James R Duncan, MD, PhD

Professor of Radiology and Surgery, Washington University School of Medicine in St. Louis

Dr. Duncan is Professor of Radiology and Surgery at Washington University School of Medicine in St. Louis. He is also Chief Quality and Safety Officer at Mallinckrodt Institute of Radiology at Washington University in St. Louis and the Chair for Quality Improvement Committee at Radiological Society of North America (RSNA). He is a Member of Patient Safety Physicians Council at Washington University School of Medicine, and Medical Director of Vascular Access, St. Louis Children's Hospital. He is the Program Lead, Interventional Radiology at St Louis Children's Hospital and Safety Officer for Clinical Coordinating Center for NIH funded ATTRACT Trial. He is also a Member of Radiation Safety Committee and Quality and Safety Council at Barnes-Jewish Hospital, St. Louis. He is also a Co-Chair of Quality and Safety Coordinating Committee at St Louis Children's Hospital, St. Louis, MO.

He has a longstanding interest in quality/safety improvement. It began with basic medical research and expanded into process improvement work with central venous access and other image-guided procedures. Measurement is a central component of any data-driven process improvement work and thus considerable effort has focused on developing reliable and efficient methods of collecting data from ongoing clinical work. The need to transform this rapidly expanding dataset into actionable information has been facilitated by an array of tools from other fields such as information/communication theory, cognitive psychology, organizational learning and statistical process control.

Recent Publications

  1. Duncan JR, Street M, Strother M, Picus D. Optimizing radiation use during fluoroscopic procedures: A quality and safety improvement project. J Am Coll Radiol, 2013, 10:847-853
  2. Duncan JR, Tabriz, D. Improving performance during image-guided procedures. J Patient Safety 2014, available online as an open access article.
  3. Duncan JR, Balter S, Becker GJ, et al. Optimizing radiation use during fluoroscopic procedures: proceedings from a multidisciplinary consensus panel. J Vasc Interv Radiol. Apr 2011;22(4):425-429
  4. Duncan JR, Evens RG. Using information to optimize medical outcomes. JAMA. Jun 10 2009;301(22):2383-2385
  5. Brink J et al, NCRP Report 172: Reference levels and achievable doses in medical and dental imaging: Recommendation for the United States. National Council of Radiation Protection and Measurement, 2012.
  6. Duncan JR, Street S, Fitzpatrick M, Salinas C. Flight data recorder for interventional radiology. Radiology Management 2012, 34:43-46
  7. Jacobs B, Duncan JR, Street M, Murray D. Audio and video recording system for routine documentation of fluoroscopic procedures. J Vasc Interv Radiol. May 2010;21(5):725-729