REPEAT ANALYSIS CITRA RADIOGRAF PADA PESAWAT DIGITAL RADIOGRAPHY (DR) DI INSTALASI RADIOLOGI RSD K.R.M.T. WONGSONEGORO KOTA SEMARANG
DOI:
https://doi.org/10.51878/healthy.v5i4.15667Keywords:
Repeat Radiograf, Radiografi Konvensional, Faktor Penyebab, Quality Assurance/Quality Control (QA/QC)Abstract
ABSTRACT
Repeat analysis is part of radiological quality assurance (QA) aimed at identifying and analyzing radiographic images that require repetition and determining their causes. This activity is important for improving service quality, reducing unnecessary repeat examinations, and minimizing additional radiation exposure to patients. This study aimed to determine the percentage of repeat examinations, identify the factors causing repeats, and describe the efforts made to minimize repeat occurrences at the Radiology Department of RSD K.R.M.T. Wongsonegoro, Semarang City. This study employed a descriptive quantitative method with an observational approach and was conducted from October 2025 to June 2026. Data were collected through observation, documentation, and interviews and were analyzed descriptively. During January–March 2026, 109 repeat cases were identified, consisting of patient motion in 53 cases (48.6%), artifacts in 41 cases (37.6%), and positioning errors in 15 cases (13.8%). Efforts to minimize repeats included improving radiographers’ competencies, optimizing patient communication and education, applying positioning according to established procedures, controlling artifacts, implementing Quality Assurance (QA) and Quality Control (QC), performing equipment calibration, and conducting regular reject-repeat analysis. Patient motion was the most dominant factor contributing to repeat examinations; therefore, continuous control of patient, radiographer, and equipment-related factors is necessary to maintain image quality and reduce repeat examinations.
ABSTRAK
Repeat analysis merupakan bagian dari quality assurance (QA) radiologi untuk mengidentifikasi dan menganalisis citra radiograf yang perlu diulang serta penyebabnya. Kegiatan ini penting untuk meningkatkan kualitas pelayanan, mengurangi pengulangan pemeriksaan, dan meminimalkan paparan radiasi tambahan pada pasien. Penelitian ini bertujuan mengetahui persentase repeat, faktor penyebab, dan upaya meminimalkan kejadian repeat di Instalasi Radiologi RSD K.R.M.T. Wongsonegoro Kota Semarang. Penelitian menggunakan metode kuantitatif deskriptif dengan pendekatan observasional yang dilaksanakan pada Oktober 2025 hingga Juni 2026. Data dikumpulkan melalui observasi, dokumentasi, dan wawancara, kemudian dianalisis secara deskriptif. Selama Januari–Maret 2026 ditemukan 109 kasus repeat, yang terdiri atas pergerakan pasien sebanyak 53 kasus (48,6%), artefak 41 kasus (37,6%), dan kesalahan posisi 15 kasus (13,8%). Upaya meminimalkan repeat dilakukan melalui peningkatan kompetensi radiografer, optimalisasi komunikasi dan edukasi pasien, penerapan positioning sesuai prosedur, pengendalian artefak, pelaksanaan Quality Assurance (QA) dan Quality Control (QC), kalibrasi peralatan, serta reject-repeat analysis secara berkala. Pergerakan pasien merupakan faktor penyebab repeat yang paling dominan, sehingga pengendalian faktor pasien, radiografer, dan peralatan perlu dilakukan secara berkelanjutan untuk mempertahankan kualitas citra dan mengurangi pengulangan pemeriksaan.
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