导航全球IV对比短缺:一个综合性癌症中心的经验
Varun Chowdhry1, Ananda Dharshan1, Erika Stewart1
1Roswell Park Comprehensive Cancer Center, Buffalo, NY 14203, United States.
Clinical imaging
|July 13, 2023
概括
一个癌症中心在全球供应中断期间实施了分拣系统,以管理静脉注射 (IV) 对比度短缺. 这种系统成功地减少了对比度的使用,并确保了患者的护理连续性,没有不良事件.
科学领域:
- 放射学 放射学是一门学科.
- 医疗保健管理的管理
- 供应链的弹性 供应链的弹性
背景情况:
- 全球静脉注射 (IV) 对比剂短缺发生在2022年3月,原因是关键生产设施的COVID-19相关封锁.
- 这种干扰对医疗保健业务产生了重大影响,特别是对于依赖对比增强成像的综合癌症中心.
研究的目的:
- 报告一个综合性癌症中心在应对IV对比度短缺所带来的挑战方面的经验.
- 描述基于系统的方法的实施和结果,以管理有限的对比度供应.
主要方法:
- 研发了一个分选优先级系统,以指导临床医生减少对比度的利用.
- 一个专门的分拣小组审查了所有对比度增强成像请求,根据临床因素,替代成像选择和紧迫性做出决定.
- 该系统旨在优化稀缺的对比资源的分配.
主要成果:
- 该机构的每日CT扫描量约为194项研究.
- 在短缺期间,对比度的利用率从80%下降到最低的9%.
- 在132个审查的请求中,有38%被批准用于对比,有42%被推没有对比,有11%涉及模式变化,有8%被推迟.
结论:
- 开发基于系统的实践可以增强弹性,并在关键供应短缺期间维持运营.
- 对稀缺对比的有效资源配置需要多学科的组织努力.
- 实施的分拣系统表明了合理的决策,由于对比度的限制,没有发现患者受到伤害.
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