The Appropriateness of Utilization of Portable X-Ray in Nakhonpathom Hospital

Abstract

Purpose : To evaluate indications and appropriation of utilization of portable X-ray in Nakhonpathom
hospital.

Materials and methods : Retrospective review of request forms and medical records of 1,353 patients who were sent for portable X-ray service from 9 IPD wards, 3 ICUs and ER during 1^st January 2010 - 31^th March 2010 were done. Radiologist was assigned to classify the indications into 3 categories : proper / improper / undetermined. Descriptive statistics and Chi-square test were used to analyse the data.

Results : Appropriate indications were found in 76.96 % of cases. ICUs were the most appropriate group (98.46%) whereas pediatric wards had 37.04% of improper requests. Daytime service requested improper indications than night -time. Medical students (externs) and interns were found to use mobile X-ray improperly in 16.00 %.

Conclusions : The appropriateness of utilization of portable X-ray in Nakhonpathom hospital was 76.96%. Relating factors were departments, wards, daytime or night - time service, medical students, interns and medical staffs. Utilization reviews of mobile X-ray requested from non-ICU wards were needed especially when it was sent in daytime.