The quality assurance of treatment measures is legally required but as yet
not generally established in practice. For interventional radiology, the in
troduction of quality assurance for PTA of arteries of the lower limbs is p
lanned for January 1999. It is reasonable to subject at least the most impo
rtant and/or most frequently performed interventions to quality management.
In the present article, the term quality in the management of diseases is
defined and the system of total quality management discussed at the levels
structure, process, and results. For its application, parameters of quality
measurement in the form of standards, criteria, and characteristic Values
are necessary and must be laid down by a team of experts on the basis of su
bjective experience and/or results in the literature. Practical quality ass
urance takes place not only within a clinic but also externally by comparis
on with other centers. Data collection and evaluation requires high-perform
ance software that will be continuously improved, expanded, and adapted to
current needs during regular meetings between the various users.