Assessment of abdominal CT examination request form

Abstract

The request form is a way to gather information about the patients who undergo CT or any other radiological procedure. The aim of this study was to assess CT Abdomen request form using an ideal request form and compared it to the request forms collected from different hospitals in khartoum state to reduce the complications which can occur due to insufficient information about patient’s condition. A total number of 70 CT Abdomen forms referred from various hospitals in Khartoum state were evaluated. The result of the study revealed that patient name, exam date, physician name, age and clinical data were included in the request form. Height, allergy to medications and contrast media, anesthesia, and renal function test (GFR) were not existed. Phone number was found in 94,3 %, furthermore weight was found in 22.9% of request form. Diabetes was found in 5.7% of request form. Creatinin was found in 15.7% and Sedation was found in 8.9%. In spite of the importance of the information included in an ideal request form, radiological departments don’t imply them in their procedures.