Oh, joy! The wizards at Life Memorial Hospital in Bucharest embarked on a magical quest between 2021 and 2023. Their noble goal? To slash the number of neonates treated to a chest X-ray by a whopping 20%. Because, you know, we’re all about reducing unnecessary exposure to those pesky X-rays.

Their grand plan involved a sophisticated strategy: a bit of training here, some implementation there, and voilà! Let’s just swap those old-school chest radiographs with trendy lung ultrasounds for everyone on CPAP or mechanical ventilation. And, for an added twist, let’s only whip out the X-ray machine when things go south or when the clinician has a hunch. Because, obviously, intuition is the best guide in medicine, right?

Now, gather ’round for the thrilling results: In 2023, a staggering 58.1% of our tiny patients dodged the X-ray bullet, compared to the dark ages of 2021 and 2022. A decrease of 22.3% and 23.6%, respectively. Let’s have a round of applause for less radiation! But wait, there’s a plot twist – the number of ventilated patients who had more than one X-ray actually went up. Oops. And for those enjoying the CPAP-to-mechanical ventilation journey, they got to experience an increase in their personal X-ray collection from 1.80 in 2021 to 2.50 in 2023. Progress?

In conclusion, the team at Life Memorial Hospital patted themselves on the back for achieving a “statistically significant” victory in their quest against the chest X-ray dragon, reducing the overall radiation dose by over 30%. All it took was a bit of lung ultrasound magic and, well, slightly more X-rays for some. But who’s counting? Here’s to quality management projects that make us scratch our heads in wonder!