| Service Requirement |
Section D - Accuracy and Effectiveness |
| Criteria |
D1 |
D2 |
D3 |
D4 |
| Did the CXR report answer the clinical question? |
Accuracy of CXR compared to CT or Covid-19 test result |
CXRs should have a positive impact on patient management (affect decision making) |
Accuracy of radiographer preliminary clinical evaluation |
| Example audit statement |
All CXRs will receive a recorded clinical report, and did this answer the question posed or refer for further imaging? |
The number of negative CXRs should be low in moderate/severe cases confirmed by CT |
All CXRs should have a positive impact on patient management |
Radiographer PCE / triage should reflect the definitive report |
| Purpose |
To ensure the CXR is able to influence patient management |
Review accuracy of CXR to consider where and when it is best utilised |
Ensure appropriate use of resources, reduce unwarranted exposures |
Review effectiveness of triage or immediate review for referring clinician; to highlight training needs |
| Indicator / Standard |
100% (minimum standard) |
80%* CXRs have positive findings (*local agreed figures) |
100% CXRs should change management (ideal standard), 80% change management (optimal standard) |
80%* PCE findings should concur with definitive report (*locally agreed standards depending on level of training) |
| Audit type |
Compliance |
Accuracy |
Effectiveness |
Accuracy / Effectiveness |
| Evidence / Previous audits / literature |
Need for all exposures to have a report: https://www.rcr.ac.uk/system/files/publication/field_publication_files/bfcr181_standards_for_interpretation_reporting.pdf
|
No imaging for screening or mild Covid-19 symptoms: https://pubs.rsna.org/doi/10.1148/radiol.2020201365
|
Prospective: In situ referrer template completion; Retrospective: case note and radiology report review |
Prospective: radiographer PCE checklist with limited choice to facilitate completion and comparison |