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An audit to determine whether Body CT scans are being performed adequately in our Trust
EP30714
Poster Title: An audit to determine whether Body CT scans are being performed adequately in our Trust
Submitted on 27 Sep 2019
Author(s): Dr Sally Babiker 1, Dr Bhavini Billimoria 2
Affiliations: 1Peterborough City Hospital, 2University Hospitals `NHS Leicester
This poster was presented at BIR conference 2019
Poster Views: 277
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Poster Information
Abstract: An audit to determine whether Body CT scans are being performed adequately in our Trust

Background:

With increasing numbers of CT scans performed yearly, there is increasing pressure to perform them quickly. Inadequate scanning could lead to pathologies being missed.
CT Chest Abdomen and Pelvis with contrast (CCHAPC) are performed with an arterial phase CT of thorax (including entire liver) and a venous phase CT abdomen and pelvis. CT abdomen and pelvis with contrast (CABPEC) are performed in the venous phase.
Within the department, we have noticed that scans are not performed in adherence to local protocols therefore an audit was performed to determine the true extent of this.

Objectives:
Measure whether body CT scans are performed in adherence to local protocols.
Identify reasons for lack of compliance.
Implement relevant improvements.

Method:
A retrospective review of all CABPEC and CCHAPC was performed, looking at inclusion of all:
The lungs on CCHAPC
The liver in the arterial phase on CCHAPC
The liver in the venous phase on CCHAPC
The liver on CABPEC

Results:
19th - 20th February 2019:
Please see graphs

Action and Re-audit:
CT radiographers were notified about the importance of ensuring complete imaging and about the Trust’s dual phase liver policy for CCHAPC scans. 5 days later, CCHAPC and CABPEC were analysed using the same previous methodology.

22nd- 23rd May 2019:
Please see graphs

Limitations:
Small sample size.

Recommendations:
Discuss and ascertain reasons for non-compliance.
Refresher training for CT radiographers.

Summary: With increasing numbers of CT scans performed yearly, there is increasing pressure to perform them quickly. Inadequate scanning could lead to pathologies being missed.References: N/AReport abuse »
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