A review of completeness and appropriateness of radiology request and adequacy of clinical information on radiology request at BDF Hospital in Bahrain

A retrospective cohort study of the completeness and appropriateness of the radiological have been performed at the Royal Medical Services - Bahrain Defence Force Hospital (RMS-BDF) between 12-March-2023 and 25-March-2023. In this framework, only two imaging modalities were selected: general X-rays and CT scan. Referrals from within RMS-BDF have been selected due to easy access and availability of all data needed for this audit. The electronic radiological request for these modalities were manually assessed for the following criteria: essential clinical information and other relevant clinical information. All evaluation criteria were listed in a data sheet and the assigned radiologists were asked to evaluate the radiological requests and tick correspondent notices in the data sheets. All data sheets were then sent to a statistician to analyze the data using Microsoft Office excel to generate graphs and figures. The data analysis showed that the accepted CT scan requests were 298 (69%) out of total 421 radiological requests. For the general X-rays, the accepted requests were 855 (40%) requests while the invalid requests were 1269 (60%) requests. According to Bahrain Defence Force Hospital standards, the referrer must provide enough medical information in order to justify the use of the radiation and to provide quality service to the patients. The outcome of this audit can be used to evaluate the compliance and completeness of the radiological request after intervention. Instructing the physicians and training them to fill all required and necessary clinical information.