1. Dr Sennett & Dr Ceccherini

2. The Audit
 Using RCR guidelines in standard practice
and guidance for trauma radiology in
severely injured patients
 Standard 12: “On-call consultant
radiologists should provide the final report
on the SIP within one hour of MDCT
image acquisition”
 NICE guidelines advise a provisional
written report should be made available
within one hour of the CT taking place

3. Summary of previous
results
 Currently not meeting RCR guidelines
 Overall 37% verified within an hour
 In hours: 37% verified within an hour
 Out of hours: 33% verified within an hour
 April 14% within an hour
 May 45% within an hour
 June 44% within an hour

4. Previous results (April –
June)
Overall hours
Time (minutes) Amount
0-30 5
31-60 31
61-90 31
91-120 18
121-150 7
151+ 6
Total 98
5%
32%
32%
18%
7%
6%

5. Previous results (April –
June)
In hours 08:01-1930
Time Amount
0-30 3
31-60 20
61-90 18
91-120 11
121-150 4
151+ 6
Total 62
Out of hours (19:31 - 08:00)
Time Amount
0-30 2
31-60 11
61-90 13
91-120 7
121-150 4
151+ 2
Total 39

6. Action Plan
 Increase communication between radiographers and
radiologists
 Voice recognition to be used for reporting
 Trauma images to be sent via high speed transfer
out of hours
 Trauma scans prioritised to be reported out of hours
TRAUMA PATIENTS
Radiographer informed
Radiologist that scan has finished
Patient MRN:

7. Method of Analysing action plan
Trauma reports in
December reviewed
CT head as a marker
for trauma call patients
Time between first slice
to report verification

8. December all hours
Overall hours
Time (minutes) Amount
0-30 8
31-60 17
61-90 5
91-120 2
121-150 0
151+ 1
Total 33
24%
52%
15%
6%
0%
3%

9. December in and out of
hours
In hours 08:01-1930
Time Amount
0-30 5
31-60 9
61-90 5
91-120 2
121-150 0
151+ 1
Total 22
Out of hours (19:31 - 08:00)
Time Amount
0-30 3
31-60 8
61-90 0
91-120 0
121-150 0
151+ 0
Total 11

10. Comparison of all scans
37%
75%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pre audit Post audit
Total % of scans verfied within an hour

11. Working hours / out of hours
37%
64%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pre audit Post audit
% of scans verified within an hour
during work hours
33%
100%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pre Audit Post Audit
% of scans verified within an
hour out of hours

12. Summary
 December results
 Total; 75% of scans verified within an hour
 In hours: 64% of scans verified within an hour
 Out of hours: 100% of scans verified within an hour
 Significant improvement
 Total: from 37% to 75%
 In hours: from 37% to 64%
 Out of hours: 33% to 100%