Bina Sigdel, Yan Jin, Pushpa Dhakal, Tika Luitel, Pushpa Kumari Ghimire, Sharada P Wasti
Factors affecting on compliance of childhood immunization in Ilam District of Nepal; A case-control study
Dialogues in health
despite widespread initiatives reduce ionizing radiation appendicitis diagnosis computed tomography ct scanning postoperatively remains common pediatric surgery quality collaborative psqc aimed identify differences childrens hospitals high low postoperative ct usage complicated appendicitis using national surgery quality improvement program pediatric data psqc childrens hospitals compared postoperative ct imaging complicated appendicitis april 2020march 2021 key stakeholders 11 hospitals 5 low ct utilization 6 high ct utilization participated semistructured interviews regarding postoperative imaging qualitative analysis transcripts performed deductively inductively based theoretical domains framework tdf five twelve tdf domains prominent influencing ct use skills beliefs capabilities intentionsgoals memory decision processes environment childrens hospitals lower rates postoperative ct use tended trust educate ultrasound technicians believe us strengths outweigh weaknesses image sooner 7 days postoperatively access sufficient quality improvement resources maintain trusting relationships specialties prioritize radiation stewardship hospitals extremes postoperative ct use complicated appendicitis reveal strategies improvement include imaging protocol development adherence quality improvement resource availability interdisciplinary collaboration promoting radiation stewardship level v