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Ionising Radiation (Medical Exposure) Regulations : An audit on the documentation of  chest radiographs in intensive care patients
EP29165
Poster Title: Ionising Radiation (Medical Exposure) Regulations : An audit on the documentation of chest radiographs in intensive care patients
Submitted on 01 Nov 2018
Author(s): E Elwood, D. Castle, J. Page, J. Astin
Affiliations: Great Western Hospital NHS Trust
This poster was presented at BIR Annual Congress
Poster Views: 343
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Poster Information
Abstract: Introduction
Initial interpretation of radiographs by non-radiology clinicians is common practice. Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) states that any assessment of an image that impacts patient care should be recorded in the medical notes. British Institute of Radiology(BIR), Royal college of radiologists(RCR) and Society and Collage of Radiographers(SCoR) have published joint guidance regarding IRMER; outlining standards for reporting and interpretation by non-radiologist medically qualified practitioners assessing2.
Aim: audit compliance with IR(ME)R 2000 and regarding standards for the reporting of imaging investigations by non-radiology clinicians
Methods
This audit identified 30 chest radiographs performed on patients admitted to Great Western Intensive Care Unit over a 6 week time frame. Documentation in medical notes was reviewed based on BIR,RCR and SCoR recommendations: evaluation documented, named reporter, time of radiograph, signed, dated and reported at appropriate time2 (deemed within 24hrs unless judged otherwise)
Cycle 1 (02/2017) baseline 30 samples collected over 6 weeks.
Intervention: Presentation at departmental clinical governance meeting and departmental posters.
Cycle 2 (04/2017) Re-audit of 30 further samples over 6 weeks
Results
Following intervention documentation improved from 47% to 77%. All documented chest radiographs noted a named reporter, date and signature. 91% of documented chest radiographs were documented within an appropriate time; improved from 64%. Only 39% of documented chest radiographs noted a time of chest x-ray
Discussion
Despite improvement following intervention, documentation is still not meeting IR(ME)R 2000 standards. Further work needs to be completed to address documentation of radiological images by non-radiology clinicians.
Summary: An audit of compliance with IR(ME)R 2000 and regarding standards for the reporting of imaging investigations by non-radiology clinicians regarding Chest X-rays on a 12 bed Intensive Care Unit.References: 1IR(ME)R 2000 – Legislation.gov.uk
2BIR, SCR and RCR, A Guide to understanding IR(ME)R, 2015
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