All structures, processes and outcomes can be audited [9–11]. This involves deciding what the standard of achievement should be, then sampling and comparing the results with the expected performance. If the standard is not reached, remedial action should be taken and then a re-audit carried out to ensure that the expected improvement has been achieved.
Communication is no exception. All the issues described can be audited. Examples include: the information on imaging requests, patient perception of the quality of communication, completion of consent forms, contractibility of staff, completion of report addenda, audit of teaching quality, access to confidential patient information on PACS, etc. Audit is a powerful tool to improve all aspects of the working of a radiology department and the quality of care it provides to patients.