report-quality-review

# Report Quality Review Skill ## Triggers - "report quality review" - "discrepancy audit" - "report completeness" - "addendum analysis" - "quality improvement" - "peer review" - "report turnaround" ## Parameters - `review_type` (required): Type of quality review - `completeness` - Required element adherence - `discrepancy` - Error and miss analysis - `turnaround` - TAT compliance monitoring - `communication` - Critical result documentation - `attribution` - Report signature verification - `cqi` - Continuous quality improvement tracking - `modality` (optional): Filter by imaging type - `time_range` (optional): Review period - defaults to last 30 days - `urgency` (optional): Filter by clinical setting (ED, inpatient, outpatient) ## Quality Metrics Tracked - **Completeness**: Required elements, comparison documentation, impression presence - **Accuracy**: Discrepancy rates, addendum rates, amended findings - **Timeliness**: TAT by setting, protocol compliance, pending report alerts - **Communication**: Critical result documentation, escalation compliance - **Format**: Structured data presence,标准化 terminology use ## Output Format Returns structured JSON with: - Quality score by metric category - Trend analysis (improving/declining) - Individual radiologist feedback (anonymized aggregates) - Improvement recommendations - Peer review learning points ## Usage Examples ``` review_type: completeness modality: CT time_range: last_month review_type: discrepancy time_range: last_quarter urgency: ED ``` ## Integration Points - RIS for report content and timestamps - PACS for comparison study tracking - Communication logs for critical result verification - Peer review system for discrepancy classification