{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T14:11:11Z","timestamp":1778335871199,"version":"3.51.4"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Objective: Assessment of actual radiograph rejection was the primary goal of this investigation in the imaging facility of a public sector hospital, which was noticeably high during the pandemic as staff members were afraid of infection.\r\nMethods: This retrospective study was carried out in the department of Radiology, LRH from July 2023 to March 2024 during which a total of 47,300 radiographic examinations were conducted. Analysis was performed for the rejected radiographs and their causes respectively.\r\nResults: Our rate of 11% is comparable to the global range of 3.4-14.1% respectively. Of the total rejection, 46.1% rejection was observed in males and 53.9% in females while 69.5% &amp; 30.5% rejection was noticed in adults and pediatric age group respectively. Artifacts (26.2%) was the prime cause of rejection followed by motion (18.8%), positioning (14%), improper collimation (11.7%), exposure errors (8.4%), wrong labeling (6.6%), machine faults (5.7%), detector errors (4.5%), PACS issues (2.5 %) and re-requests from referring physician (1.6%). The highest rejection with respect to anatomical body parts was observed in chest radiography (29.9%), followed by extremities (28.8%), spine (11.4%), KUB (9.9%), skull (8.4%), abdomen (5.5%), pelvis (4.4%), and neck (1.7%) respectively.\r\nConclusion: Radiograph rejection has reduced considerably but still is a common problem within the facility due to many contributing factors. Implementation of rejection analysis as an integral part of the quality assurance program as well as focusing on staff-centered skill and knowledge upliftment training programs can result in a significant reduction enhancing patient safety.\r\ndoi: https:\/\/doi.org\/10.12669\/pjms.41.7.11441\r\nHow to cite this: Yaseen M, Nishtar T, Ajaj R, Ali A. Enhancing patient safety through radiograph rejection analysis: Insights from a diagnostic imaging department audit. Pak J Med Sci. 2025;41(7):2052-2059. doi: https:\/\/doi.org\/10.12669\/pjms.41.7.11441\r\nThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http:\/\/creativecommons.org\/licenses\/by\/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.<\/jats:p>","DOI":"10.12669\/pjms.41.7.11441","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T18:19:28Z","timestamp":1751480368000},"page":"2052-2059","source":"Crossref","is-referenced-by-count":1,"title":["Enhancing patient safety through radiograph rejection analysis: Insights from a diagnostic imaging department audit"],"prefix":"10.12669","volume":"41","author":[{"given":"Muhammad","family":"Yaseen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tahira","family":"Nishtar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahaf","family":"Ajaj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4935","published-online":{"date-parts":[[2025,7,2]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/11441\/2875","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/11441\/2875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T13:32:34Z","timestamp":1778333554000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/11441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,2]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,6,30]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.41.7.11441","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7,2]]}}}