Audit of CT scans done at Chris Hani Baragwanath Academic Hospital in 2014
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Date
2018
Authors
Arbee, Suraya Osman
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Abstract
INTRODUCTION:
In resource limited environments careful consideration should be made to ensure
adequate patient referral and limitation of unnecessary radiation exposure to patients. By
evaluation of the current practices and processes, insight can be gleaned so as to
specifically target quality improvement initiatives.
AIM:
This study aimed to evaluate the computed tomography (CT) scans performed at Chris
Hani Baragwanath Academic Hospital (CHBAH) in 2014 by means of an audit. The audit
assessed referral patterns and workflow in the CT Department in order to identify
possible areas that could be targeted to improve service delivery.
METHOD:
A retrospective descriptive study was performed using data from hand written logbooks
of CT scans performed in the CT Department at CHBAH over a 6 month period. The
referral patterns and the workflow (i.e. patient through put) was also observed.
RESULTS:
A total of 11181 CT scans were performed of which 54.2 % were CT brain scans. The 20-29
year age group constituted the greatest proportion (20%) of patients referred to the CT
department. The majority (40.6%) of the CT scans performed were for patients from the
wards, followed by urgent requests from the emergency departments (34%). It was
vi
noted that two-thirds of CT scans performed in the CT department were done after hours
and there was a trough of productivity between 06h00-09h00 in the morning.
Interestingly, the use of two operational CT scanners instead of one resulted in a smaller,
than expected, increase in the total number of CT scans performed.
CONCLUSIONS:
The CT Department at CHBAH was not functioning optimally during the period of the
study. There was suboptimal use of both equipment and human resources. Further in
depth and detailed review of each step in the operational chain of the CT department at
CHBAH is recommended to identify bottlenecks in the system in order to specifically
target and monitor quality improvement efforts.
Description
A research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of
Master of Medicine in Diagnostic Radiology, Johannesburg, 2018