Analysis and Economic Implication of X-Ray Film Reject in Diagnostic Radiology Department of Jimma University Specialized Hospital, Southwest Ethiopia

Abstract

BACKGROUND: Patients usually undergo repeated X-rayexaminations after their initial X-ray radiographs are rejected dueto poor image quality. This subjects the patients to excess radiationexposure and extra cost.It is therefore investigating the magnitudeand causes of reject is mandatory. This study aimed to assess thereject rate of X-ray films and its economic implication in order toobtain information for further recommendations on image quality,cost and radiation exposure.METHOD: A cross-sectional study approaches wasemployed. Reject rate was measured for two x-rays in thedepartment across all plain x-ray films examinations using astructured format on which relevant data for reject wererecorded by investigators. The results were then collected andentered into a database for analysis.RESULT: Reject rate and cause of reject were measured across allplane x-ray examinations for the hospital. From a total of 6563exposed films, 16.85% were rejected. This leads to economic wasteof 24,721.99 ETB, or 17.8% of a total cost in 4month period andincrease in radiation dose to both patients and staff.CONCLUSION: The findings from this study show that both theoverall reject rate and individual reject rate were higher than theaccepted range which could be due to machine fault, operator’stechnical limitations, or absence of quality control program in thedepartment. We recommend that regular quality assurance andquality control procedure which are well documented should beestablished in the department.