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 |