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YU CHI WAI RONALD, RAD I, DR POK OI HOSPITAL

YU CHI WAI RONALD, RAD I, DR POK OI HOSPITAL. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE. A TRIAL TOWARDS BEST PRACTICE. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE. What is it ....... Quality assurance and training program for Digital Radiography in DR, POH

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YU CHI WAI RONALD, RAD I, DR POK OI HOSPITAL

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  1. YU CHI WAI RONALD, RAD I, DRPOK OI HOSPITAL GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE A TRIAL TOWARDS BEST PRACTICE

  2. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • What is it ....... • Quality assurance and training program for Digital Radiography in DR, POH • Part of the General Radiography Re-engineering initiative promoted by Department Manager of DR in NTWC • Focus on radiographic techniques

  3. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Targets....... • Establish and understand the standard criteria of “Good” images by all radiographers • Statistic return of “Good” images compliance in POH. • Root cause analysis of suboptimal images with a holistic team/workflow approach.

  4. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Our footprints....... • Each RAD II was assigned to focus on one examination • Establish standard images criteria which were set with reference to the highest theoretically achievable standards (with reference to Radiographic manuals of Merill’s Atlas, Clark’s positioning and the European Guidelines)

  5. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Our footprints....... • Complied with all the must fulfill criteria will be graded as “GOOD” • Failed to comply withANY must fullfill criteria will be graded as “suboptimal” • Screen ALL images of the focused examination and monthy “GOOD” images quality compliance report was generated every six months

  6. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Our footprints....... • Root causes analysis of “Suboptimal” images with a holistic team / workflow approach • Possibility of quality improvement • Sharing of practical tips and quality enhancement suggestion in report presentations / discussion sessions

  7. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Assumptions....... • All images that passed / endorsed by our fellow colleagues are with adequate diagnostic value • The “Good” images are excellent / sample images indeed as they are of the highest achievable standards in text book reference • X-ray equipments are in proper functional state

  8. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Criteria for CXR.......

  9. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Results.......

  10. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Discussion....... • Radiographers (especially the RAD II) are familiar with the criteria for “Good” images • The standard criteria of “Good” images were established and understood by radiographers • At least one-tenth of radiographs are of excellent quality • Patient’s cooperation and intrinsic condition play a key role in failing the must fulfill criteria

  11. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Limitation....... • No detail breakdown of percentage failing of must fulfill criteria • No account of NG radiographs

  12. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Conculsion....... • A successful attempt to benchmark general radiography in DR POH • Prepared to the journey to Best Practice

  13. GENERAL RADIOGRAPHY IMAGE REVIEW EXERCISE • Acknowledgement....... • All the enthusiastic and devoted radiographers in Department of Radiology, Pok Oi Hospital, especially the RAD IIs.

  14. YU CHI WAI RONALD, RAD I, DRPOK OI HOSPITAL THANK YOU

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