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新型冠状病毒肺炎对三级护理大学医院超声心动图科工作量和工作流程的影响:一项单中心观察性研究

Impact of COVID-19 on Workload and Workflow in Echocardiography Unit in a Tertiary Care University Hospital: A Monocentric Observational Study.

作者信息

Kossaify Mikhael, Kanj Hazar, Tarabay Christina, Kossaify Antoine

机构信息

Department of Cardiology, School of Medicine and Medical Sciences, USEK University, Kaslik, Lebanon.

Department of Cardiology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

出版信息

Heart Views. 2022 Apr-Jun;23(2):86-92. doi: 10.4103/heartviews.heartviews_87_21. Epub 2022 Jul 23.

DOI:10.4103/heartviews.heartviews_87_21
PMID:36213435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9542975/
Abstract

BACKGROUND

The COVID-19 pandemic is a new unexpected worldwide condition with a heavy burden on health-care institutions and health-care workers.

OBJECTIVE

We sought to examine the impact of COVID-19 on workload and workflow in the echocardiography unit in a tertiary care university hospital.

METHODS

We conducted a monocentric observational study, evaluating workload and workflow during the COVID-19 year relative to the previous year.

RESULTS

The findings show a substantial reduction in workload (55.20%) along with significant changes in workflow in the echocardiography unit during the pandemic. Changes in workflow involved measures implemented for protection, changes in echo indications which became more selective, changes in echo pattern, reduction in human flow in echocardiography laboratory, delays in reporting and archiving, and changes in training and teaching.

CONCLUSION

COVID-19 pandemic had a substantial impact on the echocardiography unit, with a significant reduction in workload and considerable changes in workflow. In the future, it is essential to be better prepared as individuals, health-care workers, health-care institutions, and the general community, to deal better with any potential "invisible enemy."

摘要

背景

新型冠状病毒肺炎(COVID-19)大流行是一种新出现的、意想不到的全球状况,给医疗机构和医护人员带来了沉重负担。

目的

我们试图研究COVID-19对一所三级护理大学医院超声心动图科室工作量和工作流程的影响。

方法

我们进行了一项单中心观察性研究,评估COVID-19期间相对于前一年的工作量和工作流程。

结果

研究结果显示,在大流行期间,超声心动图科室的工作量大幅减少(55.20%),同时工作流程也发生了显著变化。工作流程的变化包括为保护而实施的措施、超声心动图检查指征变得更具选择性、超声心动图模式的变化、超声心动图实验室人流量的减少、报告和存档的延迟以及培训和教学的变化。

结论

COVID-19大流行对超声心动图科室产生了重大影响,工作量显著减少,工作流程发生了相当大的变化。未来,个人、医护人员、医疗机构和普通社区必须做好更好的准备,以便更好地应对任何潜在的“隐形敌人”。

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本文引用的文献

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Quality Assurance and Improvement Project in Echocardiography Laboratory: The Pivotal Importance of Organizational and Managerial Processes.超声心动图实验室的质量保证与改进项目:组织与管理流程的关键重要性。
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Workload changes during the COVID-19 pandemic and effects on the flow of cancer patients in the Maxillofacial Surgery Department.在 COVID-19 大流行期间的工作量变化及其对颌面外科癌症患者流程的影响。
Med Glas (Zenica). 2021 Feb 1;18(1):133-137. doi: 10.17392/1308-21.
5
Training, competence, and quality improvement in echocardiography: the European Association of Cardiovascular Imaging Recommendations: update 2020.超声心动图培训、能力和质量改进:欧洲心血管影像协会建议:2020 年更新。
Eur Heart J Cardiovasc Imaging. 2020 Dec 1;21(12):1305-1319. doi: 10.1093/ehjci/jeaa266.
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Heart, COVID-19, and echocardiography.心脏、新冠病毒肺炎与超声心动图
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Global evaluation of echocardiography in patients with COVID-19.全球范围内对 COVID-19 患者的超声心动图评估。
Eur Heart J Cardiovasc Imaging. 2020 Sep 1;21(9):949-958. doi: 10.1093/ehjci/jeaa178.
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Utilization and Appropriateness of Transthoracic Echocardiography in Response to the COVID-19 Pandemic.经胸超声心动图在应对2019冠状病毒病大流行中的应用与适宜性
J Am Soc Echocardiogr. 2020 Jun;33(6):690-691. doi: 10.1016/j.echo.2020.04.006. Epub 2020 Apr 10.
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Echocardiography in Pandemic: Front-Line Perspective, Expanding Role of Ultrasound, and Ethics of Resource Allocation.大流行时期的超声心动图:一线视角、超声作用拓展,以及资源分配伦理。
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Bedside Focused Cardiac Ultrasound in COVID-19 from the Wuhan Epicenter: The Role of Cardiac Point-of-Care Ultrasound, Limited Transthoracic Echocardiography, and Critical Care Echocardiography.COVID-19 患者床边心脏超声检查:心脏即时超声检查、有限经胸超声心动图和重症监护超声心动图的作用。
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