1. ADAMA COMPREHENSIVE SPECIALIZED HOSPITAL MEDICAL COLLEGE
DEPARTMENT OF RADIOLOGY
Presenter: Abel Girma (MD, Radiology Resident)
Moderator: Gulilat Sissay ( MD, Assistant Professor of Radiology)
Adama, Ethiopia 2023
MONTHLY ACTIVITY REPORT
(Month of Tikimt 2016)
3. Introduction
• Radiology department is one of the six major specialty department in
ACSHMC.
• It providing serves of radiography, U/s, CT and MRI imaging modality.
• It consists of 5 Sub-units:-
1. Thoracic radiology unit
2. Neuro radiology unit
3. Pediatric and MSK and Breast Imaging unit
4. Body U/s unit
5. Body CT/MRI Unit
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4. Cont’d …
Other activities in this department includes:-
Teaching activities for:-
• Radiology residents (year I,II,III)
• MRT
• Medical students and
• Other department Residents.
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5. Radiology Department Staff profile
S/N Type of Professional Number remarks
1 Senior Radiologist 5
2 Radiology Residents 19 Year I (5),II(7),III(7)
3 Radiology technologist 11
4 Nurses 4
5 Radiographer 3
6 MRT Students 31 Year I (16),III(15)
7 Supportive staffs 3
Total 76
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6. Objectives
General objective
To assess the clinical & academic activities of radiology department.
Specific objectives
To identify major activities done in department.
To identify specific problems that needs interventions.
To improve quality service delivery.
To minimize patient risk.
To assess the academic activities of the department.
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7. Methodology
Study design:- Hospital based cross sectional study.
Study area:- Adama Hospital Radiology Department
Study period:- from Tikimt,1/2016 – Tikimt30/2016 E.C
Data sources for this study:- resident activities report logbook,
different unit registration books, and from LAN/”EMR”.
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8. Cont’d …
Data analysis and summarization - manually, by excel and by
calculator.
Final data distribution and use- It will be presented to seniors,
residents , medical radiology technologist, higher officials and others
who are interested to attend.
Finally, it will be submitted to the department and concerned bodies.
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10. Results from student log book and
registration
• Total imaging done in the month of Meskerem 2016 = 5457
• U/s including echo and doppler =2584
• X-Ray=1704
• CT=472
• MRI=392
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16. Neuroradiology unit Activity from student log book
• Total number of imaging done in Neuroradiology unit 861
• CT scan =222
• MRI= 342
• U/s = 87
• X ray = 210
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17. Neuro Unit Imaging based on category Tikimt 2016
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CT MRI US Xray
Head CT 172 Brain MRI 162 Neck 59 Skull 100
Neck and C-Spine 37 C-spine
MRI
44 Carotid
doppler
6 Face 11
PNS 4 L-s MRI 128 0rbital 22 Thoracic 12
Spine 9 T/L 8 Lumbosacral 77
Total 222 342 71 210
20. Pediatric and MSK Meskerem 2016
• Source from student log book and registration book
• Total imaging done is 1692
• X ray =975
• U/s = 354
• MRI= 28
• CT=25
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21. Pediatric and MSK imaging based on category
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CT MRI U/s X-ray
Pelvic CT 11 Knee 14 Abd/pel us 151 MSK 891
Upper Ext 6 Shoulder 1 Trans
fontanel
38 Chest 255
Lower Ext 4 Ankle 1 Echo 61 Abd 41
Chest CT 4 other 6 Breast 32 Bone age 38
Thigh 6 MSK u/s 51
Neck 13
Others(H&
N, chest
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Total 25 28 354 974
24. Body CT and MRI Units source resident log book
• Total image 190
• CE Abdomino pelvic CT and CT-KUB = 126
• Pelvic MRI= 22
• Abdomen= 1
• MRCP= 3
• Plain Abd X-ray and KUB= 39
• No image Repetition
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25. Body CT… cont’d ..proportion Source _ Students logbook
25
66.30%
11.6
2%
20.5
Proportion of image category, Body CT/MRI unit,
Tikimt-2016
Abd-pelvic CT Pelvic MRI MRCP Plain Abd. X-ray & KUB
32. PC time activity month of Meskerem -2016 from pc registration
• Total no of U/s done 581This includes abdominal pelvic u/s, echo &
Doppler
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33. Non collected results … CT
CT Image Category # not collected # Total done % not collected
Head and C-spine 94 222 42% Meskerem-41%
MSK 12 25 48% Meskerem-46%
Chest 9 101 8.9% Meskerem-3.5%
Abdomen 22 123 17.8 % Meskerem- 4.4%
Total (170, nehase) 352 26.4%(26,4 Meskerem)
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34. Non collected results … MRI
MRI Image Category # not collected # Total done % not collected
Pelvic 2 23 8.6 %
MSK 0 28 -
Brain 4 162 2.4%
Spine 19 180 10.5%
Total 25(16, Meskerem) 393 6.3 (6.6%Meskerem)
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35. Appointment system
Modalities No of day REMARKS
CT No appointment Same
MRI ~ 1 weeks Same
U/S, Echo and doppler No appointment same
X-RAY No appointment same
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36. Academic Activities
• Mornings
3 - 5* per week (13) + 2
• Seminar Presentations and Lectures no
Seminar _ CR-I # 2 presentations conducted;
CR-1 Evaluation conducted
Joint session, October 25, By Dr Ashenafi Hailu
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37. List of Problems
• Inconsistency “EMR” system, Electric power fluctuations, UPS absence
• Inconsistency of facility equipment like printer ink, paper, soft
• Inadequate Communication between referring physicians and radiology
residents
• Missed registration of duty time activities, due to lack of supportive staff.
• Reduction of image quality(MRI, CT)
• Inadequate working stations
• Timely result delivery
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38. Problem improved
• Communication for image delivery improved
• Inconsistency between registrations used in the department(x ray and
ultrasound), is improved
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39. Conclusion
• There is an overall decrement in number of imaging performed in the
current month.
X-Ray and U/S remained to be the highest performed modalities.
Still MRI has shown a increment (Hamle, 196, Nehase, 284,Meskerem
285, Tikimt, 342 )
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40. Recommendation
• Resume provision of images to the patients, as a backup copy.
• Ensuring delivering a clear information about appointments and results of
imaging.
• Data recording and storage system should be improved.
• To increase working stations ASAP
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41. References / Data sources
1. CT unit record book
2. MRI unit record book
3. X/ray unit record book
4. U/s unit record book
5. Resident activity log book
6. Previous audit reports
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