Trinidad-and-Tabago-Congerss-Abstract-Book

20 th ISRRT World Congress 2018
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QUALITY MANAGEMENT
Using The 5S Methodology to Improve Quality and Efficiency in the Vascular Interventional
Radiography Department
Craig St. George
Director of Education, American Society of Radiologic Technologists, USA
QM2-1
Purpose: Vascular interventional radiography is a technologically advanced field that consistently offers new life saving
techniques which often leads to advances in equipment and inventory technology. Because of the complex and fast
nature of the VIR environment, patient safety is essential where any means of eliminating waste and errors should be
considered. I will discuss a Six Sigma Methodology that is used to organize the physical exam room and the providers
working in the exam room to coordinate better, more accurate, and individually focused care before and during a
vascular procedure.
Methods: As a previous technologist supervisor for a high output health care provider I will share research and six
sigma methodology studies that improved efficiency and therefore the quality of care in VIR. The 5S program was
implemented in each exam room to improve consistency and accuracy for storing inventory.
Results: Keeping exam rooms organized improves procedural efficiency. Inventory is easy to locate and postprocedure
cleanup is conducted quickly because everything has a place. The 5S projects do tend to invoke some
irritation by those who are not part of the project team. Change and learning a new system is not always accepted
openly which makes sustaining changes more difficult and therefore much more important. A surprising amount of
clutter was eliminated by the project team which led to an equally surprising increase in job satisfaction among the
majority of VIR personnel. Most individuals were enthusiastic about the newly cleaned and organized exam rooms.
Conclusion: Implementing quality initiatives, such as a 5S program, in the department also can improve efficiency by
limiting time spent searching for inventory items or running around trying to turn over the room for the next patient.
When wheels-in and wheels-out time improves, department throughput improves leading to increased employee
satisfaction and more importantly patient satisfaction.
Analysis of Radiology Examination Request Forms from Four Hospitals in Dar es Salaam, Tanzania QM2-2
Stephen Samson Mkoloma 1 , Hellen Kundasai Njau
1 Graduate Radiographer, Ocean Road Cancer Institute, Tanzania
Purpose: To evaluate the adequacy and relevance of patient data and clinical information transmitted to the radiology
and imaging section by the referring doctors in view of the justification demands according to International Atomic
Energy Agency standards.
Methods: A retrospective quantitative study was employed where rating scale was developed. 100 request forms from
each hospital accessed from patients’ files were evaluated to see if the proper completion of the form was adhered by
referring clinicians. A total of 400 patients’ form were involved. Statistical analysis was made using SPSS version 20.
Results: It is observed that 99.5% of forms had the name of patient documented, 83.3% documented the age and
96.5% documented gender of the patient. Also, 53.3% of forms had satisfactory clinical history, 35.7% were
unsatisfactory while 11% didn’t have clinical history. Diagnosis was documented satisfactorily in 70.5% of the forms,
2.8% were unsatisfactory and 26.8% had no provisional or confirmed diagnosis. In terms of previous radiation
examination information, 88% not documented and 12% the information was not applicable, and only 2.5% documented
of LMP while 49% didn’t have information and 48.5% were male patients hence the criteria was not applicable.
Conclusion: properly filled request form is vital if we want to acquire precision in radiological reports, however, the
inadequate presentation of patient information such as history, LMP and age on request form can easily mimic proper
justification of exposure dose to patients by radiographers. Researcher recommends that clinician must insist in
complete compliance to needed information for proper radiology reports and radiation safety.
Key Words: Radiation safety, justification, request form, diagnosis, x-ray examination, ultrasound, referring doctor,
Exposure.
20 th International Society of Radiographers and Radiological Technologist, World Congress
April 12 – 15, 2018 • Hyatt Regency Trinidad, Wrightson Road, Port of Spain, Trinidad, W.I.
Website: www.isrrt2018.org.tt Email: queries@isrrt2018.org.tt