REJECT FILM ANALYSIS

AIM:

To provide the knowledge to setup a

system which will give a detail
analysis of rejected films and the
reason of the rejection, in order to
put in place remedial action.
 OBJECTIVES:-
• To provide all relevant information and give the
opportunity to gain practical experience in:
• Designing a reject film analysis program
• Setting up and running a reject film analysis
program
• Analysing the results of that program
• Setting up remedial action based on those results
• Instigating a follow up program to assess the
effectiveness of the redial action taken.
.

OBJECTIVES:-

IN EVERY DEPARTMENT A NUMBER OF FILMS

ARE DISCARDED FOR ONE REASON OR
ANOTHER REASONS

INCORRECT EXPOSURE ,POOR POSITIONING

AND PROCESSING ARE SOME OF THE
COMMON CAUSES.
 OBJECTIVES:-
• Knowing exactly what the major reasons are
is a big step towards correcting the faults and
therefore reducing the number of
unacceptable radiographs.
• It is not satisfactory to make judgements on
impressions alone.
• A reject analysis can be an important part of
your ongoing quality assurance program.
 From a Radiographers point of view a reject
analysis may be seen as a threat . It is important
to fully explain to all concerned:
• Why the analysis is being carried out .
• How it will be carried out.
• When it will be carried out.
• The benefit.
• Sensitometry and radiation consistency tests
should be run in parallel with a reject film
analysis as processing or radiation output
irregularities may be causing some of the
problems.
 Benefits:-
• Able to identify the main errors and put
measures in place to reduce them.
• Save money by reducing wastage.
• Reduce radiation dose to the patient by
minimising the number of repeat films.
• Provide ongoing data for comparision.
• Provide possible source of statistics to support
claims for more funding to replace ,modify or
repair faulty equipments.
 Potential problems:-
• Staff members do not co operate fully.
• Radiologist and clinicians tend to retain
substandard films on the grounds that they
provide some information.
• Reject film records not always kept up to date.
 Frequency :-

• Monthly .
 Setting up a reject film analysis
program:-
• Design the program.
• Determine the period over which the program
will run.
• Nominating a starting and finishing date and
time.
• Decide what data you need.
• Design data recording sheets.
• Place reject film boxes in appropriate areas.
 Setting up a reject film analysis
program:-
• Inform staff(the full cooperation of the staff is
important):-
• Why the program is necessary
• How it will operate.
• When it will take place.
• Who is responsible for the program.
 Setting up a reject film analysis program:-

It is usual to collect films from individual x-ray

rooms.
• It. may be necessary to relate the collections to
the individual radiographer as well:-
Immediately before the program starts:-
• Count all the film in store by sizes.
• Add to this count all unexposed films in
cassettes, film hoppers and partially
empty boxes.
• Record this information
• Dispose all current reject films.
 Method:-
• Collect all films daily.
• Record the numbers of rejected film on data
sheets daily .
• Immediate the program has finished re count
the films in the store , cassettes and half
empty boxes.
• Original film count, minus end film count ,
equal number of films used.
• Analyse the data.
 Analysis
• The following information can be obtained from
an analysis of the data:-
• Overall number of reject films.
• Number of reject films by size.
• Number of reject films by faults .
• Number of reject films by rooms(or
radiographers).
• Overall cost of rejected films.
• Identification of common faults.
• Reject film as a percentage of films used.
 Analysis
• Study the data .compare current data with
that of previous programs.
• A reject rate of 10% or more should be
considered un acceptable.
• A reject rate of 5% - 10 % justifies continued
monitoring .
 Action:-
1. Rank the faults in order of frequency.
2.Identify the most common faults.
3. Set up remedial programs to correct errors.
4. Inform staff of finding and planned remedial
action.
5. Start remedial action program.
6)Nominate dates for another analysis if felt
necessary
7))file data for future reference.
THANK YOU.