An Introduction to Clinical Audit for Radiographers

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

12.2. Imaging Operational Performance

Service Requirement Section B - Imaging Operational Performance
Criteria B1 B2 B3
Time of referral to CXR completion (suspected or proven Covid-19)
Time from CXR completion to definitive report (suspected or proven Covid-19) Time for CT imaging to occur if CXR report urgently recommended CT (suspected or proven Covid-19)
Example audit statement All CXRs completed within [1 hour]* of referral (*insert local standard) All CXRs reported within [30 mins]* of completion (hot reporting)   (*insert local standard) All patients offered CT within [4 hours]* of CXR recommendation  (* insert local standard)
Purpose Capacity indicator - radiographers and equipment. May apply prioritisation criteria for concurrent referrals Capacity indicator - radiologists and reporting radiographers Capacity indicator - CT availability
Indicator / Standard 100% compliance (ideal standard); 100% compliance within [4 hours]* (minimum standard) (* insert local standard) 100% compliance (ideal standard); 100% compliance within [4 hours]* (minimum standard) (* insert local standard).
80%* compliance   (* insert local standard)
Audit type Compliance / process
Compliance / process Process
Evidence / Previous audits / literature Mobile radiography KPIs (Wong et al, 2013) https://www.ncbi.nlm.nih.gov/pubmed/23986937
 Patient pathway documentation. https://www.health.org.uk/sites/default/files/ImprovingPatientFlowAcrossPathwaysAndOrganisations.pdf 
 https://www.cqc.org.uk/sites/default/files/20180718-radiology-reporting-review-report-final-for-web.pdf
 All medical exposures to have a clinical evaluation (report) recorded: IRMER 2017 http://www. legislation.gov.uk/uksi/2017/1322/contents/made
 Euratom: https://eur-lex. europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2014:013:0001:0073:EN:PDF
https://www.health.org.uk/sites/default/files/ImprovingPatientFlowAcrossPathwaysAndOrganisations.pdf