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1.
BackgroundDespite indications for the removal of temporary inferior vena cava (IVC) filters, many filters are unintentionally left in place, predisposing patients to adverse outcomes.ObjectiveThis quality improvement study set out to determine the impact of an IVC filter retrieval protocol on filter retrieval rates and patients lost to follow-up for patients who had undergone placement of a temporary IVC filter.MethodsFollowing a quasi-experimental design, data of all consecutive patients who underwent insertion of a temporary IVC filter for a period of 24-month preprotocol and 12-month postprotocol were compared.ResultsFilter retrieval rates of eligible filters increased from 64.2% to 100%; patients lost to follow-up decreased from 35.9% to 0% (p < .01, both outcomes).ConclusionAdoption of a comprehensive IVC filter protocol by the service that implants these devices can improve filter retrieval rates and decrease patients being lost to follow-up.  相似文献   
2.
Measuring outcomes in health care have become mandatory as regulatory agencies, institutional guidelines, employers, and consumer groups advocate for quality health care focusing on improving patient outcomes. System-level quality departments often provide a framework for performance improvement (PI) that supports the organizational PI plan. However, nurses must learn to lead and be actively involved in projects in the radiology department to ensure key performance indicators are developed with on-the-ground quality management to improve patient outcomes, system performance, and professional development. This article explores such efforts at a large women’s specialty hospital in the Southern United States.  相似文献   
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The role of a radiology nurse is not clearly understood by patients or nursing colleagues. Following a radiology float nurse through a day in a complex radiology practice in a Magnet-designated facility illustrates how a radiology nurse must incorporate specialty education and training, clinical competence, and a professional nursing practice model to provide quality patient care.  相似文献   
5.
《Radiography》2022,28(2):353-359
Patient contact shielding has been in use for many years in radiology departments in order to reduce the effects and risks of ionising radiation on certain organs. New technologies in projection imaging and CT scanning such as digital receptors and automatic exposure control (AEC) systems have reduced doses and improved image consistency. These changes and a greater understanding of both the benefits and the risks from the use of shielding have led to a review of shielding use in radiology. A number of professional bodies have already issued guidance in this regard. This paper represents the current consensus view of the main bodies involved in radiation safety and imaging in Europe: European Federation of Organisations for Medical Physics, European Federation of Radiographer Societies, European Society of Radiology, European Society of Paediatric Radiology, EuroSafe Imaging, European Radiation Dosimetry Group (EURADOS), and European Academy of DentoMaxilloFacial Radiology (EADMFR). It is based on the expert recommendations of the Gonad and Patient Shielding (GAPS) Group formed with the purpose of developing consensus in this area. The recommendations are intended to be clear and easy to use. They are intended as guidance, and they are developed using a multidisciplinary team approach. It is recognised that regulations, custom and practice vary widely on the use of patient shielding in Europe and it is hoped that these recommendations will inform a change management program that will benefit patients and staff.  相似文献   
6.
Obtaining certification is a critical step on the road to professionalism. There are many questions to consider in this decision. Included among these are cost, preparation, and return on the investment. Important answers to these questions are discussed.  相似文献   
7.
The present letter to the editor is related to the study titled “Primary orbital monophasic synovial sarcoma with calcification: A case report’’. Orbital synovial sarcoma is one of the rare intraorbital masses seen in adult and pediatric populations. Some case reports in the literature revealed that synovial sarcoma may contain calcifications. Therefore, it is important to make differential diagnosis among calcified orbital masses in childhood.  相似文献   
8.
