Trinidad-and-Tabago-Congerss-Abstract-Book
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20 th ISRRT World Congress 2018<br />
Hosted by<br />
Website: www.isrrt2018.org.tt<br />
Email: queries@isrrt2018.org.tt<br />
Approaching Development of a new education programme in Diagnostic Radiography<br />
Alex<strong>and</strong>ra Partner<br />
University of Derby, UK<br />
P10<br />
Back to basic: With modern technology, personal touch is the brilliance of human connection<br />
Jacqueline Umali<br />
National Healthcare Group Diagnostics Singapore, Singapore<br />
P11<br />
Introduction: Missed health care appointments is a caused of significant concern for healthcare providers as these<br />
impact upon the health of the patient <strong>and</strong> treatment outcome. This quality improvement project aimed is to reduce the<br />
wasted ultrasound appointment in National Healthcare Group Diagnostics, Ang Mo Kio Polyclinic in Singapore. The<br />
international bench-mark for primary care clinics is 5-10%.<br />
Method: This study applied a systematic method design based on the platform of CPIP (Clinical Practice Improvement)<br />
programme. The team crafted the mission statement which is to reduce the wasted ultrasound slots from 14% to 5% in<br />
six months’ time. The team drew a process map of how patients are given their appointments. A quantitative survey<br />
was conducted to patients, family members <strong>and</strong> care givers on the possible reason why patient missed their<br />
appointment <strong>and</strong> for not being prepared for the procedure, n=55. A qualitative component includes in-depth interviews<br />
<strong>and</strong> discussion with Patient Service Assistant <strong>and</strong> referring Clinicians. A fishbone was also drawn to analyse the root<br />
causes <strong>and</strong> 5 interventions were identified as suitable for PDSA (Plan, Do, Study, Act) which are: call patients 5 days<br />
before their appointment time, offer cancelled patients suitable rebooking schedule, increase one slot ,removed<br />
cancelled patients from the appointment system <strong>and</strong> replacing cancelled slots.<br />
Result: After the 5th PDSA cycle, wasted ultrasound slots dropped to 8.75% in the post intervention period. The<br />
appointment waiting time reduced from 21 days to next day <strong>and</strong> all patients turned up well prepared for their procedure.<br />
Conclusion: We conclude that an improved strategy for communications with patients is still the best bet so far.<br />
GENERAL RADIOGRAPHY, RADIATION PROTECTION<br />
Dental Radiological Practice in <strong>Trinidad</strong> <strong>and</strong> Tobago: A Pilot Project<br />
Dr. Arlana Bissoon<br />
School of Dentistry, University of the West Indies, <strong>Trinidad</strong> <strong>and</strong> Tobago<br />
P12<br />
Introduction/ Objective: The aim of this study was to identify the current st<strong>and</strong>ards of radiological practice in <strong>Trinidad</strong><br />
in relation to international ionising radiation regulations with respect to dentistry.<br />
Methods: A 32 point questionnaire that was previously tested was administered to 55 dentists who practice in different<br />
regions of <strong>Trinidad</strong>. The survey aimed to gather information on demographic factors, types of radiographic equipment,<br />
techniques <strong>and</strong> processing <strong>and</strong> radiation protection measures.<br />
Results: The majority of dentists (61.8%) were not aware of the technical details of their equipment. Thirty-three<br />
dentists did not know the kVp of their machines <strong>and</strong> 17 dentists were not aware of the intraoral film speed that they<br />
utilize. Of the respondents, 85.5% used rounded collimators. The most common technique for periapical radiography<br />
was the paralleling technique (64%). Many respondents own panoramic X-ray units, but the majority of them (90.9%)<br />
did not take panoramic radiographs on all patients regardless of the dentist’s working environment. This was proven to<br />
be statistically significant (p