Clinical audit of computed tomography requisition form in a himalayan country, Nepal

Forfattere

DOI:

https://doi.org/10.7577/radopen.5155

Emneord (Nøkkelord):

Computed Tomography, Requisition Form, Audit, Justification

Sammendrag

Introduction: Medical imaging requisition form is a vital document in the radiology department. Adequate filling ensures justification and effective communication which impacts patient care. This study aims to audit computed tomography (CT) requisition forms to determine their adequate filling and legibility in the Himalayan country, Nepal.

Methods: A total of 239 CT requisition forms were collected from the Department of Radiology and Imaging, Bir Hospital, Kathmandu, Nepal through random sampling from June to August 2020. The availability of information such as demographic characteristics, clinical history, clinical diagnosis, differential diagnosis, and proper name of CT procedures was audited. The legibility of the provided information was categorized with the help of a senior radiographer having 10 years of experience.

Results: Clinical history was present in 28 percent and clinical diagnosis in 64 percent of forms. Furthermore, 44 percent of contrast-enhanced procedures requiring IV contrast agents did not have a report of renal function test. Surprisingly, details on the last menstrual period for women of the reproductive age group were missing in all requisition forms.

Conclusion: Available information is not sufficient for justification of patient dose. Clinicians need to fill up the requisition form properly for quality patient care in the radiology department.

Referanser

References

Brenner DJ, Hall EJ. Computed Tomography — An Increasing Source of Radiation Exposure. N Engl J Med. 2007; https://doi.org/10.1056/nejmra072149

Vom J, Williams I. Justification of radiographic examinations: What are the key issues? J Med Radiat Sci. 2017;64(3):212–9. https://doi.org/10.1002/jmrs.211

Depasquale R, Crockford M. Are Radiology Request Forms Adequately Filled In? An Audit Assessing Local Practice. Malta Med J . 2005;17(4):36–8.

Aabesh K, Bhandari S. Are Clinicians Communicating adequately with Radiologists through Radiological requisition? A Clinical Audit assessing Current local practice. Nepal Med J. 2022;4(2):44–8. https://doi.org/10.37080/nmj.132

Badu M. Study of missing clinical details in computed tomography radiology request forms: A descriptive cross-sectional study. J Nepal Med Assoc. 2020;58(222):94–7. https://doi.org/10.31729%2Fjnma.4674

Akintomide A, Ikpeme A, Ngaji A, Ani N, Udofia A. An audit of the completion of radiology request forms and the request practice. J Fam Med Prim Care. 2015;4(3):328. https://doi.org/10.4103/2249-4863.161308

Zafar U, Abid A, Ahmad B, Ahmad HA, Zafar F, Baig MU, et al. Adequacy of Completion of Computed Tomography Scan Request Forms at a Tertiary Care Center in Pakistan: A Clinical Audit. Cureus. 2018;10(10). https://doi.org/10.7759%2Fcureus.3470

Frush DP, Applegate K. Computed tomography and radiation: understanding the issues. J Am Coll Radiol. 2004 Feb;1(2):113–9. https://doi.org/10.1016/j.jacr.2003.11.012

Malone J, Guleria R, Craven C, Horton P, Järvinen H, Mayo J, et al. Justification of diagnostic medical exposures: Some practical issues. Report of an International Atomic Energy Agency Consultation. Br J Radiol. 2012; https://doi.org/10.1259%2Fbjr%2F42893576

Triantopoulou C, Tsalafoutas I, Maniatis P, Papavdis D, Raios G, Siafas I, et al. Analysis of radiological examination request forms in conjunction with justification of X-ray exposures. Eur J Radiol. 2005;53(2):306–11. https://doi.org/10.1016/j.ejrad.2004.02.012

Gyawali J, Mallik M, Adhikari D, Sah S, Shah P, Maharjan S. Awareness regarding radiation knowledge among clinicians practicing in Bharatpur, Nepal. Radiogr Open. 2017;3(1):18. https://doi.org/10.7577/radopen.1994

Martin CJ, Vassileva J, Vano E, Mahesh M, Ebdon-Jackson S, Ng KH, et al. Unintended and accidental medical radiation exposures in radiology: Guidelines on investigation and prevention. J Radiol Prot. 2017;37(4):883–906. https://doi.org/10.1088/1361-6498/aa881e

Adhikari KP, Jha LN, Galan MP. Status of radiation protection at different hospitals in Nepal. J Med Phys. 2012 Oct;37(4):240-4.. https://doi.org/10.4103/0971-6203.103611

Maharjan, S. (2017). Radiation knowledge among radiographers and radiography students. Radiography Open, 3(1), 17.https://doi.org/10.7577/radopen.2000

Maharjan S, Parajuli K, Sah S, Poudel U. Knowledge of radiation protection among radiology professionals and students: A medical college-based study. Eur J Radiol Open. 2020;7:100287. https://doi.org/10.1016/j.ejro.2020.100287

Nedlastinger

Publisert

2023-04-24

Hvordan referere

Dangal, A. D., & Maharjan, S. (2023). Clinical audit of computed tomography requisition form in a himalayan country, Nepal. Radiography Open, 9(1), 1–7. https://doi.org/10.7577/radopen.5155

Utgave

Seksjon

Artikler

Cited by