EP-606 An audit to assess the requests for plain abdominal radiographs for surgical conditions for the patients admitted in SAU are appropriate

Abstract

Abstract Aim To ensure that requests for plain AXR for surgical conditions for the patients admitted in SAU are performed appropriately as advised by Royal College of Radiologists guidelines. We intend to reduce the radiation dose and early access to more appropriate investigations. RCR iRefer guidelines for AXR Methods Patients admitted in SAU with abdominal pain in the month of October 2020 were taken. Total number of patients audited 50. 22 patients had AXR whereas 28 didn't have any. In this 28 patients (56%); 16(58%) of them directly underwent higher imaging CT scan as they were quite unwell on arrival. Remaining 12 (42%) did not have abdominal x ray in line with the guidelines. Out of 22 patients who had abdominal Xray, we noted that 15 were not indicated which are shown in the table below. Group 1. – 28(56%) did not have an x-ray, in that 12 (42%) met the guidelines Group 2. – 22(44%) patients had an x-ray 15(68%) of these were not indicated Conclusion