The present invention provides a quality assurance system and method that generates a quality assurance (QA) scorecard for patients that use digital devices in a radiological-based medical imaging study. According to one embodiment, client computers, servers, imaging devices, databases, and/or other components may be coupled to provide a unified data collection system. According to one embodiment, systems and methods are provided that analyze various parameters that are derived from the unified data collection system to calculate a QA score for the patient. The QA score provides a combined subjective and objective feedback system that includes performance evaluations from other users, including clinicians, radiologists, technologists and administrators. According to one embodiment, the feedback may be provided in real-time.