Abstract
As a part of quality assurance program, film reject analysis was conducted in the three most occupied hospitals in Khartoum, Sudan. Initially, 959 films were evaluated for a period of 12 days in eight x-ray rooms. The film repeat causes were evaluated by radiographers and radiologists. Reasons for reject films were identified and corrective actions were accordingly applied; investigation was done once again by analyzing a total number of 1803 films for the same period. In one hospital a repeat rate was reduced from 16.64% to 9.75% due to radiography factors, while in another from 16.11% to 3.81% due to processor factor. The reject causes rates were ranged from 14.2 % to 32%, 3.6 to 16 and from 1.7% to 11.3% due to over/under exposure, processing problems and wrong positioning respectively. Significant improvement in image quality was observed. The results showed that improvements in image quality and dose reduction could be achieved using simple reject film analysis.
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