ArticleChinese journal of academic radiology2021
Digital radiograph rejection analysis during "Coronavirus disease 2019 (COVID-19) pandemic" in a tertiary care public sector hospital in Khyber Pakhtunkhwa Province of Pakistan.
Article in Chinese journal of academic radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 9 citations in OpenAlex.
- Enhancing patient safety through radiograph rejection analysis: Insights from a diagnostic imaging department audit.Pakistan journal of medical sciences · 2025Article
- Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan.Japanese journal of radiology · 2024Article
- Multi-centre digital radiography reject analysis for different clinical room use types: The establishment of local reject reference levels for public hospital departments.Journal of medical radiation sciences · 2024Article
- Article
- Digital radiography reject analysis: A comparison between two radiology departments in New Zealand.Journal of medical radiation sciences · 2023Article
- Suboptimal Chest Radiography and Artificial Intelligence: The Problem and the Solution.Diagnostics (Basel, Switzerland) · 2023Review
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Authors and funding
2 authors at 1 institution in 1 country.
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Abstract
backgroundEvaluation of X-ray reject analysis is an important quality parameter in diagnostic facility. The aim of this study was to find out the radiograph rejection and its causes during the coronavirus disease 2019 (COVID-19) pandemics as there was fear of coronavirus disease infection among the technical staff from the incoming patients in a busy, high volume public sector tertiary care hospital. MATERIALS AND
methodThis descriptive study was conducted at Radiology Department, Lady Reading Hospital, Peshawar from August to November, 2020. The rejected radiographs and their causes were analyzed.
resultsA total of 15,000 X-ray procedures were conducted during study period out of which 2550 cases were repeated making the total rejection 17%. Rejection in male and female were 74.3 and 25.7%, respectively, while rejection in adults was (80.1%) and (19.9%) in pediatric age group of the total rejection. The main cause of rejection was positioning (30.5%) followed by artifacts (22.4%), motion (12.1%), improper collimation (10%), wrong labeling (8.4%), exposure errors (6.9%), detector errors (3.7%), machine faults (2.8%), re-request from referring physician (1.7%), and PACS issues (1.5%). In terms of body anatomical parts, the highest rejection was observed in extremities (44.1%), followed by chest radiography (23.3%), spine (11.4%), abdomen (6.4%), skull (5.9%), pelvis (4.7%), KUB (3.7%), and neck (0.6%), respectively.
conclusionRadiograph rejection is common problem in every diagnostic facility but significant reduction can be achieved by implementing rejection analysis as basic quality indicator, and conducting technologist/s specific training programs for their knowledge and skill enhancement.
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