The art of rejection: Comparative analysis between Computed Radiography (CR) and Digital Radiography (DR) workstations in the Accident & Emergency and General radiology departments at a district general hospital using customised and standardised reject criteria over a three year period

Aims: Reject analysis continues to play an integral part of a Quality Assurance (QA) program. This study aims to show how Computed Radiography (CR) and Digital Radiography (DR) reject analysis data can be customised by the user to aid in the interpretation of exported data and identify trends and issues relating to technique and training. Materials and methods: Reject analysis was reviewed for the period of 2011-2014 using exported data from CR and DR systems in the Accident and Emergency (A&E) and General radiology departments at a district general hospital. Reject criteria was customised to departmental needs and standardised across all workstation's with monthly data collection for amalgamation onto a central spreadsheet. Results: Analysis by workstation and department was performed with regards to total number of exposure events, rejects and reject ratios (%) and reasons for film rejection (positional and exposure) were reviewed. Annual overall reject ratios (%) were shown to be on average within levels acceptable by the World Health Organisation (WHO) 1 with some variability on monthly basis according to workloads experienced. Conclusions: A number of improvements have been suggested to improve data reliability for future analysis and the continuation of a review of the physical rejected image is recommended as this can highlight problematic areas and help to reveal trends which pure data cannot show. (C) 2014 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.