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放射检查申请单填写中的常见错误。

Common faults in filling of radiological request forms.

作者信息

Jumah K B, Gordon-Harris L, Agahowa J I

机构信息

Department of Radiology, Korle Bu Teaching Hospital, Accra, Ghana, West Africa.

出版信息

East Afr Med J. 1995 Nov;72(11):744-5.

PMID:8904070
Abstract

This prospective study was carried out in Ghana, Sierra Leone and Nigeria. The aim was to highlight to the clinicians the common faults encountered in radiological request forms and to make recommendations aimed at improving information given on such forms which will facilitate better reporting by radiologists. 4,122 request forms from the three institutions were reviewed using a questionnaire and were analysed. The commonest fault was omission of the age of the patients; this occurred in 1,176 cases. Absence of clinical information in the request forms was noted in 946 cases and illegible entries were 658. There were 65 unconventional abbreviations used by clinicians on request forms. We recommend regular clinico-radiological meetings as continuing medical education for hospital doctors and general practitioners and also vetting of request forms for specialized radiological examinations to reduce the short-comings.

摘要

这项前瞻性研究在加纳、塞拉利昂和尼日利亚开展。目的是向临床医生强调放射检查申请单中常见的错误,并提出旨在改进此类申请单上所提供信息的建议,以便放射科医生能更好地撰写报告。使用一份调查问卷对来自这三个机构的4122份申请单进行了审查并分析。最常见的错误是遗漏患者年龄;这种情况发生在1176例中。申请单中缺乏临床信息的情况在946例中被注意到,字迹模糊的条目有658条。临床医生在申请单上使用了65种非传统缩写。我们建议定期举行临床放射学会议作为医院医生和全科医生的继续医学教育,并且对专科放射检查的申请单进行审核以减少不足之处。

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