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    Improving wrist imaging through a multicentre educational intervention: The challenge of orthogonal projections

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    snaith_et_al_2020 (499.3Kb)
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    Publication date
    2020-09-01
    Author
    Snaith, Beverly
    Raine, S.
    Fowler, L.
    Osborne, C.
    House, S.
    Holmes, R.
    Tattersall, E.
    Pierce, E.
    Dobson, M.
    Harcus, J.W.
    Keyword
    Wrist
    Radiography
    X-Ray
    Quality improvement
    Education
    Rights
    (c) 2020 The Authors.
    Peer-Reviewed
    Yes
    
    Metadata
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    Abstract
    In relation to wrist imaging, the accepted requirement is two orthogonal projections obtained at 90°, each with the wrist in neutral position. However, the literature and anecdotal experience suggests that this principle is not universally applied. Method: This multiphase study was undertaken across eight different hospitals sites. Compliance with standard UK technique was confirmed if there was a change in ulna orientation between the dorsi-palmar (DP) and lateral wrist projections. A baseline evaluation for three days was randomly identified from the preceding three months. An educational intervention was implemented using a poster to demonstrate standard positioning. To measure the impact of the intervention, further evaluation took place at two weeks (early) and three months (late). Results: Across the study phases, only a minority of radiographs demonstrated compliance with the standard technique, with an identical anatomical appearance of the distal ulna across the projections. Initial compliance was 16.8% (n = 40/238), and this improved to 47.8% (n = 77/161) post-intervention, but declined to 32.8% (n = 41/125) within three months. The presence of pathology appeared to influence practice, with a greater proportion of those with an abnormal radiographic examination demonstrating a change in ulna appearances in the baseline cohort (p
    URI
    http://hdl.handle.net/10454/17986
    Version
    Accepted manuscript
    Citation
    Snaith B, Raine S, Fowler L et al (2020) Improving wrist imaging through a multicentre educational intervention: The challenge of orthogonal projections. Hand Therapy. 25(3): 107-113.
    Link to publisher’s version
    https://doi.org/10.1177%2F1758998320935920
    Type
    Article
    Collections
    Health Studies Publications

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