Development of a Proper Technique to Avoid Repeat Radiography with Proper Instructions and Positioning

Abstract

The accuracy of the diagnostic procedure is influenced by the quality of a radiographic image.  The aim of radiology is to obtain images which are adequate for the clinical purpose with minimum radiation dose to the patient. If optimal performance is to be attained, image quality must be evaluated in relation to patient dose. Patients of both genders and all ages were included in the study, and their radiographic studies were repeated. A total of 40 patients were present. On a daily basis, the overall data was collected. From October 1, 2018 to March 30, 2019, patients whose radiographic scans were repeated were gathered as primary data, together with demographic information and the cause for the repetition. The total number of repeat radiograph (in computed radiography) was 40 within 6 months. Repetition was mostly for examination of Chest Radiographs 11, Lumbar Spine 8, Cervical spine 6, Pelvis 3 Abdomen 2, Upper Extremities 4, Lower Extremities 4 and Skull 2. Foreign objects, especially in females, were the leading source of chest X-Ray repetitions. They either refused to remove it or, in many cases, misled the radiographer into believing that all jewelry and inner clothes with metal clips had been removed prior to changing into the hospital gown, when they had not. Owing to a lack of ability on the part of the radiographer, repetition occurred due to poor placement, erroneous marker, collimation fault, and incorrect exposure factor. The majority of radiograph repetitions were observed during peak rush hour, usually in the morning.