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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-115Improving the Percentage of Mobile Chest Radiographs from EmergencyDepartment (Red Zone) with Turnaround Time (TAT) %u226445 MinutesLim YW, Choong KL, Muhammad Fakhri A, Nora M, Wan Hasnizi HZRadiology Department, Hospital Shah Alam, SelangorSELECTION OF OPPORTUNITIES FOR IMPROVEMENT:Delayed mobile chest radiographs (CXR) in Emergency Department (ED) will result in a delay in thediagnosis and acute management. A verification study from July - December 2021 showed that only63.4% of mobile chest radiographs from ED with Turnaround Time (TAT) %u226445 minutes. TAT is the periodfrom when the ED orders an exam to its completion and upload of radiographs in the RadiologyInformation System (RIS). This study involved radiology department radiographers and PembantuPerawatan Kesihatan.KEY MEASURES FOR IMPROVEMENT:The key indicator for improvement was measured using the percentage of mobile chest radiographs fromED with TAT %u226445 minutes. The standard was or >80% based on the Hospital Performance Indicator forAccountability (HPIA).PROCESS OF GATHERING INFORMATION:A quality improvement study was conducted using convenience sampling involving mobile chestradiograph patients from ED. A total of 674 patients were included. Data was collected using a phone calllogbook, observation charts and online RIS data.ANALYSIS AND INTERPRETATION:The pre-remedial study showed the percentage of mobile chest radiographs from ED with TAT %u226445minutes was 70.4%. The contributing factors include non-compliance to Standard Operating Procedure(SOP), interdepartmental miscommunication, no assistant from ED staff during mobile CXR fordependent ED patients and no RIS access in ED computers.STRATEGIES FOR CHANGE:The remedial measures were continuous medical education (CME) for radiology staff regarding mobileCXR SOP, internal memos to facilitate interdepartmental communication, discussion/memo for criteria ofED patients requiring assistance for mobile CXR, and RIS installation in the ED computer.EFFECT OF CHANGE:The percentage of mobile chest radiographs from ED with Turnaround Time (TAT) was increased from70.4% to 83.7% during post-remedial study. Achievable Benefit Not Achieved (ABNA) was improvedfrom 9.6% to (-) 3.7%.THE NEXT STEP:Regular CME for radiology staff, roster improvement (dedicated mobile team for ED) and futurecollaboration with the ED team were planned.208 | Page