Adapted Anatomical Image Criteria for PA Chest Radiographs at Managil Teaching Hospital, Sudan 2023

• Published in: Clinical audit 2024-07, Vol.16, p.63-68
• Main Authors: Muhammed, Abubakr Elsadig Musa, Awad, Mustafa Sabir Abakar, Saeed, Mazin Murtada, Alkheder, Mohammed Alsiddig, Babiker, Mohammed Abdurhman Minallah, Alzain, Mudather Abdalgader Abdalla, Abdalla, Ahmed, Salih, Khalid Salah Khalil, Ahmed, Abdalmahmoud Asadig Kanan, Elbashi, Omar, Hamed, Faris Jamaleldeen Mohammed, Rafat, Fakher Aldeen, Elfatih, Abdelrahman
• Format: Article
• Language: English
• Subjects: Comparative analysis; Data entry; Medical care; Medical research; Medicine, Experimental; Quality management
• ISSN: 1179-2760; 1179-2760
• DOI: 10.2147/CA.S471597

Background: Owing to its importance in detecting airway, lung, heart, blood vessel, and bone problems, chest radiography is the most prevalent diagnostic test. To ensure accuracy, the images must be evaluated technically. Once images are sufficiently good, radiologists can interpret radiographs more confidently and clinicians can diagnose them accurately. We aimed to evaluate and improve the technical posteroanterior (PA) chest X-ray (CXR) procedure. Methodology: A Retrospective, Prospective observational audit conducted at Managil Teaching Hospital and adjacent private radiology clinics in the 1st cycle 21 CXR was gathered and compared to the American College of Radiology (ACR) standards, and an initial Microsoft Excel[R] analysis identified substantial radiographic quality issues. Based on these findings, radiology staff training was ensued, and clinicians used a predesigned questionnaire to check the completeness of the requested image. Moreover, the department publicly posted posters defining quality PA CXR requirements based on ACR guidelines. These interventions were followed by data collection and analysis in the 2nd cycle with 41 CXR. The total sample size of the study was 62 patients. Results: A total of 41 CXR images were included in the study, 21 in the 1st cycle and 20 in the 2nd cycle, in the first cycle the collected data were compared with the ACR standards, A significant improvement was observed in most areas after the 2nd cycle, for instance the first criteria was the CXR should be Performed at full inspiration it was only in 67.20% during the 1st cycle and 90% in the 2nd cycle. Conclusion: The medical audit shows that the quality improvement efforts of the Managil Teaching Hospital have improved the PA CXR technicalities. Following the standards of the American College of Radiology (ACR) standards, the audit showed improvements in most anatomical imaging criteria post-intervention. Keywords: clinical audit, radiology, chest X ray, quality improvement