An annual evaluation of a radiology department's quality improvement program did not identify any opportunities...

If no improvement opportunities are found during an evaluation, the most likely issue is that the clinical indicators used are not sensitive or appropriate enough to detect meaningful issues. A review of clinical indicators ensures that performance measures are aligned with current clinical priorities, evidence-based standards, and the department’s actual risk areas (The Joint Commission, Performance Measurement Standards, 2024; NAHQ CPHQ Study Guide, 2024). Without proper indicators, the quality program risks missing gaps and complacency may develop. Team communication, statistical methods, and effectiveness of actions are important but secondary if indicators fail to capture relevant data. Reviewing and updating indicators aligns with continuous quality improvement principles and accreditation expectations to ensure relevance and actionable data.