在COVID期间开发和集中一个由护士领导的局部麻醉跨骨活检服务
David Adam Winters1, Ashley Mehmi1, Amar Odedra1
1Department of Urology Whipps Cross University Hospital NHS Trust London UK.
BJUI compass
|October 11, 2023
概括
跨关节 (TP) 活检是一种微创手术,已成为前列腺癌诊断的首选方法. 一个集中的,由护士领导的局部麻醉 (LA) TP活检服务成功实施,提高了效率和资源配置.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗保健管理的管理
背景情况:
- 在英国,跨膜 (TP) 活检越来越多地取代了跨直肠超声波 (TRUS) 活检.
- 根据COVID-19大流行指南,人们开始转向减少全身麻醉 (GA) 程序和COVID安全的诊断场所.
- 这导致了TRUS诊断的停止,并实施了新的TP活检服务.
研究的目的:
- 描述一个集中,由护士领导的局部麻醉 (LA) 跨关节 (TP) 活检服务的实施.
- 评估这种服务模式的可持续性和影响.
- 在COVID-19大流行期间和之后优化前列腺癌诊断.
主要方法:
- 采用了质量改进方法.
- 使用运行图表来监测可持续性.
- 在局部麻醉下建立了一个集中,由护士领导的服务模式.
主要成果:
- 跨关节 (TP) 活检服务成功集中,跨直肠超声波 (TRUS) 活检将于2020年5月12日停止.
- 手术由泌尿病学高级护士从业人员在局部麻醉 (LA) 下进行.
- 集中化通过释放专门的剧院会议和人员来提高效率,服务在限制后仍然强大.
结论:
- 一个集中的,由护士领导的LA TP活检服务在一个程序部门成功实施.
- 该服务表现出性,并在解除COVID-19限制后继续运营.
- 这种模型通过优化资源配置来提高信任范围的性能,并且受到高度评价.
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