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对新冠疫情的应对:纽约市一家多站点学术中心乳腺影像结构调整的经验教训

Pandemic Response to COVID-19: Lessons from Restructuring Breast Imaging at a Multi-site Academic Center in New York City.

作者信息

Shah Ami D, Maglione Katharine D, Abramson Lisa, Margolies Laurie R

机构信息

Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY USA.

出版信息

Curr Radiol Rep. 2021;9(10):11. doi: 10.1007/s40134-021-00385-3. Epub 2021 Sep 29.

DOI:10.1007/s40134-021-00385-3
PMID:34603844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8479498/
Abstract

PURPOSE OF REVIEW

The COVID-19 pandemic has been an unprecedented challenge for healthcare delivery, disrupting normal workflows and demanding re-allocation of resources. In the setting of breast imaging, this entailed an initial marked reduction of services during the acute phase of the pandemic followed by a gradual reopening with modified protocols to minimize potential virus exposure.

RECENT FINDINGS

Protocols were devised for providing limited breast imaging services during the acute phase of the pandemic and for safely reopening during the post acute phase. Example cases of breast cancers diagnosed during the acute phase of the pandemic are provided to illustrate the modified workflow.

SUMMARY

This manuscript reviews practical strategies for restructuring breast imaging workflow, onsite policies, and staffing at a multi-site academic center in New York City during the COVID-19 pandemic. By sharing our experience, we hope to provide others with a roadmap for managing breast imaging services during future unforseen crises.

摘要

综述目的

新型冠状病毒肺炎(COVID-19)大流行对医疗服务提供而言是一项前所未有的挑战,扰乱了正常工作流程并要求重新分配资源。在乳腺成像领域,这意味着在大流行急性期服务最初显著减少,随后逐步重新开放并采用修改后的方案以尽量减少潜在的病毒暴露。

最新发现

制定了在大流行急性期提供有限乳腺成像服务以及在急性期后安全重新开放的方案。提供了在大流行急性期诊断出的乳腺癌实例,以说明修改后的工作流程。

总结

本文回顾了纽约市一家多地点学术中心在COVID-19大流行期间重组乳腺成像工作流程、现场政策和人员配置的实用策略。通过分享我们的经验,我们希望为其他机构提供一份路线图,以便在未来不可预见的危机期间管理乳腺成像服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/ff435047e78c/40134_2021_385_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/b6e3c9fdb985/40134_2021_385_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/09ab4699fe90/40134_2021_385_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/ff435047e78c/40134_2021_385_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/b6e3c9fdb985/40134_2021_385_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/94f5661f8c8a/40134_2021_385_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/65e8019e354c/40134_2021_385_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/1f46b4b69de0/40134_2021_385_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/09ab4699fe90/40134_2021_385_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eb7/8479498/ff435047e78c/40134_2021_385_Fig6_HTML.jpg