Department of Radiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
Department of Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2023 Nov 1;61(267):878-881. doi: 10.31729/jnma.8327.
From both medical and legal points of view, it is vital that computed tomography request forms should be adequately filled up. It is the responsibility of physicians to collect adequate clinical information that justifies the computed tomography examination and the ethical responsibility of radiological technologists and radiologists is to perform only the justified radiological examinations. Thus, a properly filled request form is crucial for understanding the clinical problem, using the proper protocol for avoiding unnecessary radiation exposure and providing concise radiological reports. The aim of this study was to find out the prevalence of inadequate completion of computed tomography request forms of patients visiting the Department of Radiology of a tertiary care centre.
This descriptive study was performed in the Department of Radiology from 22 April 2021 to 21 April 2022 after receiving ethical approval from the Institutional Review Committee. Computed tomography request forms from emergency, ward and outpatient Departments were used in the study whereas that from other hospitals and clinics were excluded. A convience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Out of 470 computed tomography examination forms, the prevalence of inadequate computed tomography request forms was 195 (41.49%) (37.03-45.94, 95% Confidence Interval).
The prevalence of the inadequacy of completion of computed tomography examination forms was higher than other similar studies done in similar settings.
audit; computed tomography; form.
从医学和法律的角度来看，填写计算机断层扫描（CT）申请单至关重要。医生有责任收集充分的临床信息来证明 CT 检查的合理性，放射技师和放射科医生的伦理责任则是仅执行合理的放射检查。因此，填写完整的申请单对于理解临床问题、使用适当的方案避免不必要的辐射暴露以及提供简明的放射报告至关重要。本研究旨在调查在一家三级保健中心放射科就诊的患者 CT 申请单填写不完整的情况。
本描述性研究于 2021 年 4 月 22 日至 2022 年 4 月 21 日在获得机构审查委员会的伦理批准后在放射科进行。本研究使用了来自急诊、病房和门诊部门的 CT 申请单，而排除了来自其他医院和诊所的申请单。采用便利抽样法。点估计值是在 95%置信区间计算的。
在 470 份 CT 检查单中，填写不完整的 CT 申请单的比例为 195 份（41.49%）（37.03-45.94，95%置信区间）。
CT 检查单填写不完整的比例高于在类似环境下进行的其他类似研究。
审核；计算机断层扫描；表格。
