An Introduction to Clinical Audit for Radiographers

12. Examples of audits relevant to a mobile chest radiography service

12.1. Imaging Activity Audits

Service Requirement Section A - Imaging Activity Audits
Criteria A1 A2 A3 A4
CXR referrals per day/week
CXR referrals from each location CXRs referrals per patient and timeline (suspected or proven Covid-19) No. patients having both CXR and CT chest (suspected or proven Covid-19)
Example audit statement CXR demand should remain within work capacity 
CXR demand in each setting should remain within work capacity 
CXR demand should follow guidance and may be predicted. Stable Patients do not require daily chest x-rays. 
CXR and CT demand should follow guidance
Purpose Resource management: review workload trends
Resource management: deploy staff and equipment Resource management: review compliance with imaging referral guidance
Resource management: review compliance with imaging referral guidance
Indicator / Standard Number and percentage above baseline (dept mean)  Number and percentage CXRs undertaken in x-ray dept; wards; A&E; ICU Record imaging requests in light of Covid-19 status + no. days post admission or first onset symptoms Resource management: review compliance with imaging referral guidance
Audit type Monitoring / on-going Monitoring / on-going Monitoring and compliance Compliance
Evidence / Previous audits / literature Comparison to local activity and work force capacity figures Comparison to local activity and workforce capacity figures Local guidelines / international decision tools e.g. https://www.bsti.org.uk/media/resources/files/BSTI_COVID-19_Radiology_Guidance_version_2_16.03.20.pdf As A3