危机响应成像:从大规模大规模伤亡事件中吸取教训
Gal Ben-Arie1,2, Tomer Krutik2, Yonatan Serlin3
1Department of Medical Imaging, Soroka University Medical Center, Ragar Blvd 151, Be'er-Sheva, Israel 84101.
Radiology
|September 30, 2025
概括
放射科部门可以通过增加人员和重新分配成像资源来改善大规模伤亡事件 (MCI) 响应. 快速调整诊断工作流程和动态选协议对于在危机期间改善患者结果至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
- 医疗保健管理 医疗保健管理
背景情况:
- 大规模伤亡事件 (MCIs) 严重压迫医疗保健系统,需要迅速调整放射科工作流程和资源.
- 在高风险的MCI场景中,有效的成像对于及时的临床决策至关重要.
- 实时学习和响应改进对于放射学团队在大规模伤亡事件中至关重要.
研究的目的:
- 评估放射科部门在2023年10月7日在以色列南部发生袭击后的MCI期间的反应和运营影响.
- 分析工作流程的调整,并确定在大规模伤亡事件期间管理成像服务的关键因素.
- 为加强对未来危机的放射学准备提供建议.
主要方法:
- 索罗卡大学医学中心,一级创伤中心的成像使用和工作流程的回顾性分析.
- 包括在前24小时内受伤的673名患者的数据,分析人口统计学,伤害,成像方式 (X光学,CT),周转时间和协议调整.
- 将危机数据与12个月的基线进行比较,以评估运营变化.
主要成果:
- 在461名成像患者中,93.5%与MCI有关. 平均CT周转时间从54分钟减少到28分钟 (P = .03).
- 放射学检查的周转时间略有增加,从43分钟增加到49分钟 (P < .001).
- 加强人员 (增加四倍) 和灵活的资源重新分配,包括重新使用CT扫描仪,对于管理患者激增和优化工作流程至关重要.
结论:
- 动态的医院 triage 协议,快速的员工动员和多功能成像资源管理对于有效的 MCI 响应至关重要.
- 这些策略是改善未来高伤亡事件患者结果的重要组成部分.
- 该研究强调了适应性策略在辐射学准备大规模伤亡事件的重要性.
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