Trinidad-and-Tabago-Congerss-Abstract-Book

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20 th ISRRT World Congress 2018 Hosted by Website: www.isrrt2018.org.tt Email: queries@isrrt2018.org.tt Study of Factors Affecting Service Quality of Main Radiology Department of The National Hospital of Sri Lanka QM2-3 Vitharana Gamage Wimalasena Principal, Sri Lanka School of Radiography, Sri Lanka Purpose: The National Hospital of Sri Lanka (NHSL) is the major government hospital situated in Colombo. It has a bed capacity of 3294. The NHSL is the national referral hospital to which the patients can be referred from any hospital within the island. The patients from different clinics and wards are referred for radiology examinations to the Main radiology department. Patient satisfaction is a criterian for determining quality of a service. It is an important and useful quality improvement tool for healthcare services. In this study radiography service of Main radiology department of the National Hospital of sri lanka (NHSL) was condsidered. The research was desinged to identify the factors affecting patient satisfaction and therfore the service quality of the main radiology department of National Hospital of Sri lanka (NHSL). The study was a descriptive cross sectional study. The quality influencing factors as described by Lee et all (2016) was selected. They are: Infrastructure (space, cleanliness, toilet, environment), people(timeliness, willing to listen and help) and accessibility (access to the department, appointment system, ), empathy (politness, explanations, listening, responsivenes, knowledge), tangibles (cleanliness, convenience, advancement of equipment and knowledge, staff uniform), safety(safety and comfort of the department, accuracy and proficiency of staff, free of infection), efficiency(waiting time for imaging procedure and receiving report), improvement of care(accuracy of diagnosis, disease prevention meaures) were considered. Method: A sample of Clinic patients (40) were selected for the study. Data was collected through a questionire. Data was analyzed with a 5 point Likert scale of SPSS version 16, Cronbach’s alfa, descriptive statistics, correlation and regression models and ANOVA was applied for data analysis. Result & Conclusion: Infrastructure (waiting hall space, cleanliness, toilet, environment) was at disagree level. Therfore waiting hall space, cleanliness, toilet, environment are seems at unsatisfactory level. Responses with regards to the other factors are in nuetral level. Even though there is a slightly improvent in improvement of care, all the other factors are having negative response. Delay of Reporting of Film in the Radiology Department Jalila Keens Douglas Student Radiographer, COSTAATT, Trinidad & Tobago QM2-4 Purpose: A radiographic examination is an integral part of clinical management and care of a patient in a hospital. Improving patient care has become a priority for all health care providers with the overall objective of achieving a high degree of patient satisfaction. The purpose of this study was to investigate the delay in reporting of film in the radiology department. Methods: This research was carried out for four months. Data collection began on January 11th and data collection was finished by late April. The distribution of questioners was carried out on Monday, Wednesday and Friday where observation of the radiographers’ daily routines and how they handle patients and equipment in the department can be recorded. Data from the patient suggestion boxes would also be obtained on these days and visual observations conducted. Results: The measurement of turnaround times is the most commonly adopted performance metric to gauge the success of radiology service today. While TAT is a very important part of the equation, it should not be the only measure since it is does not appropriately account for report accuracy. When measuring report TATs, it is critical that all hospitals across a health system track performance against a common set of measurement criteria to ensure they are delivering a consistent level of service. Radiology providers should therefore be held accountable to these service levels as part of their contract. The Radiology Quality Institute recommends the following standards for final report TATs: At the Eric Williams Medical Sciences Complex a monthly and quarterly reports for the system will be created in order to gauge the overall performance of their radiology enterprise and identify areas that need improvement. End-to-end turnaround times involve many stages including ordering the scan, sending the scan, validation and reading. The turnaround times shown below are defined as “Validate to Read” which is the time from validation to the radiologist performing the read. 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
20 th ISRRT World Congress 2018 Hosted by Website: www.isrrt2018.org.tt Email: queries@isrrt2018.org.tt Conclusion: In conclusion, there is a delay in reporting as shown in the table above. From the collected data it is evident that there exists a major delay in turnaround time throughout all modalities at the department, especially that of MRI. When interviewed radiographers themselves had stated that patients often complain about the length of time they are made to wait to receive MRI reports. This is evidence that the problem does indeed exist. As mentioned before, the research was conducted by means of a checklist of fourteen questions which was distributed amongst fifteen radiographers and five radiologists at the Eric Williams Medical Sciences Complex. Musculoskeletal Injuries among Radiographers in Trinidad and Tobago Jendayi Tull Student Radiographer, COSTAATT, Trinidad & Tobago QM2-5 Purpose: Musculoskeletal injuries among radiographers in Trinidad and Tobago pose as a concern to both the individual and health institution. In the radiology department, there is an increase in the number of injuries among radiographers due to manual labour and repetitive motion. These injuries can become intense and may lead to a reduction in productivity among workers in the department. It may also cause an increase in the amount of sick days taken by radiographers and may even cause them to retire earlier than expected. This is not beneficial to the radiographer and poses as a problem to any health institution. Method: A 20-item, structured questionnaire was used for this study. The questionnaire used was formatted with close ended and open ended questions to assess the link between radiographers and musculoskeletal injuries. Items covered included possible symptoms that may be experienced by radiographers in the course of their job performance. A second method of choice was the use of a checklist. The checklist was utilized to evaluate and prioritise the hazards within the department, and to decipher whether the risk of musculoskeletal injuries do exist. Results: In collecting the data, it was shown that radiographers are at risk and do suffer from musculoskeletal injuries. The study reveals serious problems faced by radiographers such as heavy psychological strain in the work place, physical workload, poor workplace ergonomics, and the lack of ergonomic awareness. The most commonly affected area was the lower back, with a prevalence of 35%. The study also displayed that 70% of the radiographers responded that time was taken off work due to either pain or injury. Conclusion: Musculoskeletal injuries do occur among radiographers in Trinidad and Tobago. Musculoskeletal injuries varied based on years working in the profession and the modality practiced. ADVANCED PRACTICE Implementing Advanced Practice: An Exploration of the Clinical Enablers Maryann Hardy Professor, University of Bradford, UK AP2-1 Purpose: Advanced radiographer practice is well established in the UK but its implementation has been inconsistent. Published studies have identified barriers to the adoption of advanced practice and skills mix in clinical practice but no study has explored the enablers of advanced practice adoption. Methods: Using a grounded theory approach, this study explores the factors necessary for the enablement of advanced radiographic practice. Data from NHS benchmarking, supplemented by data from a previous study exploring advanced practice across the UK, was used to identify positive deviant clinical sites (those where advanced radiographic practice was established and widespread). Key individuals responsible for service design within these organisations (e.g. lead radiologist; service manager) were invited to participate in the study. Consent to participate was recorded as part of interview process and all participants were provided with an audio copy of interview and full transcription. Results: Data analysis is ongoing but key factors are beginning to emerge as potentially essential factors for enabling the adoption of advanced practice. Conclusions: While much work has been undertaken comparing radiographers with other professions and identifying the barriers to the clinical implementation of advanced radiographic practice, no identified study has explored the key 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
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