EuroSafe Imaging 2020
Action 1 - Guidelines, implementation policies, and Clinical Decision Support (ESR iGuide), Head and neck, Radiographers, Radioprotection / Radiation dose, CT, CT-Angiography, CT-High Resolution, Audit and standards, Decision analysis, Efficacy studies, Outcomes, Patterns of Care, Quality assurance, Not applicable, Cross-sectional study, Performed at one institution
M. Kawooya, H. N. N. D. KISEMBO, G. Erem, R. Malumba
Description of activity and work performed
A clinical audit of head Computed Tomography (CT) requisitions with an intervention was conducted at Mengo Hospital.
A Baseline review of 262 imaging requests for October, November, December 2018 was done to determine the level of their appropriateness. Later a training on the use of CIGs(I-Guide) was provided to referrers in the months of January, February, March, April 2019. A post-intervention review of 154 requisitions was conducted for June, July, and August 2019.The level of appropriateness was measured as a proportion of requisitions with the best scores on the I-Guide and a difference in the two proportions was tested. A percentage decrease in inappropriate requisitions was also determined.
We found that 53% of 262 requisitions were inappropriate at baseline and 47% of 154 were inappropriate after the intervention.
We tested for the difference between the two levels (proportions) and found them not to be similar. We also found an 11.32% decrease in the level of inappropriateness after the intervention.