Response of a radiology department to the SARS-CoV-2 pandemic: the experience of the hospital “Policlinico Tor Vergata” in Rome

The dissemination of severe acute respiratory syndrome linked to the novel coronavirus, SARS-CoV-2, prompted all health services to provide adequate measures to limit new cases that could affect healthcare professionals. Due to the large number of suspected patients subjected to CT scans and the proximity of radiologists to the patient during exams, radiologists as well as the entire staff of the radiology department are particularly exposed to SARS-CoV-2. This article includes the emergency management procedures, the use of personal protective devices, and the rearrangement of exam rooms and of human resources in the department of radiology at “Policlinico Tor Vergata” in Rome performed during the SARS-CoV-2 pandemic. We introduce the management measures that our department has taken to cope with the influx of patients while still ensuring the proper management of other emergencies and time-sensitive exams

Chinese Expert Consensus on Critical Care Ultrasound Applications at COVID-19 Pandemic

The spread of new coronavirus (SARS-Cov-2) follows a different pattern than previous respiratory viruses, posing a serious public health risk worldwide. World Health Organization (WHO) named the disease as COVID-19 and declared it a pandemic. COVID-19 is characterized by highly contagious nature, rapid transmission, swift clinical course, profound worldwide impact, and high mortality among critically ill patients. Chest X-ray, computerized tomography (CT), and ultrasound are commonly used imaging modalities. Among them, ultrasound, due to its portability and non-invasiveness, can be easily moved to the bedside for examination at any time. In addition, with use of 4G or 5G networks, remote ultrasound consultation can also be performed, which allows ultrasound to be used in isolated medial areas. Besides, the contact surface of ultrasound probe with patients is small and easy to be disinfected. Therefore, ultrasound has gotten lots of positive feedbacks from the frontline healthcare workers, and it has played an indispensable role in the course of COVID-19 diagnosis and follow up

A large-scale assessment of hand hygiene quality and the effectiveness of the “WHO 6-steps”

BACKGROUND: Hand hygiene compliance is generally assessed by observation of adherence to the “WHO five moments” using numbers of opportunities as the denominator. The quality of the activity is usually not monitored since there is no established methodology for the routine assessment of hand hygiene technique. The aim of this study was to objectively assess hand rub coverage of staff using a novel imaging technology and to look for patterns and trends in missed areas after the use of WHO’s 6 Step technique. METHODS: A hand hygiene education and assessment program targeted 5200 clinical staff over 7 days at the National University Hospital, Singapore. Participants in small groups were guided by professional trainers through 5 educational stations, which included technique-training and UV light assessment supported by digital photography of hands. Objective criteria for satisfactory hand hygiene quality were defined a priori. The database of images created during the assessment program was analyzed subsequently. Patterns of poor hand hygiene quality were identified and linked to staff demographic. RESULTS: Despite the assessment taking place immediately after the training, only 72% of staff achieved satisfactory coverage. Failure to adequately clean the dorsal and palmar aspects of the hand occurred in 24% and 18% of the instances, respectively. Fingertips were missed by 3.5% of subjects. The analysis based on 4642 records showed that nurses performed best (77% pass), and women performed better than men (75% vs. 62%, p<0.001). Further risk indicators have been identified regarding age and occupation. CONCLUSION: Ongoing education and training has a vital role in improving hand hygiene compliance and technique of clinical staff. Identification of typical sites of failure can help to develop improved training

Covid-19 and Safety in the Cath Lab: Where We Are and Where We Are Headed

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A state-of-the-art guide about the effects of sterilization processes on 3D-printed materials for surgical planning and medical applications: a comparative study

