Coronavirus disease 2019 (COVID-19) pandemic: Review of guidelines for resuming non-urgent imaging and procedures in radiology during Phase II

Autor: Ali Gholamrezanezhad, Eric Roberge, Sravanthi Reddy, Brandon K.K. Fields, Lee Myers, Saif Azam, Dakshesh B. Patel, Natalie L. Demirjian
Rok vydání: 2020
Předmět:
Preparedness
Health Services Accessibility
030218 nuclear medicine & medical imaging
Health care rationing
0302 clinical medicine
Health care
Pandemic
CDC
Centers for Disease Control and Prevention
COVID-19
coronavirus disease 2019
Health Care Rationing
NPI
non-pharmaceutical interventions
US
ultrasound
MR
magnetic resonance imaging
CT
computed tomography
Policy
Radiology Nuclear Medicine and imaging
030220 oncology & carcinogenesis
Practice Guidelines as Topic
NM
nuclear medicine
Radiology
Coronavirus Infections
PPE
personal protective equipment
medicine.medical_specialty
Distancing
Pneumonia
Viral
PAPR
powered air-purifying respirator
Workforce management
PET
positron emission tomography
Betacoronavirus
03 medical and health sciences
medicine
Humans
Radiology
Nuclear Medicine and imaging
CMS
Centers for Medicare and Medicaid Services
Pandemics
Personal Protective Equipment
Personal protective equipment
Practice
Policy & Education
Infection Control
SARS-CoV-2
business.industry
Public health
COVID-19
United States
Coronavirus
Radiography
U.S.
United States
Patient Care
business
Zdroj: Clinical Imaging
ISSN: 0899-7071
Popis: Since the spread of the coronavirus disease 2019 (COVID-19) was designated as a pandemic by the World Health Organization, health care systems have been forced to adapt rapidly to defer less urgent care during the crisis. The United States (U.S.) has adopted a four-phase approach to decreasing and then resuming non-essential work. Through strong restrictive measures, Phase I slowed the spread of disease, allowing states to safely diagnose, isolate, and treat patients with COVID-19. In support of social distancing measures, non-urgent studies were postponed, and this created a backlog. Now, as states transition to Phase II, restrictions on non-essential activities will ease, and radiology departments must re-establish care while continuing to mitigate the risk of COVID-19 transmission all while accommodating this backlog. In this article, we propose a roadmap that incorporates the current practice guidelines and subject matter consensus statements for the phased reopening of non-urgent and elective radiology services. This roadmap will focus on operationalizing these recommendations for patient care and workforce management. Tiered systems are proposed for the prioritization of elective procedures, with physician-to-physician communication encouraged. Infection control methods, provision of personal protective equipment (PPE), and physical distancing measures are highlighted. Finally, changes in hours of operation, hiring strategies, and remote reading services are discussed for their potential to ease the transition to normal operations.
Highlights • Different regional networks of care are moving past peak demand for medical services to treat COVID-19. • A phased and triaged approach to resuming care for deferred urgent cases and non-urgent care must be implemented and communicated to clients. • This approach should include infection control methods, management of medical staff and be prepared for subsequent rounds of disease peaks.
Databáze: OpenAIRE
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