Reducing radiology referral errors through training: an audit from 2023-24
A recent audit conducted at the National Orthopaedic Hospital Cappagh in Dublin revealed a significant reduction in radiology referral errors following targeted training interventions. Initially, a 2023 audit found a nine per cent error rate in plain film x-ray referrals, primarily due to incorrect procedures, insufficient clinical information and wrong anatomical sides. These errors, while not directly harmful, posed risks of unnecessary radiation exposure and delays in patient care.
To address this, the hospital implemented structured training for medical interns and distributed a referral guidelines booklet aligned with iRefer standards. These measures led to a dramatic drop in errors to just one per cent by August 2024. The improved accuracy in referrals enhanced radiographers’ ability to justify imaging requests promptly, reducing patient wait times and improving overall care quality.
The initiative aligns with Irish and EU radiation safety regulations, emphasising justification and dose minimisation. As a result, the Radiation Safety Committee now mandates training for all new interns, ensuring sustained improvements in referral practices. This audit highlights the critical role of education and clear protocols in enhancing radiology service efficiency and patient safety.
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