ArticleJournal of family medicine and primary care2022
A quality improvement project: Reducing the number of unnecessary plain abdominal radiographs performed in the emergency department of a London district general hospital.
Article in Journal of family medicine and primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Diagnostic utility of abdominal radiography in emergency departments with high guideline compliance: a retrospective cohort study.Emergency radiology · 2026Article
- Optimizing Imaging Adherence in Acute Pancreatitis: A Clinical Audit at a District General Hospital.Cureus · 2025Article
- Reducing Inappropriate Abdominal X-ray Requests in a Surgical Admissions Unit: A Quality Improvement Project.Cureus · 2025Article
- Technical note: A proposal of a novel figure-of-merit defined from task-based detectability index in abdominal radiography.Medical physics · 2025Article
- Reducing inappropriate investigations for minor lower limb cellulitis.BMJ open quality · 2025Article
- Plain film of the abdomen remains a low sensitivity test in A&E.Irish journal of medical science · 2024Article
- Are We Following iRefer Guidelines From the Royal College of Radiology When Requesting Abdominal X-rays?Cureus · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Inappropriate completion of abdominal radiographs results in unnecessary exposure to ionizing radiation. This quality improvement project aimed to reduce the number of inappropriate abdominal radiographs performed in the emergency department. Materials and methods: Abdominal radiograph request forms were analyzed with reference to the Royal College of Radiologists (RCR) iRefer guidance. A teaching session was then delivered to ED clinicians and posters were disseminated within the department. Post-intervention data collection followed. Results: Following the intervention, there was an increase in the proportion of abdominal radiographs meeting iRefer guidance, which was accompanied by an increased diagnostic yield of these investigations. There was a reduction in the number of requests post-intervention. Conclusions: Our interventions helped increase awareness of both the guidelines and radiation dose associated with each study. Routine education of the iRefer guidelines will help reduce inappropriate requests. This in turn will reduce unnecessary radiation exposure, whilst also reducing the financial burden.
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Registered trials
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