Imaging Quality Improvement Project

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)

 

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