CST and Screening Technician Workshop – 10 November 2016- Findings from QA image audit related to strengthening the processPaola Beresh, QA Advisor, SQAS (London)

Public Health England leads the NHS Screening Programmes

NAAASP Internal Quality Assurance Framework and Resources Guidance (May 2016)

• all abnormal scans are reviewed by the QA lead/CST within 30 days following the man’s initial screening event.

• to maintain best clinical practice programmes should attempt to review abnormal images within 7 days

• a minimum of 8 random scans reviewed by the QA lead/CST once a month

2 QA Image Audit

Next

Summary of findings from London AAA submitted weekly screen alerts from 1 April 2016 to 17 June 2016 and data provided by the national team directly from SMaRT

AASP1 AASP2 AASP3 AASP4 AASP50%

10%20%30%40%50%60%70%80%90%

100%

>3020-3010-190-9

47

13

6

22

60

5

8

83

31

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AASP1 AASP2 AASP3 AASP4 AASP50%

20%

40%

60%

80%

100%

>3020-3010-190-9

6

10

7

3

342

20

8

6

4

7

25

6

7

4

5

2015-16

2016-17

Initial AAA Scan

20

16

26

6

169

36

3

QA reviews of abnormals

QA Image Audit

AASP1 AASP2 AASP3 AASP4 AASP50%

20%

40%

60%

80%

100%

>3020-3010-190-9

8

5

5

13

1

1

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AASP1 AASP2 AASP3 AASP4 AASP50%

10%20%30%40%50%60%70%80%90%

100%

>3020-3010-190-9

1 2

2015-16

2016-17

Surveillance scans

1

6

4

QA reviews of abnormals

QA Image Audit

Men requiring appointment after QA

Week 1:

01/04/2016

Week 2:

08/04/2016

Week 3:

15/04/2016

Week 4:

22/04/2016

Week 5:

29/04/2016

Week 6:

06/05/2016

Week 7:

13/05/2016

Week 8:

20/05/16

Week 9:

27/05/16

Week 10:

3/06/16

Week 11:

10/06/2016

Week 12:

17/06/2016

0

2

4

6

8

10

12

14

AAASP1 AAASP2 AAASP3 AAASP4 AAASP5

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No

of ca

ses r

equi

ring

an

appo

intm

ent a

fter Q

A

5 QA Image Audit

Wee

k 1: 0

1/04/2

016

Wee

k 2: 0

8/04/2

016

Wee

k 3: 1

5/04/2

016

Wee

k 4: 2

2/04/2

016

Wee

k 5: 2

9/04/2

016

Wee

k 6: 0

6/05/2

016

Wee

k 7: 1

3/05/2

016

Wee

k 8: 2

0/05/1

6

Wee

k 9: 2

7/05/1

6

Wee

k 10:

3/06/1

6

Wee

k 11:

10/06

/2016

Wee

k 12:

17/06

/2016

0

50

100

150

200

AAASP1AAASP2AAASP3AAASP4AAASP5

No

of C

ases

req

uiri

ng a

ctio

n af

ter

QA

Rev

iew

6

Men requiring action after QA Review

QA Image Audit

Next steps

• Group Exercise to explore further

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