ADEQUACY OF COMPLETION OF RADIOLOGY REQUEST FORM IN A TERTIARY CARE HOSPITAL PESHAWAR

Muhammad Abdullah, Zamara Sohail, Saira Yasmeen, Muhammad Daud, Madiha Pervaiz, Maria Naz

Abstract


Background: Radiation is one of big hazards in diagnostic imaging. Every imaging scan needs to be justified. For this reason, complete clinical information should be provided to radiology department in form of request form. The objective of our study was to assess the completion of radiology request form (RRF) referred to Radiology Department.

Materials & Methods: This descriptive cross-sectional study was conducted at Radiology department of Rehman Medical Institute (RMI), Peshawar over a period of 6 months (from June 2021 to Dec 2021). We checked a data of 300 radiology request forms based on random consecutive nonprobability sampling. Each category of the blank to be filled was given one score. Several fields in the form were evaluated for completeness, if filled, given 1 mark and if not then given 0 marks. The categories to be analyzed included patient’s name, age, date, contact number, hospital registration number, address, clinical question, examination requested, treating doctor’s name and previous imaging / labs. Data was analyzed using Microsoft Excel and SPSS version 22.

Results: A total of 300 forms were evaluated. Name, age, gender of patient was mentioned in 298 (99%) forms, 56 (18%) forms did not mention contact number of patients, relevant clinical history was missing in 104 (34%) forms, 252 (84%) forms had not mentioned clinical question for the examination and 22 (7.3%) forms did not have examination requested. 156 (52%) did not have doctor’s name, 160 (53%) did not mention relevant labs and 127 (42%) did not provide any info on previous imaging. The most common missing was of clinical question.

Conclusion: Based on our results we concluded that there was overall a good score of 98% in filling the radiology request form data in demographics, however unsatisfactory performance of 16% by our referrers was seen in mentioning the clinical question to be answered. Comparison made with similar studies has shown that this problem is worldwide.


Keywords


Radiology request form (RRF); Radiology; Clinical history; Radiation.

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References


Department of Health, UK. The Ionizing Radiation (Medical Exposure) Regulations 2000, Statutory Instrument No. 1059. London: HMSO, 2000.

Vom J, Williams I: Justification of radiographic examinations: what are the key issues?. J Med Radiat Sci. 2017; 64:212-219. https://doi.org/10.1002/jmrs.211

Remedios DJ, Seymour B: Making the best use of clinical radiology. BMJ. 2011;342. 10.1136/bmj.d1951. https://doi.org/10.1136/bmj.d1951

Malone J, Guleria R, Craven C. Justification of diagnostic medical exposures: some practical issues. Report of an International Atomic Energy Agency Consultation. Br J Radiol. 2012;85:523-538. https://doi.org/10.1259/bjr/42893576

Royal College of Radiologists. Making the Best Use of a Department of Clinical Radiology: Guidelines for Doctors. 5th Edition. London: RCR, 2003.

International Commission on Radiological Protection. The 2007 Recommendations of the International Commission on Radiological Protection; 2007, p. 14. ICRP Publicat.ion105. Ann. ICRP 37.

Zafar U, Abid A, Ahmad B, Ahmad HA, Zafar F, Baig MU, Akram S. Adequacy of completion of computed tomography scan request forms at a tertiary care center in Pakistan: a clinical audit. Cureus. 2018;20:10(10). https://doi.org/10.7759/cureus.3470

Depasquale R, Crockford MP: Are radiology request forms adequately filled in?: An audit assessing local practice. MMJ. 2005;17:36-38.

Mervyn D. Cohen, Khurshaid Alam. Radiology clinical synopsis: a simple solution for obtaining an adequate clinical history for the accurate reporting of imaging 859.studies on patients in intensive care units. Pediatr Radiol 2005;35: 918-922. https://doi.org/10.1007/s00247-005-1491-x

M. Cohen, S. Curtin, R. Lee. Evaluation of the Quality of Radiology Requisitions for Intensive Care Unit Patients-Academic. Radiology 2006; 13(2): 10. https://doi.org/10.1016/j.acra.2005.10.017

Salam A, Saif S. Radiology request form; A neglected medical document. Professional Med J 2013;20(2): 308-312. https://doi.org/10.29309/TPMJ/2013.20.02.635

Nedumaran PA. Correspondence: Do the reports address the questions? Br J Radiol 2002;75:565-566. https://doi.org/10.1259/bjr.75.894.750565b

Depasquale R, Crockford M. Are radiology request forms adequately filled in.Malta Medical Journal 2005;17: 04.

Afolabi OA, Fadare JO, Essien EM Audit of completion of radiology request form in a nigerian specialist hospital. Ann Ib Postgrad Med 2010;10: 48-52.

Audit of radiology request form for completion and usefulness of clinical history. Radiol Res Pract. 2021. Doi: 10.1155/2021/5583442 https://doi.org/10.1155/2021/5583442

Koirala, A., & Bhandari, S. Are Clinicians Communicating Adequately with Radiologists through Radiological Requisition? A Clinical Audit Assessing Current Local Practice. Nepal Journal Radiol 2022; 12(1), 44-48. https://doi.org/10.3126/njr.v12i1.40089




DOI: https://doi.org/10.46903/gjms/21.01.1236

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