Justification of Urgent Brain CT scans at Palestinian Government Hospitals

Abstract

CT In cases of mild brain injury emergencies, CT scans can be valuable. However, misuse can result in radiation exposure and increased costs. This study examines CT scan utilization in Palestinian government hospitals, using a comprehensive multi-hospital analytical approach. It involved 66 emergency doctors and residents from Darwish Nazzal, Al Hussein, and Palestine Medical Complex. Findings indicate disparities in CT scan ordering practices among emergency physicians. Only 33.3% adhere to recommended guidelines, while 10.6% request scans for non-medical reasons. A lack of awareness regarding radiation exposure is seen in 39.4% of clinicians. Moreover, there are variations in image interpretation and ordering practices between morning and night shifts. Cost concerns are expressed by 68.2% of doctors, and 14.5% of CT scans were unjustified, often due to vague requests. This study underscores the importance of educating clinicians on radiation risks and promoting adherence to current CT scan criteria. Local guidelines and checklists are needed to justify CT scans, and physicians should participate in seminars on radiation doses and maximum allowable levels to reduce unnecessary scans. The hiring of night-shift radiologists in public hospitals is also recommended to enhance patient records and reduce costs.