X-Ray Film Reject Analysis at the X-Ray Department Mulago Hospital.

Abstract

Introduction: It is not surprising to encounter patients who undergo repeat x-ray examinations after their initial x-rays are rejected for poor image quality thereby subjecting them to excess radiation exposure and avoidable extra cost. This creates a situation which necessitates the need to explore causes of reject and repeat of x-ray examinations. The employment of reject analysis as part of overall Quality Assurance (QA) programs in clinical radiography and radiology services in the evaluation of image quality is a well-established practice. The role of reject analysis in providing relevant information that would help achieve sound reduction in radiation exposure and cost as well as develop acceptable image quality was explored in this study. The use of reject analysis as part of quality assurance programs in clinical radiology is vital.Purpose: To determine the film reject rate at the X-ray department Mulago hospital and obtain information for further recommendation on improving film quality, reduce utility costs and the unnecessary radiation exposure to both patients and radiology personnel. Method: A Cross section descriptive study approach was employed. Plain x-ray films examinations were encountered in the period of study. The Reject rate was measured using structured format checklists on which relevant data for reject were recorded. The Checklists were used to capture the number of rejected radiographs, sizes of films used, examinations done and reasons for reject. The exposure factors were captured. The results were then collected and entered into a database for analysis.