We've updated our Privacy Policy to make it clearer how we use your personal data.
We use cookies to provide you with a better experience, read our Cookie Policy
EP30638
Abstract: BACKGROUND: ICU patients typically undergo numerous chest X-rays during admission, and are often unable to be properly positioned to ensure adequate imaging. We present a completed audit cycle of quality of CXRs in ICU.
STANDARDS: All chest X-Rays should be of good quality, answer the clinical question, and contain all expected anatomy.
METHOD: Initial data collection May 2016, second data set February 2018. CXRs were reviewed by a single radiologist, who reviewed both data sets. Assessment on: whether a clinical question was asked; and an overall assessment of quality. The 2018 data set was also rated on: inspiration/rotation/exposure, and whether all expected anatomy was included in the CXR.
INTERVENTION: Educational session for both radiographers and clinicians.
RESULTS: 193 CXRs in 2016 data set, 131 in 2018 data set. 85% 2018 requests contained a clinical question vs 59% in 2016. 12% requests blank in 2016 vs 0% in 2018. 2016: 79% CXRs rated as ‘adequate’ overall, vs 2018 82%. Inadequacy due to (2018 only): 74% field of view too small, 13% occlusion with tubing/defibrillator pads, 13% inadequate exposure
.
DISCUSSION: ICU patients are a difficult population to obtain adequate CXRs in. Our intervention improved the quality of CXR request forms, but had little impact on the overall quality of X-rays performed on the ward. CXR quality can be improved by ensuring the field of view is adequate, removing occluding objects if possible, and ensuring exposure is satisfactory.
Summary: Patients in intensive care undergo numerous chest radiographs throughout admission. These are technically difficult due to patient positioning, and often result in sub-optimal imaging.References: Nil
STANDARDS: All chest X-Rays should be of good quality, answer the clinical question, and contain all expected anatomy.
METHOD: Initial data collection May 2016, second data set February 2018. CXRs were reviewed by a single radiologist, who reviewed both data sets. Assessment on: whether a clinical question was asked; and an overall assessment of quality. The 2018 data set was also rated on: inspiration/rotation/exposure, and whether all expected anatomy was included in the CXR.
INTERVENTION: Educational session for both radiographers and clinicians.
RESULTS: 193 CXRs in 2016 data set, 131 in 2018 data set. 85% 2018 requests contained a clinical question vs 59% in 2016. 12% requests blank in 2016 vs 0% in 2018. 2016: 79% CXRs rated as ‘adequate’ overall, vs 2018 82%. Inadequacy due to (2018 only): 74% field of view too small, 13% occlusion with tubing/defibrillator pads, 13% inadequate exposure
.
DISCUSSION: ICU patients are a difficult population to obtain adequate CXRs in. Our intervention improved the quality of CXR request forms, but had little impact on the overall quality of X-rays performed on the ward. CXR quality can be improved by ensuring the field of view is adequate, removing occluding objects if possible, and ensuring exposure is satisfactory.
Summary: Patients in intensive care undergo numerous chest radiographs throughout admission. These are technically difficult due to patient positioning, and often result in sub-optimal imaging.References: Nil
Ask the author a question about this poster.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Related Posters
The Ebola Virus: Community Awareness
SAMBASIVARAO YARAGALLA, Navami Guru, Dagbue Sophia, Hernandez Aleyda San, Kamal sepla, Alrashid Zaid Arkan, Daniel Cheong, Abhinaya Murali, Chelsea Dilsuk, Khushal Alete, Savin Peter, Badrinarayana Ajay Maharaj
Clinical and Scientific Evidence for the Safety and Efficacy of XanMax® Lutein/Zeaxanthin
Priya, M.K., Lelah, M.
Public Responsibilities to fight COVID19
Ramesh Vithoba Shinde
ANTIMICROBIAL ACTIVITY OF NEWER DISINFECTANT ON MULTIDRUG RESISTANCE ORGANISMS IN ST.LUCIA
DR. SAMBASIVARAO YARAGALLA, DHRUV PATEL,MEET PATEL, OKUNLOLA OLUWASEMILORE I , CHUKWUEBUNI ONYEBUCHI HANNAH, IJEOMA NWABUOKEI
HRCT PATTERN IN USUAL INTERSTITIAL PNEUMONIA
Dr Azim Ilyas