Antoinette Doherty: Evaluating CTPA Referrals to Drive Quality Improvement in PE Diagnosis
Antoinette Doherty, Registered Advanced Nurse Practitioner at Health Service Executive, shared a post on LinkedIn:
”Really thought-provoking research presented today: ‘A Retrospective Audit of CT Pulmonary Angiography (CTPA) Orders for Suspected Pulmonary Embolism at Letterkenny University Hospital vs. Royal College of Radiologists (RCR) Guidelines.’
This audit reviewed 147 CTPA examinations over a 3-month period at Letterkenny University Hospital, benchmarking local practice against RCR standards — with some really valuable findings on PE detection rates, alternative diagnosis rates, and gaps in Wells Score/D-dimer documentation.
The action plan around standardising referral forms and embedding pre-test probability tools is a great example of audit driving real quality improvement.
Well done to the team: Dr Aftab Ahmad, Dr Matthew, Dr OcheIg Oche, Dr Maria, Dr Deirdre Mc Court.”

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