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Year :2018
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Month :
September-October
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Volume :
7
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Issue :
4
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Page :
RO31 - RO34
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Reject Analysis in Digital Radiography: A Prospective Study
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Correspondence Address :
Aysegül Yurt, Musta ustafa Tintas, Ramazan Yüksel,
Dr. Aysegül Yurt,
Assistant Professor, Mithatpasa Str., Dokuz Eylül University-
35340, Izmir, Balçova, Turkey.
E-mail: aysegul.yurt@deu.edu.tr
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Introduction: Introduction: Rejecting, deleting and repeating of diagnostic radiographs are against the professional and ethical issues of the radiology departments, as it leads to the unnecessary occupation of the staff, additional radiation exposure to patients and increased institutional costs.
Aim: To determine the rate of rejection/repetition in DDR and evaluate its outcomes.
Materials and Methods: A prospective study was conducted in the radiology department of Dokuz Eylül University Hospital and data were collected. A total of 33,001 radiographs were evaluated manually by examining all types of radiological images, the number of exposed images and number of deleted images. The rate of rejection of the different anatomical regions and the reasons for the repeat were calculated by using Microsoft Excel 2010 program.
Results: Out of 33001 radiographic films, 396 of them were retaken (reject/repeat ratio: 1.2%). The causes related to technicians were 88.1%, related to patients were 6.1%, related to doctors 4.8% and other causes were 1%. Most frequent repeats were observed for chest (48.2%) radiographs and least for bone/scoliosis radiographs. Positioning errors constituted the majority of errors leading to repetition.
Conclusion: Our hospital’s rejection rate was 1.2% which was within the acceptable range of recommended 5% value by WHO. However, training and supervision of radiology technicians and increasing the guidance and in-service training practices are recommended to reduce the rejection rate.
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