Abstract
To provide prospective information about quality- and satisfaction-related product features in radiology, a customer-centered approach for acquiring clinicians' requirements and their prioritizations is essential. We introduced the Kano model for the first time in radiology to obtain such information. A Kano questionnaire, consisting of pairs of questions regarding 13 clinician requirements related to computed tomography (CT), magnetic resonance imaging (MRI) access and report turnaround time (RTT), was developed and administered. Each requirement was assigned a Kano category, and its satisfaction and dissatisfaction coefficients were calculated and presented in a Kano diagram. The data were stratified based on different clinics and on staff and resident clinicians. The time interval was evaluated between the completion of an examination and the first attempt to access the report by a clinician. Consultation for modality selection and scheduling and access to CT within 24 h and RTT within 8 to 24 h were considered as must-be requirements. Access to CT within 4 h and within 8 h, access to MRI within 8 h and within 24 h, and access to RTT within 4 h were one-dimensional requirements. The extension of operation time for CT or MRI, as well as MRI access within 4 h, was considered attractive. Eight out of nine clinics considered RTT within 8 h as a must-be requirement. There were differences in responses both among different clinics and between staff and resident clinicians. Access attempts to reports by clinicians in the first 4 h after the examination completion accounted for 65 % of CTs and 49 % of MRIs.
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References
Institute of Medicine: The Quality Chasm: A New Health System for the 21th Century. National Academy Press, Washington, DC, 2001
Zhang L, Hefke A, Figiel J, Romminger M, Klose K: Enhancing same day access to magnetic resonance imaging. J of the American College of Radiology 8:649–656, 2011
Roth C, Boll D, Wall L, Merkle E: Evaluation of MRI acquisition workflow with Lean Six Sigma method: Case study of liver and knee examinations. AJR Am J Roentgenol 195:W150–W156, 2010
Swensen SJ, Meyer GS, Nelson EC, Hunt GC, Pryor DB, Weissberg JI, Kaplan GS, Daley J, Yates GR, Chassin MR, James BC, Berwick DM: Cottage industry to postindustrial care—the revolution in health care delivery. N Engl J Med 362:e12, 2010
Ondategui-Parra S, Erturk S, Ros P: Survey of the use of quality indicators in academic radiology departments. AJR Am J Roentgenol 187:W451–W455, 2006
Cavagna E, Berletti R, Schiavon F, Scarsi B, Barbato G: Optimized delivery radiological reports: Applying six sigma methodology to a radiology department. Radiol Med 105:205–214, 2003
Klose K, Wecker C, Zhang L: Reducing report turnaround time using six sigma. International Journal of Computer Assisted Radiology and Surgery 4:162–163, 2009
Oehmen J, Rebentisch E: Waste in lean product development. In: Initiative LA Ed. Massachusetts Institute of Technology, 2010
Berger C, Blauth R, Boger D, Bolster C, Burchill G, DuMouchel W, Pouliot F, Richter R, Rubinoff A, Shen D, Timko M, Walden D: Kano's methods for understanding customer-defined quality. Center for Quality Management J 2:36, 1993
Cronin J, Taylor S: Servperf versus servqual—reconciling performance-based and perceptions-minus-expectations measurement of service quality. J of Marketing 58:125–131, 1994
Chen S, Chang L, Huang T: Applying six-sigma methodology in the kano quality model: An example of the stationery industry. Total Quality Management & Business Excellence 20:153–170, 2009
Shahin A, Zairi M: Kano model: A dynamic approach for classifying and prioritising requirements of airline travellers with three case studies on international airlines. Total Quality Management & Business Excellence 20:1003–1028, 2009
Matzler K, Hinterhuber HH: How to make product develoment projects more sucessful by integrating Kano's model of customer satisfaction into quality function deployment. Technovation 25-38, 1998
Boland G, Houghton M, Marchione D, McCormick W: Maximizing outpatient computed tomography productivity using multiple technologists. J Am Coll Radiol 5:119–125, 2008
Krishnaraj A, Lee JK, Laws SA, Crawford TJ: Voice recognition software: Effect on radiology report turnaround time at an academic medical center. AJR Am J Roentgenol 195:194–197, 2010
Pande P, Neuman R, Cavanagh R: The Six Sigma Way: How GE, Motorola, and Other Top Companies Are Honing Their Performance. McGraw-Hill Professional, Columbus, 2001
Seltzer SE, Kelly P, Adams DF, Chiango BF, Viera MA, Fener E, Rondeau R, Kazanjian N, Laffel G, Shaffer K: Expediting the turnaround of radiology reports: Use of total quality management to facilitate radiologists' report signing. AJR Am J Roentgenol 162:775–781, 1994
Boland GW, Halpern EF, Gazelle GS: Radiologist report turnaround time: Impact of pay-for-performance measures. AJR Am J Roentgenol 195:707–711, 2010
Deetman J: Reducing throughput time of the radiodiagnostic track, University of Twente. Master 106, 2008
Kauppinen T, Koivikko MP, Ahovuo J: Improvement of report workflow and productivity using speech recognition—a follow-up study. J Digit Imaging 21:378–382, 2008
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Zhang, L., Hefke, A., Figiel, J. et al. Identifying Radiological Needs of Referring Clinicians. J Digit Imaging 26, 393–401 (2013). https://doi.org/10.1007/s10278-012-9551-x
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DOI: https://doi.org/10.1007/s10278-012-9551-x