Enhancing Adherence to British Thoracic Society Guidelines for Follow-Up Chest Radiographs in Community-Acquired Pneumonia: A Quality Improvement Project

A low-cost, multi-component intervention produced statistically significant gains in adherence to follow-up CXR after CAP in our ED (from 16/50 (32%) to 35/50 (70%)). Embedding education, mandatory discharge prompts, patient information, and robust alerting workflows was feasible and scalable. Continued monitoring and iterative optimization are required to achieve and sustain the prespecified ≥90% compliance standard.