Fig. 1
Screenshot examples of our baseline Peer-Review process. a Screenshot of a portion of the Radiology dashboard from our electronic medical record (EMR) demonstrates the status of the monthly PR requirements. All radiologists are assigned to pools to review specific types of exams (in this particular example, body MR exams performed from the FL campus). When ready to peer review a case, the radiologist clicks on the “Review study” hyperlink shown in red text (arrow), which launches a case in our integrated imaging viewer (not shown) as well as a popup window with the anonymized report (b). The radiologist reviews the imaging and report, then either concurs with the report or indicates a discrepancy in interpretation (yellow oval in b). When discrepancies are marked, there is a text box in the report window (* in b) where the reason for the discrepancy can be explained. Cases marked as discrepant are automatically forwarded to the local quality chair for each site, who then reviews the case with the original interpreting radiologist to determine whether or not the discrepancy should be considered significant