Authors: Dr Jitendra Siyani , Dr Lamay Rahman , Dr Adeep Menon , Dr Saad Abdulla , Dr Edward Lamuren

Abstract

Introduction:

The National Institute for Health and Care Excellence (NICE) recommends provisional radiology reports within 60 minutes for urgent trauma CTs.

Aim/Objective:

To initially assess Basildon’s compliance with this 60 minute recommendation and then to formulate plus implement changes if falling below this guidance

Method:

We initially recorded the number of Trauma CT requests in one month and the time taken for the CT to be reported. We highlighted the issue at the local governance and education meeting. A decision was made to introduce a trauma assessment form to streamline and triage scanning requirements. Additional changes were made that scan request authorization would now only be limited to senior clinicians on duty.

Results:

Between May and August 2024, trauma CT reporting times averaged 72 minutes. A trauma assessment form was introduced to streamline scanning. Post-intervention, reporting times improved to 52 minutes.

The number of  Trauma CT requests in May 2024 was 30 and through education ,the number of trauma CT requesting reduced to 17.

Radiologists reported frequent over-requesting of trauma CTs; in response, scan authorization was limited to senior clinicians.

Discussion:

We found implementation of these changes led to scan requests decreasing over the next 3 months and time of radiology reporting decreased to 52 minutes on average.

Conclusion:

These interventions significantly enhanced compliance with NICE guidelines, optimizing imaging resources and improving trauma care deliver

Keywords: Reporting of Trauma CT within 60 minutes