%) were considered the most effective measures. Technologists' differentiation between quality, quality improvement, quality control, quality assurance, and quality assessment seemed ambiguous. Respondents were confident in their ability to assess and improve quality at their workplace (91.9%) and agreed their colleagues were committed to delivering quality work. Of note, 70.7% of respondents believed that quality is directly related to the technologist's level of education. Correspondingly, respondents felt there should be a minimum level of education (99.5%) and that certification or registry should be required (74.4%). Most respondents (59.6%) felt that a Bachelor's degree should be the minimum level of education, followed by an Associate's degree (40.4%). To best help nuclear medicine technologists provide quality care, the SNMMI-TS queried technologists to discern perceptions of quality in nuclear medicine. The results show that technologists believe image quality and quality control are the most important determinants. Most respondents felt that quality is directly related to the level of education of the technologist acquiring the scan. However, the responses obtained also demonstrated variation in perception of what represents quality. The SNMMI-TS can use the results of the study as a benchmark of current technologists' knowledge and performance of quality measures and target educational programs to improve the quality of nuclear medicine and molecular imaging.

摘要

2015年,核医学与分子影像技师协会分会(SNMMI - TS)发起了一项为期多年的质量倡议,以帮助技术人员队伍为专注于质量的循证医疗保健系统做好准备。为了最佳地实施质量战略,SNMMI - TS首先对技术人员进行了调查,以确定他们对质量的看法以及当前质量指标的衡量方式。向27,989个电子邮件联系人发送了一项网络调查。本文讨论了与人口统计数据、质量认知、质量衡量以及对最低教育水平的看法相关的问题。共收到4,007份(14.3%)回复。当被要求列出代表质量的3个单词或短语时,有大量不同的回答。排名前三的回答是图像质量、质量控制以及技术人员教育或能力。调查患者满意度是最常见的质量衡量方式(80.9%),其次是图像质量评估(78.2%)。图像质量评估(90.3%)和设备功能评估(89.4%)被认为是最有效的衡量方式。技术人员对质量、质量改进、质量控制、质量保证和质量评估之间的区分似乎很模糊。受访者对自己在工作场所评估和改进质量的能力充满信心(91.9%),并同意他们的同事致力于提供高质量的工作。值得注意的是,70.7%的受访者认为质量与技术人员的教育水平直接相关。相应地,受访者认为应该有最低教育水平(99.5%),并且应该要求认证或注册(74.4%)。大多数受访者(59.6%)认为学士学位应该是最低教育水平,其次是副学士学位(40.4%)。为了最好地帮助核医学技术人员提供高质量的护理,SNMMI - TS询问技术人员以了解他们对核医学质量的看法。结果表明,技术人员认为图像质量和质量控制是最重要的决定因素。大多数受访者认为质量与进行扫描的技术人员的教育水平直接相关。然而,所获得的回复也表明在对质量的理解上存在差异。SNMMI - TS可以将研究结果用作当前技术人员质量措施知识和表现的基准,并针对教育项目进行改进,以提高核医学和分子影像的质量。

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