Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy
At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low...
Ausführliche Beschreibung
Autor*in: |
Giacomo Cester [verfasserIn] Chiara Giraudo [verfasserIn] Francesco Causin [verfasserIn] Deris Gianni Boemo [verfasserIn] Mariagiulia Anglani [verfasserIn] Alfio Capizzi [verfasserIn] Giovanni Carretta [verfasserIn] Annamaria Cattelan [verfasserIn] Diego Cecchin [verfasserIn] Vito Cianci [verfasserIn] Andrea Crisanti [verfasserIn] Giorgio De Conti [verfasserIn] Daniele Donato [verfasserIn] Luciano Flor [verfasserIn] Joseph-Domenico Gabrieli [verfasserIn] Marina Munari [verfasserIn] Paolo Navalesi [verfasserIn] Alberto Ponzoni [verfasserIn] Maria Luisa Scapellato [verfasserIn] Ivo Tiberio [verfasserIn] Andrea Vianello [verfasserIn] Roberto Stramare [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2020 |
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Übergeordnetes Werk: |
In: Journal of Clinical Medicine - MDPI AG, 2013, 9(2020), 9, p 3042 |
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Übergeordnetes Werk: |
volume:9 ; year:2020 ; number:9, p 3042 |
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DOI / URN: |
10.3390/jcm9093042 |
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Katalog-ID: |
DOAJ07647061X |
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520 | |a At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. | ||
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10.3390/jcm9093042 doi (DE-627)DOAJ07647061X (DE-599)DOAJ0090f3a533bf4a6e8c4fa6e7270828d5 DE-627 ger DE-627 rakwb eng Giacomo Cester verfasserin aut Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. COVID-19 radiology computed tomography organizational model preparedness outbreak Medicine R Chiara Giraudo verfasserin aut Francesco Causin verfasserin aut Deris Gianni Boemo verfasserin aut Mariagiulia Anglani verfasserin aut Alfio Capizzi verfasserin aut Giovanni Carretta verfasserin aut Annamaria Cattelan verfasserin aut Diego Cecchin verfasserin aut Vito Cianci verfasserin aut Andrea Crisanti verfasserin aut Giorgio De Conti verfasserin aut Daniele Donato verfasserin aut Luciano Flor verfasserin aut Joseph-Domenico Gabrieli verfasserin aut Marina Munari verfasserin aut Paolo Navalesi verfasserin aut Alberto Ponzoni verfasserin aut Maria Luisa Scapellato verfasserin aut Ivo Tiberio verfasserin aut Andrea Vianello verfasserin aut Roberto Stramare verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 9(2020), 9, p 3042 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:9 year:2020 number:9, p 3042 https://doi.org/10.3390/jcm9093042 kostenfrei https://doaj.org/article/0090f3a533bf4a6e8c4fa6e7270828d5 kostenfrei https://www.mdpi.com/2077-0383/9/9/3042 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2020 9, p 3042 |
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10.3390/jcm9093042 doi (DE-627)DOAJ07647061X (DE-599)DOAJ0090f3a533bf4a6e8c4fa6e7270828d5 DE-627 ger DE-627 rakwb eng Giacomo Cester verfasserin aut Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. COVID-19 radiology computed tomography organizational model preparedness outbreak Medicine R Chiara Giraudo verfasserin aut Francesco Causin verfasserin aut Deris Gianni Boemo verfasserin aut Mariagiulia Anglani verfasserin aut Alfio Capizzi verfasserin aut Giovanni Carretta verfasserin aut Annamaria Cattelan verfasserin aut Diego Cecchin verfasserin aut Vito Cianci verfasserin aut Andrea Crisanti verfasserin aut Giorgio De Conti verfasserin aut Daniele Donato verfasserin aut Luciano Flor verfasserin aut Joseph-Domenico Gabrieli verfasserin aut Marina Munari verfasserin aut Paolo Navalesi verfasserin aut Alberto Ponzoni verfasserin aut Maria Luisa Scapellato verfasserin aut Ivo Tiberio verfasserin aut Andrea Vianello verfasserin aut Roberto Stramare verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 9(2020), 9, p 3042 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:9 year:2020 number:9, p 3042 https://doi.org/10.3390/jcm9093042 kostenfrei https://doaj.org/article/0090f3a533bf4a6e8c4fa6e7270828d5 kostenfrei https://www.mdpi.com/2077-0383/9/9/3042 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2020 9, p 3042 |
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10.3390/jcm9093042 doi (DE-627)DOAJ07647061X (DE-599)DOAJ0090f3a533bf4a6e8c4fa6e7270828d5 DE-627 ger DE-627 rakwb eng Giacomo Cester verfasserin aut Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. COVID-19 radiology computed tomography organizational model preparedness outbreak Medicine R Chiara Giraudo verfasserin aut Francesco Causin verfasserin aut Deris Gianni Boemo verfasserin aut Mariagiulia Anglani verfasserin aut Alfio Capizzi verfasserin aut Giovanni Carretta verfasserin aut Annamaria Cattelan verfasserin aut Diego Cecchin verfasserin aut Vito Cianci verfasserin aut Andrea Crisanti verfasserin aut Giorgio De Conti verfasserin aut Daniele Donato verfasserin aut Luciano Flor verfasserin aut Joseph-Domenico Gabrieli verfasserin aut Marina Munari verfasserin aut Paolo Navalesi verfasserin aut Alberto Ponzoni verfasserin aut Maria Luisa Scapellato verfasserin aut Ivo Tiberio verfasserin aut Andrea Vianello verfasserin aut Roberto Stramare verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 9(2020), 9, p 3042 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:9 year:2020 number:9, p 3042 https://doi.org/10.3390/jcm9093042 kostenfrei https://doaj.org/article/0090f3a533bf4a6e8c4fa6e7270828d5 kostenfrei https://www.mdpi.com/2077-0383/9/9/3042 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2020 9, p 3042 |
