Qp.11 Quality Assessment Of Referrals To X-Ray Of Columna

Author(s): 
B. Anthonsen
FUAP, Storstroms County, Denmark, Nykøbing F, Denmark
Text: 
Background.
A routine review of referrals to “X-ray of columna” indicated that a further assessment was needed of
*referrals
*waiting times and response times
*indications
*relation between referral diagnosis and x-ray diagnosis.
Method.
All referrals for a period of one month was analysed with respect to the four parameters mentioned above.
Findings.
* The quality of referrals was clearly less than expected, which makes it difficult for radiologists to conduct a precise visitation and evaluation of the diagnosis.
* The waiting time for examination, which is set to * The response time to the GP could be another 34 weeks, which is unacceptable for patients, who are often on sick-leave and facing an unclear life situation.
* Indication for referral to “x-ray of columna” should be narrow, and particularly so for younger patients because of radiation risks.
* Relation between referral and x-ray diagnosis: 53 of 136 referrals had a tentative diagnosis (38 per cent), and of those 34 were correct (64 per cent).
Conclusion.
* There is a need for more precise indications when referring patients to “x-ray of columna”. There is a need for a minimum of relevant information in order to conduct relevant visitation and description of each case.
* There is need for careful specialist visitation, as well as for referrals to more relevant examinations such as CT or MR-scans, so that the result is “ the relevant examination for the right patient”.
Literature: 
QP.11 QUALITY ASSESSMENT OF REFERRALS TO X-RAY OF COLUMNA