Pemilihan Indikator Mutu Prioritas Unit “Pengulangan Foto X-Ray” Sebagai Aspek Fundamental Proteksi dan Budaya Keselamatan Radiasi di Instalasi Radiologi RS Indriati Solobaru

Abstract

An essential aspect of a diagnostic radiology quality assurance program is X-ray image repeat analysis, a systematic process to record rejected or repeated images to determine the cause so we can minimize that image repetition in the future. Some of the disadvantages caused by repeated X-ray photo examinations are giving additional doses to patients (unnecessary exposure), ineffective time for radiology staff and patients (wasting time), and financial losses due to electricity for the X-ray machine and the DR system (unit costs). In January 2021, at the Radiology Installation of Indriati Hospital, repeated X-Ray photos analysis was chosen as one of the quality indicators by Decree No. 031/PER-RSIND/2021. The goal is to look for improvements to minimize repeated X-ray photos occurrence and prevent unnecessary exposure. Monitoring is carried out daily through SISMADAK V5.0.3 and is reported monthly to the KMRS committee. The step for selecting quality indicators for X-ray photo examination repetition has greatly impacted the aspects of radiation protection and safety because it can reduce the number of X-ray photo inspection repetitions by 0.6% from 2020. The continuous improvement step based on the root cause of the fishbone method is with the supervision of a radiographer intensively with OPPE assessment and credentials in the hope of minimizing the repetition of X-ray photos. It can become a fundamental aspect of radiation protection and culture safety, especially in the radiology installation of Indriati-Solobaru Hospital, Sukoharjo, Central Java. Keywords: X-ray photo repetition, quality indicators, fishbone method, radiation safety culture.