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Audit of imaging documentation on an ICU

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The Ionising Radiation (Medical Exposure) Regulations 2001 recommend to 'ensure that a clinical evaluation of the outcome of each medical exposure is recorded'... This audit looked at whether ICU documentation of investigations involving ionising radiation could be improved... Anticipated benefits would be improved communication between the multidisciplinary team and better-informed decision-making... Patients admitted to the ICU between 21 September 2014 and 2 October 2014 were included... In total, 17/20 (85%) CXRs requested following procedures carried out on ITU (such as insertion of central venous catheters) were documented, and the three not documented had no significant findings... None were documented... Five had significant findings... Investigations following procedures were generally well documented, but investigations seeking pathology were not documented at all, regardless of the findings... This may have influenced the management of the patient and compromised patient safety... As such, the audit was presented at a departmental meeting to emphasise the importance of imaging documentation... A place for investigations was added to the ICU patient list to improve communication between the team, and a second audit is planned to assess the impact of this.

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Mentions: As shown in Figure 1, imaging requests were generally poorly documented (61%). In total, 17/26 (65%) chest X-rays (CXRs) were documented. A total of 0/2 CT scans were documented, despite one showing acute changes. In total, 17/20 (85%) CXRs requested following procedures carried out on ITU (such as insertion of central venous catheters) were documented, and the three not documented had no significant findings. The six other CXRs were requested to investigate worsening respiratory function. None were documented. Five had significant findings.


Audit of imaging documentation on an ICU
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4472658&req=5

Mentions: As shown in Figure 1, imaging requests were generally poorly documented (61%). In total, 17/26 (65%) chest X-rays (CXRs) were documented. A total of 0/2 CT scans were documented, despite one showing acute changes. In total, 17/20 (85%) CXRs requested following procedures carried out on ITU (such as insertion of central venous catheters) were documented, and the three not documented had no significant findings. The six other CXRs were requested to investigate worsening respiratory function. None were documented. Five had significant findings.

View Article: PubMed Central - HTML

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The Ionising Radiation (Medical Exposure) Regulations 2001 recommend to 'ensure that a clinical evaluation of the outcome of each medical exposure is recorded'... This audit looked at whether ICU documentation of investigations involving ionising radiation could be improved... Anticipated benefits would be improved communication between the multidisciplinary team and better-informed decision-making... Patients admitted to the ICU between 21 September 2014 and 2 October 2014 were included... In total, 17/20 (85%) CXRs requested following procedures carried out on ITU (such as insertion of central venous catheters) were documented, and the three not documented had no significant findings... None were documented... Five had significant findings... Investigations following procedures were generally well documented, but investigations seeking pathology were not documented at all, regardless of the findings... This may have influenced the management of the patient and compromised patient safety... As such, the audit was presented at a departmental meeting to emphasise the importance of imaging documentation... A place for investigations was added to the ICU patient list to improve communication between the team, and a second audit is planned to assess the impact of this.

No MeSH data available.