Document Detail


IRMER regulations: compliance rate of radiograph reporting by non-radiology clinicians.
MedLine Citation:
PMID:  21070902     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To assess compliance with regulation 7(8) of Ionizing Radiation Medical Exposure Regulations (IRMER) 2000 legislation amongst non-radiologists reporting radiographs in a large district general hospital.
MATERIALS AND METHODS: A prospective review of 100 consecutive radiography request cards from five different departments undertaking their specialty radiograph reporting were collected over 4 weeks. The requests were then traced to their respective case notes to assess documentation of radiographs. The five departments included chest, maxillo-facial, rheumatology, orthopaedics, and inpatients. Twenty-two case notes were gathered from chest clinics, 21 from maxillo-facial, 15 from rheumatology, 23 from orthopaedics fracture clinics, and 19 were taken from inpatients.
RESULTS: Only 53% of radiographs undertaken by non-radiologists had a documented report. The specialty most compliant with IRMER was orthopaedics 17/23 (74%) and the specialty least compliant was maxilla-facial 8/21 (38%). Of the documented radiographs, the consultant grade was the largest group of doctors [36% (19/53)] that undertook documentation, and for the undocumented radiographs, they were also the largest group of clinicians that did not document radiographs [77% (36/47)]. All radiographs that were documented in the notes also had documented interpretation of the radiograph.
CONCLUSION: Only 53% of plain radiographs were documented and reported by non-radiology clinicians even though IRMER legislation applies to all clinicians undertaking radiograph interpretation. All clinicians undertaking interpretation of radiographs should be made aware of this legislation and the responsibility to document their findings.
Authors:
A Kiu; F Bano; R Barnes; S H M Khan
Publication Detail:
Type:  Journal Article     Date:  2010-10-08
Journal Detail:
Title:  Clinical radiology     Volume:  65     ISSN:  1365-229X     ISO Abbreviation:  Clin Radiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-12     Completed Date:  2011-02-11     Revised Date:  2011-06-10    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  984-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Royal Blackburn Hospital, Blackburn, Lancashire, UK.
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence / legislation & jurisprudence,  standards*
Documentation / standards*,  statistics & numerical data
Great Britain
Health Planning Guidelines
Humans
Orthognathic Surgery / statistics & numerical data
Orthopedics / statistics & numerical data
Prospective Studies
Radiation Dosage
Radiology / legislation & jurisprudence,  methods,  standards*
Rheumatology / statistics & numerical data
Thoracic Surgery / statistics & numerical data
Comments/Corrections
Comment In:
Clin Radiol. 2011 Jun;66(6):587   [PMID:  21439560 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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