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提高放射学申请单的合规性:苏丹奥斯曼·迪格纳王子教学医院的一项临床审计

Improving Radiology Request Form Compliance: A Clinical Audit at Prince Othman Digna Teaching Hospital, Sudan.

作者信息

Muhammed Abubakr, Mohammed Ahmed Ali Bashir, Ahmed Mohmed Mohmed H, Ali Abdelrahman Mohamed Elfatih, Eltayeb Abdelnour Ayman Adil, Mutasim Mihad, Eltayeb MohamedAhmed Fatima Elsamani, Mohammed Hamed Faris Jamalaldeen, Abdalla Mohammed, Hamid Mohammed Moazer Ibrahim, Ahmed Fadail Hayfa Fawzi, Mohamed Khiralla Mahir Nourain, Abaker Nour Anwar Musa, Elamin Romisaa, Saeed Mie, Mohamed Mustafa H, Alzain Adam Mohammad

机构信息

Surgery, University of Gezira, Wad Medani, SDN.

General Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.

出版信息

Cureus. 2025 Mar 11;17(3):e80414. doi: 10.7759/cureus.80414. eCollection 2025 Mar.

Abstract

Background Clinical audits serve as a critical tool for quality improvement, evaluating current practices to enhance patient care. Radiology request forms (RRFs) are essential for accurate diagnosis and treatment but often face challenges like incomplete or inaccurate information, illegibility, and non-compliance with established guidelines. This audit aimed to assess the adequacy of RRF completion at Othman Digna Teaching Hospital, Sudan, and implement interventions to improve compliance with guidelines. Materials and methods A prospective audit was conducted between November and December 2024. The first cycle involved assessing 50 randomly selected RRFs for adherence to the Royal College of Radiologists (RCR) guidelines. Interventions included introducing standardized forms and providing physician training. A second cycle of 50 RRFs was evaluated post-intervention. Data were analyzed using descriptive statistics and graphical representations. Results Compliance with eight key standards improved significantly post-intervention. Patient name compliance increased from 98% to 100%, while patient age rose from 12% to 98%. The inclusion of clinical background details and the question to be answered both reached 100% from initial rates of 16% and 4%, respectively. Overall mean compliance improved from 26% to 95.5%. Conclusions The study demonstrated significant improvements in the completion of RRFs following targeted interventions. Regular audits, standardized procedures, and continuous training are essential to sustaining compliance and improving communication between clinicians and radiologists, ultimately enhancing patient care.

摘要

背景 临床审计是质量改进的关键工具,用于评估当前实践以提高患者护理水平。放射学申请单(RRFs)对于准确诊断和治疗至关重要,但常常面临诸如信息不完整或不准确、字迹模糊以及不符合既定指南等挑战。本次审计旨在评估苏丹奥斯曼·迪格纳教学医院RRF填写的充分性,并实施干预措施以提高对指南的依从性。

材料与方法 于2024年11月至12月进行了一项前瞻性审计。第一个周期包括评估50份随机抽取的RRFs是否符合皇家放射科医师学院(RCR)指南。干预措施包括引入标准化表格并为医生提供培训。在干预后对第二个周期的50份RRFs进行了评估。使用描述性统计和图表表示法对数据进行了分析。

结果 干预后,八项关键标准的依从性显著提高。患者姓名的填写率从98%提高到了100%,患者年龄的填写率从12%提高到了98%。临床背景细节的填写率和待回答问题的填写率分别从最初的16%和4%提高到了100%。总体平均依从性从26%提高到了95.5%。

结论 该研究表明,经过有针对性的干预后,RRF的填写有了显著改善。定期审计、标准化程序和持续培训对于维持依从性以及改善临床医生与放射科医生之间的沟通至关重要,最终可提高患者护理水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3922/11983657/1121f4f15cc5/cureus-0017-00000080414-i01.jpg

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