Using the Medical Audit to Improve Practice Performance

Sarah M. Friedewald*, David V. Schacht, Golbahar Houshmand, Robert M. Nishikawa, Michael N. Linver

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Feedback to physicians on their clinical performance is critical to continuous learning and maintenance of skills as well as maintaining patient safety. However, it is fraught with challenges around both implementation and acceptance. Additionally, rewarding of performance improvement is not often done, putting into question the efficacy of the process. Physician audit and feedback have been studied extensively and shown to be beneficial in many fields of medicine. Documenting physician performance and sharing individual and group data have been positively linked to changing physician behavior, ultimately leading to improved patient outcomes. Although casual review of one's own performance is often the easiest approach, it is frequently over- or underestimated by self-evaluation. Objective measures are therefore important to provide concrete data on which physicians can act. A fundamental question remains in mammography: Is reporting the information to the physician and accreditation bodies enough, or should there be consequences for the radiologist and/or facility if there is outlier behavior?.

Original languageEnglish (US)
Pages (from-to)520-529
Number of pages10
JournalJournal of Breast Imaging
Issue number5
StatePublished - Sep 1 2022


  • benchmarks
  • mammography audit
  • physician performance

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging


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