Surgeons use different medical devices in the surgery, such as patient-specific anatomical models, cutting and positioning guides, or implants. These devices must be sterilized before being used in the operation room. There are many sterilization processes available, with autoclave, hydrogen peroxide, and ethylene oxide being the most common in hospital settings. Each method has both advantages and disadvantages in terms of mechanics, chemical interaction, and post-treatment accuracy. The aim of the present study is to evaluate the dimensional and mechanical effect of the most commonly used sterilization techniques available in clinical settings, i.e., Autoclave 121, Autoclave 134, and hydrogen peroxide (HPO), on 11 of the most used 3D-printed materials fabricated using additive manufacturing technologies. The results showed that the temperature (depending on the sterilization method) and the exposure time to that temperature influence not only the mechanical behavior but also the original dimensioning planned on the 3D model. Therefore, HPO is a better overall option for most of the materials evaluated. Finally, based on the results of the study, a recommendation guide on sterilization methods per material, technology, and clinical application is presented.The research described in this paper was partially funded by the project named QuirofAM (Exp. COMRDI16-1-0011) and funded by ACCIÓ from the Catalan government and ERDF from European Union.Postprint (published version

Ethical Considerations in the Advent of 3D Printing Technology in Healthcare

The emergence of 3D printing technology in healthcare has ushered in a new era of personalized medical solutions. However, alongside its promises, this technology also introduces several critical challenges that demand attention. This research investigates the implications of 3D printing on patient safety, intellectual property, equity, data security, informed consent, and the roles of healthcare professionals. 3D printing has opened up remarkable opportunities in the creation of medical devices, implants, and prosthetics. Nevertheless, the potential for errors during the manufacturing process poses a significant concern. Ensuring the safety and reliability of 3D-printed medical products becomes paramount, as any defects or inaccuracies could have severe consequences on patient health and well-being. The accessibility of 3D printing technology raises apprehensions regarding intellectual property rights and regulatory standards. The possibility of replicating medical devices and pharmaceuticals may lead to patent infringements and pose difficulties in enforcing regulatory compliance. Striking a balance between innovation and protection of intellectual property becomes crucial in fostering a thriving 3D printing healthcare ecosystem. While 3D printing holds to democratize healthcare by offering personalized medical solutions, it also has the potential to exacerbate existing disparities in healthcare access. The cost of 3D printing technology and related services might prove prohibitive for certain communities, thereby widening the gap in access to advanced medical treatments. Addressing these disparities and ensuring equitable access to 3D printing healthcare solutions must be a priority for healthcare policymakers and stakeholders. The integration of 3D printing in healthcare necessitates the utilization and storage of sensitive patient data. However, ethical concerns emerge around the security and privacy of this data. Any breaches or misuse of patient information could not only compromise patient confidentiality but also erode trust in healthcare systems. Implementing robust data security measures and respecting patient privacy rights are essential to maintain public trust in 3D printing healthcare applications. As 3D printing enables the production of custom medical devices and implants, obtaining informed consent from patients becomes increasingly complex. Patients must comprehend the risks, benefits, and uncertainties associated with these personalized treatments to make autonomous decisions about their healthcare. Healthcare providers must develop comprehensive strategies to ensure adequate patient education and empowerment during the informed consent process

A review on patient safety

Background: Patient Safety Events (PSEs) are important preventable issues with high morbidity and mortality rates, imposing high costs and the occurrence of legal and social problems in societies. Therefore, having a prevention program is very important for it. In this study, we have selected the most common and important errors and provide simple preventive measures for users. &nbsp; Methods: In this review study, to obtain information associated to patient safety prevention, we used the scientific reliable literatures, registered in US National Library of Medicine/National Institutes of Health (PubMed), Google Scholar and Scopus data banks. &nbsp; Results: Simple preventive measures for prevention of mistakes due to misidentification (nominal similarities, displacement of the patients, switching the newborns, etc.), miscommunication (improper communications, patient disrespect, misinterpretations due to language differences, giving bad news, etc.), misinterpretations, irrational administration and use of drugs (inappropriate medication, for the wrong patient, with wrong amount, via the wrong way, and for the wrong duration), incompatible blood transfusion, mistakes in anesthesia, surgeries and other procedures, medical complications due to PSEs (Health care associated infections, trauma and fall, thrombophlebitis and thromboembolism, bed sores, suicide, violence, and mismanagement of the hospital affaires were extracted and suggested to the hospital authorities. &nbsp; Conclusion: We have extracted numerous suggested preventive measures from the accomplished studies for prevention of unpleasant patient safety related events in the hospitals