What is Peer Review?
- Most common method to assess performance of medical and clinical knowledge among radiologists
- An assessment of adherence to standard of care of radiologists, typically involve diagnostic accuracy
- Degree of interpretative agreement between radiologists is often used (perceived diagnostic features, correct interpretation and reporting)
- Ongoing quality assurance of diagnostic accuracy is important in radiology
- It is also one of several crucial aspects in the maintenance of certification
- It may ensure adherence to standard of care within an institution
- It helps identifying opportunities for additional education, error reduction and self improvement
- In general, there are two methods: proactive or reactive
- Proactive is to assign routine double reading of imaging studies by separate radiologists and compare the results
- Reactive is by using discrepancy reporting, or by re-reviewing a previously read study during routine interpretation of a current study to evaluate the previous radiologist's interpretation.
- Scoring is given for different degrees of discrepancy
Mahgerefteh S, Kruskal JB, Yam CS, et al. Peer review in diagnostic radiology: current state and a vision for the future. Radiographics 2009;29:1221-1231.