The imaging department is launching a Quality Improvement project with the aim of improving the quality of clinical information supplied on imaging requests. Inspired by Ron Daniel’s internationally recognised SEPSIS 6 mnemonic, we have devised the RADIOL 6.
We have audited a number of key indicators in requests prior to this announcement, and requests will be re-audited at some stage in the future.
The six recommendations will appear in a single pane, on Concerto, prior to entering the Imaging Requesting pane.
|
R |
Relevant PMH (e.g. Operations, Previous cancer diagnosis, Previous Imaging etc.) |
|
A |
Acute renal impairment (Please state the Urea, Creatinine and eGFR) |
|
D |
Do not ask us “to Rule out….” (Diagnostic tests rarely work so – Bayes theorem, we can “rule in” for e.g. PE on a CTPA ) |
|
I |
Injury – Please supply the mechanism of injury |
|
O |
Optimised brain and spine imaging (Please supply information regarding Dermatomes, Myotomes, Tone, Reflexes and Plantars on neurological and spinal imaging requests). |
|
L |
Localisation (Accurately localise symptoms, using anatomical, not lay terminology) |