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10.3390/jcm9093042 doi (DE-627)DOAJ07647061X (DE-599)DOAJ0090f3a533bf4a6e8c4fa6e7270828d5 DE-627 ger DE-627 rakwb eng Giacomo Cester verfasserin aut Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. COVID-19 radiology computed tomography organizational model preparedness outbreak Medicine R Chiara Giraudo verfasserin aut Francesco Causin verfasserin aut Deris Gianni Boemo verfasserin aut Mariagiulia Anglani verfasserin aut Alfio Capizzi verfasserin aut Giovanni Carretta verfasserin aut Annamaria Cattelan verfasserin aut Diego Cecchin verfasserin aut Vito Cianci verfasserin aut Andrea Crisanti verfasserin aut Giorgio De Conti verfasserin aut Daniele Donato verfasserin aut Luciano Flor verfasserin aut Joseph-Domenico Gabrieli verfasserin aut Marina Munari verfasserin aut Paolo Navalesi verfasserin aut Alberto Ponzoni verfasserin aut Maria Luisa Scapellato verfasserin aut Ivo Tiberio verfasserin aut Andrea Vianello verfasserin aut Roberto Stramare verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 9(2020), 9, p 3042 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:9 year:2020 number:9, p 3042 https://doi.org/10.3390/jcm9093042 kostenfrei https://doaj.org/article/0090f3a533bf4a6e8c4fa6e7270828d5 kostenfrei https://www.mdpi.com/2077-0383/9/9/3042 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2020 9, p 3042 |
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10.3390/jcm9093042 doi (DE-627)DOAJ07647061X (DE-599)DOAJ0090f3a533bf4a6e8c4fa6e7270828d5 DE-627 ger DE-627 rakwb eng Giacomo Cester verfasserin aut Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. COVID-19 radiology computed tomography organizational model preparedness outbreak Medicine R Chiara Giraudo verfasserin aut Francesco Causin verfasserin aut Deris Gianni Boemo verfasserin aut Mariagiulia Anglani verfasserin aut Alfio Capizzi verfasserin aut Giovanni Carretta verfasserin aut Annamaria Cattelan verfasserin aut Diego Cecchin verfasserin aut Vito Cianci verfasserin aut Andrea Crisanti verfasserin aut Giorgio De Conti verfasserin aut Daniele Donato verfasserin aut Luciano Flor verfasserin aut Joseph-Domenico Gabrieli verfasserin aut Marina Munari verfasserin aut Paolo Navalesi verfasserin aut Alberto Ponzoni verfasserin aut Maria Luisa Scapellato verfasserin aut Ivo Tiberio verfasserin aut Andrea Vianello verfasserin aut Roberto Stramare verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 9(2020), 9, p 3042 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:9 year:2020 number:9, p 3042 https://doi.org/10.3390/jcm9093042 kostenfrei https://doaj.org/article/0090f3a533bf4a6e8c4fa6e7270828d5 kostenfrei https://www.mdpi.com/2077-0383/9/9/3042 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2020 9, p 3042 |
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Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy |
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Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy |
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Giacomo Cester |
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Giacomo Cester Chiara Giraudo Francesco Causin Deris Gianni Boemo Mariagiulia Anglani Alfio Capizzi Giovanni Carretta Annamaria Cattelan Diego Cecchin Vito Cianci Andrea Crisanti Giorgio De Conti Daniele Donato Luciano Flor Joseph-Domenico Gabrieli Marina Munari Paolo Navalesi Alberto Ponzoni Maria Luisa Scapellato Ivo Tiberio Andrea Vianello Roberto Stramare |
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retrospective analysis of a modified organizational model to guarantee ct workflow during the covid-19 outbreak in the tertiary hospital of padova, italy |
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Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy |
abstract |
At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. |
abstractGer |
At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. |
abstract_unstemmed |
At the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) outbreak in Italy, the cluster of Vò Euganeo was managed by the University Hospital of Padova. The Department of Diagnostic Imaging (DDI) conceived an organizational approach based on three different pathways for low-risk, high-risk, and confirmed Coronavirus Disease 19 (COVID-19) patients to accomplish three main targets: guarantee a safe pathway for non-COVID-19 patients, ensure health personnel safety, and maintain an efficient workload. Thus, an additional pathway was created with the aid of a trailer-mounted Computed Tomography (CT) scanner devoted to positive patients. We evaluated the performance of our approach from February 21 through April 12 in terms of workload (e.g., number of CT examinations) and safety (COVID-19-positive healthcare workers). There was an average of 72.2 and 17.8 COVID-19 patients per day in wards and the Intensive Care Unit (ICU), respectively. A total of 176 high-risk and positive patients were examined. High Resolution Computed Tomography (HRCT) was one of the most common exams, and 24 pulmonary embolism scans were performed. No in-hospital transmission occurred in the DDI neither among patients nor among health personnel. The weekly number of in-patient CT examinations decreased by 27.4%, and the surgical procedures decreased by 29.5%. Patient screening and dedicated diagnostic pathways allowed the maintenance of high standards of care while working in safety. |
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Retrospective Analysis of a Modified Organizational Model to Guarantee CT Workflow during the COVID-19 Outbreak in the Tertiary Hospital of Padova, Italy |
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