Improvement of CT Target Scanning Quality for Pulmonary Nodules by PDCA Management Method

Table 1

Improvement planning.

Why	What	How	When	Where	Who
Implementation is not in accordance with specifications	Scanning and reconstruction according to CT scanning standard of pulmonary nodules	Learning CT scan standard of pulmonary nodules	2018.9–2018.10	Radiology classroom	All staff
		Discuss the problems of CT target scanning of pulmonary nodules and propose improvement measures	2018.9–2018.10	Radiology classroom	All staff
		Checking the theoretical knowledge of staff and implementation of CT scan standard for pulmonary nodules	2018.9–2018.10	Radiology classroom	All staff
Poor process	Improve the process of appointment, scanning, and reconstruction	Asking about routine lung scanning results when booking	2018.9–2018.12	Booking windows	Registrars
		Technician scans according to standard process	2018.9–2018.12	Toshiba CT scan console	Scanning technician
		The diagnosis doctor reconstructs the image according to the process of image reconstruction	2018.9–2018.12	The reconstruct computer	Diagnostician
Unskilled reconstruction technology	Reconstruction technology training	One to one training for senior doctors and junior doctors	2018.9–2018.10	Radiology classroom	Senior doctors
		Check the technical ability of scanning image reconstruction	2018.9–10	Rebuild console	Department director