Radiology department performance: case study of ct scan at sahloul Hospital (tunisia)

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Published Sep 5, 2018
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Vol. 96 No. 5 (2018): Issue May 2018

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Mouna Safer
Zoubeier Bezouich
Mohamed Khelil
Chokri Zoghlami
Nadia Arifa
Ahmed Ben Abdelaziz

Abstract

Background: The privileged recourse to CT-scan prescription in our current medical practice engender massive request which can alter not only
the stability of the operating budgets of the public hospitals but also the clinical and managerial performance of these medical-technical
departments.
Aim: To audit the quality of CT-scan delivery in radiology Department at University Hospital of Sahloul in 2013.
Methods: Five quality indicators for the CT scan delivery were measured, three of which refer to period of time: A (deposit), B (perform CT-Scan)
and C (final report recovery), and two evaluating the conformity of the radiological documents of the CT scan (request form and radiological
report) using two grids composed of 12 iso-weighted items (one point), and was found satisfactory beyond 10 points.
Results: A total of 1141 CT scan request forms were included in the study which 1 111 (97%) were from Sahloul hospital departments and
particularly from urology (16,2 %). Filling of CT- scan application form was conform only in 25.6 % of cases. For outpatient clinics the means
(±SD) of period of time (in days) were: A: 0.2± 1.8. B: 59± 24.6. C: 14±9.2. D: 69.9±30.3 and E: 70± 30.1 versus A: 0.2± 1.8; B: 4.4± 3.9; C:
4.7 ± 6.5; D: 7.9± 8.6 and E: 8± 8.8 for hospital departments. Final reports were satisfactory in 87% and 52% of cases respectively in outpatient
clinics and emergency.
Conclusion: The performance of the CT scan examination, at Sahloul University Hospital, was limited mainly by excessive times of its
realization and unsatisfactory quality of the final reports, hence there is a need of a radiology information system.

Keywords:

Medical audit - Radiology - Radiology Department - Hospital - Tomography Scanners - Radiology Information Systems - Quality of Health Care - Tunisia

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