减少在手术诊所的不适当的腹部X射线请求:质量改进项目
Michael Barrington1, Pranu Ragatha1, Emily-Jane O'Malley1
1General Surgery, Royal Devon University Healthcare NHS Foundation Trust, Exeter, GBR.
Cureus
|October 29, 2025
概括
这项研究减少了手术部门不适当的腹部X射线 (AXR) 请求. 实施当地指导方针,海报和电子形式的变化显著减少了对急性腹痛的AXR使用.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 进行外科评估.
背景情况:
- 腹部X射线 (AXR) 通常用于急性腹痛,但由于细节优越,经常被CT扫描取代.
- 这项研究的重点是减少手术入院单位 (SAU) 内不适当的AXR请求.
研究的目的:
- 为了减少在外科入院单位 (SAU) 不必要的腹部X射线 (AXR) 成像请求的数量.
主要方法:
- 与国家iRefer指南相比,对AXR请求进行了评估,以确定不适当的成像.
- 连续实施了三个干预措施:制定地方指南,传播海报和修改电子订单表.
- 在干预之前和之后收集了有关AXR适当性和CT扫描请求的数据.
主要成果:
- 最初,69%的AXR请求是不合适的,主要是因为怀疑肠道阻塞 (60%).
- 在三次干预后,不适当的AXR请求率连续下降至50%,41%,最后降至11%.
- 电脑扫描请求的数量保持稳定,表明远离AXR的转变,而不是对成像的一般增加.
结论:
- 实施的干预措施有效地减少了不适当地使用腹部X射线 (AXRs).
- 有针对性的策略可以显著提高手术环境中诊断成像请求的适当性.
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