目的 探讨肝癌患者行肝动脉化疗栓塞术前营养风险筛查的应用及对手术疗效、生活质量和生存预后的影响。方法 选取2013年1月至2018年12月首都医科大学附属北京世纪坛医院介入治疗科收治的行肝动脉化疗栓塞术治疗的中晚期肝癌患者180例,根据营养风险筛查2002(NRS 2002)将研究人群分为有营养风险组(NRS 2002≥3分)和无营养风险组(NRS 2002<3分),比较两组患者的临床基线特征、反映营养状况的物理和生化指标以及行肝动脉化疗栓塞术(TACE)手术疗效及并发症和生活质量评分,采用Kaplan-Meier方法对两组患者进行生存分析,比较上消化道出血、肝性脑病等临床终点事件的发生率。结果 纳入标准的180例患者中,无营养风险患者有85例,有营养风险患者有95例,营养风险发生率52.8%。两组患者的肱三头肌皮褶厚度、上臂肌围、体质指数、白蛋白之间存在统计学差异(P<0.05);两组患者的总蛋白和前蛋白之间没有显著的统计学差异(P>0.05)。两组患者的TACE治疗肿瘤的临床有效率和术后并发症没有显著的差异(P>0.05)。无营养风险患者生活质量评分比有营养风险患者评分高(P<0.05)。有营养风险患者3年生存率为54.74%;无营养风险患者3年生存率为68.24%,存在统计学意义(HR=0.61,P=0.05, 95%CI=0.38~0.98)。肝性脑病、低蛋白血症和贫血的发生率两组之间有统计学差异(P<0.05)。上消化道出血和门脉癌栓堵塞的发生率之间没有统计学差异(P>0.05)。结论 营养风险筛查对于行TACE手术患者具有重要意义,营养风险与临床结局密切相关。  相似文献   
9.
目的比较放射导向定位技术,包括导向放射隐匿性病灶定位(ROLL)和放射性粒子定位(RSL)技术与导丝定位(WGL)的临床效果,评估放射导向定位技术在不可触及的乳腺病灶(NPBL)检测中的应用价值。 方法检索PubMed、Embase、Cochrane、万方、中国知网、维普数据库,收集截至2017年4月关于放射导向定位与WGL对比的随机对照临床试验。由2名研究者独立完成文献筛选、数据提取,运用Cochrane协作网系统评价手册推荐的偏倚风险评价工具进行文献质量评价。采用风险比(RR)和95%置信区间(CI)评价二分类数据的差异,采用均数差(MD)和95%CI评价连续性数据的差异,使用RevMan 5.3软件进行Meta分析。 结果共纳入14项随机对照研究,纳入患者2 311例,其中,ROLL组562例,RSL组614例,WGL组1 135例。ROLL组与WGL组的定位并发症发生率(RR=0.53,95%CI:0.24~1.18,P=0.120)、病灶成功切除率(RR=1.01,95%CI:0.99~1.02,P=0.240)、切缘阳性率(RR=0.88,95%CI:0.68~1.13,P=0.310)、术中再切除率(RR=1.07,95%CI:0.71~1.61,P=0.750)、再次手术率(RR=0.54,95%CI:0.23~1.25,P=0.150),术后并发症发生率(RR=0.88,95%CI:0.56~1.40,P=0.590)及切除标本体积(MD=-2.11,95%CI:-8.39~4.16, P=0.510)比较,差异均无统计学意义。RSL组与WGL组的定位并发症发生率(RR=1.02,95%CI:0.21~5.08,P=0.980)、切缘阳性率(RR=0.84,95%CI:0.65~1.09,P=0.190)、再次手术率(RR=0.78,95%CI:0.55~1.11, P=0.170)及术后并发症发生率(RR=1.34, 95%CI:0.81~2.22, P=0.260)比较,差异也均无统计学意义。 结论在NPBL的定位技术中,放射导向定位技术具有与传统导丝定位技术相似的定位效果及广泛的临床应用前景。  相似文献   
10.
Detailed guidelines pertaining to radiological assessment of malignant pleural mesothelioma are currently lacking due to the rarity of the disease, complex morphology, propensity to invade multiple planes simultaneously, and lack of specific recommendations within the radiology community about assessment, reporting, and follow-up. In March 2017, a multidisciplinary meeting of mesothelioma experts was co-sponsored by the National Cancer Institute Thoracic Malignancy Steering Committee, International Association for the Study of Lung Cancer, and the Mesothelioma Applied Research Foundation. One of the outcomes of this conference was the foundation of detailed, multidisciplinary consensus imaging and management guidelines. Here, we present the recommendations for radiologic assessment of malignant pleural mesothelioma in the setting of clinical trial enrollment. We discuss optimization of imaging parameters across modalities, standardized reporting, and response assessment within clinical trials.  相似文献   
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