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Use of Abdominal X-Ray in the Emergency Department
EP34214
Poster Title: Use of Abdominal X-Ray in the Emergency Department
Submitted on 24 Oct 2020
Author(s): Stuart McEwan
Affiliations: Central Adelaide Local Health Network
This poster was presented at BIR2020
Poster Views: 532
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Poster Information
Abstract: Between 80-100 abdominal X-rays (AXRs) are performed every month at the Queen Elizabeth Hospital Emergency Department (Adelaide, South Australia) each the equivalent of 35 chest x-rays worth of radiation. This project aimed to improve the appropriateness and utility of AXR ordering through a departmental education programme.

The Royal Australian and New Zealand College of Radiologists (RANZCR) and The Royal College of Radiologists UK (RCR UK) have both published evidence-based guidelines on the effective use of the AXR. Two audit cycles were completed, comparing indications for AXR ordering against these guidelines.

50 AXRs were chosen at random for use in each cycle. Between these cycles education was provided to junior doctors responsible for AXR ordering in the form of educational posters, emails and regular discussions during clinical handovers.

Over the two cycles of audit an improvement was observed in the appropriateness of ordering, the proportion of abnormal results and a reduced need for further imaging.

In conclusion, the appropriateness and utility of our AXR ordering was improved with departmental education on suitable ordering using simple indications.
Summary: An audit of Abdominal X-rays at an Australian Emergency Department with the aim of reducing the number of inappropriately ordered and unnecessary x-rays being performed.References: Smith JE, Hall EJ. The use of plain abdominal x rays in the emergency department. Emerg Med J. 2009;26(3):160-3
Diagnostic Imaging Pathways: Indication for Abdominal Plain XRay - http://www.imagingpathways.health.wa.gov.au
iRefer Guidelines, RCR Version 8.0.1 May 2017  https://www.irefer.org.uk/guidelines
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