This clinical audit identified the compliance rate of ultrasound users to the standard operating procedures (SOP); and identified the factors that led to a compliance rate of ultrasound human users. The review was conducted for six days in a private radiologic academy in Indonesia. Only 23 subjects selected randomly were audited. Of the 23 participants, there were 11 males and 12 females. Of the 11 males, seven were compliant, and three were non-compliant. Of the 12 females, eight were compliant, and four were non-compliant. The factors that affect the compliance to the SOP were based on the skills of the participants. Another factor identified was the way the standard operating procedure communicated to the human users on how to perform the ultrasound. Further training was therefore planned.
This case study aims to apply the processes of decision-making for a patient requiring radiologic emergency abdominal X-ray examination admitted to the accident and emergency (A&E) department in a governmentowned hospital in West Java, Indonesia. It also aims to evaluate the patient who is experiencing abdominal pain that is very unusual accompanied by bloating, vomiting, severe constipation, and abdominal cramps.The purpose of this case is to allow decision-makers to have a world view on how decisions are made with minimal errors. A sound decision can achieve this, having patients or relatives and others significant who takes part in decision-making (Thompson & Dowding 2002). Decision-making Processes for a Patient Admitted to the Accident and Emergency Department Requiring Emergency Abdominal X-ray -A Case Study Y. YULIAWATIThis study investigated the application of the various processes involved in decision-making for a case requiring radiologic emergency abdominal X-ray examination to the Accident and Emergency Department in a government-owned hospital in West Java, Indonesia. It is also aimed to evaluate the patient who was experiencing abdominal pain accompanied by bloating, vomiting, severe constipation and abdominal cramps.The decision-making models used for this case were the normative, prescriptive and descriptive judgments. A decision tree in the form of decision options that was employed in this case addressed the normative model of decision-making, while the algorithm and information processing theory focused on the prescriptive model. Lastly, the intuition that was used in this case concentrated on the descriptive model of decision-making.An emergency abdominal X-ray was indicated for the patient -a prescriptive decision. Options from decision trees were also practiced. However, the patient was in pain; therefore, she was unable to understand the alternatives that were presented. Hence, this choice was suggested by the author because, by intuition, the expectation was that the patient suffered from acute abdominal crisis.
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