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1.
Rev. enferm. UERJ ; 28: 42281, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1094844

RESUMO

Objetivo: identificar evidências acerca do uso seguro da hipotermia terapêutica em recém-nascidos. Método: revisão integrativa realizada entre junho e julho de 2018, em fontes eletrônicas da Biblioteca Virtual de Saúde e PubMed, por meio da pergunta:"Que evidências podem subsidiar o cuidado de enfermagem voltado para a redução de sequelas em recém-nascidos submetidos à hipotermia terapêutica?".Foram eleitos nove artigos para análise, sendo oito internacionais e um nacional. Resultados:o resfriamento deve acontecer por 72 horas, com hipotermia leve. As indicações para inclusão no protocolo foram: primeiras seis horas de vida, idade gestacional maior que 35 semanas e acidose na primeira hora de vida.São cuidados essenciais: monitoração hemodinâmica, observação da pele, controle térmico retal, vigilância do Eletroencefalograma de Amplitude Integrada. Conclusão: a terapêutica apresenta benefícios, porém sua aplicação depende de protocolo institucional e treinamento das equipes com foco nas potenciais complicações.


Objective: to identify the evidence on safe use of therapeutic hypothermia in newborns. Method: integrative review of the literature, conducted between June and July of 2018, in electronic sources from the Virtual Health Library and PubMed, through the question: "What evidence can support nursing care aimed at reducing sequelae in newborns undergoing therapeutic hypothermia?". Analysis was conducted for nine selected article, being eight from international literature and one from Brazilian national literature. Results: cooling should occur for 72 hours with mild hypothermia. Indications for inclusion in the protocol were: first six hours of life, gestational age greater than 35 weeks and acidosis in the first hour of life. Essential care includes hemodynamic monitoring, skin observation, rectal thermal control, Integrated Amplitude Electroencephalogram surveillance. Conclusion: the therapy has benefits, but its application depends on institutional protocol and team training focusing on potential complications.


Objetivo: identificar la evidencia sobre el uso seguro de la hipotermia terapéutica en recién nacidos. Método: revisión integradora de la literatura, realizada entre junio y julio de 2018, en fuentes electrónicas de la Biblioteca Virtual de Salud y PubMed, a través de la pregunta: "¿Qué evidencia puede apoyar la atención de enfermería dirigida a reducir las secuelas en los recién nacidos que sufren hipotermia terapéutica?". Se realizaron análisis para nueve artículos seleccionados, ocho de literatura internacional y uno de literatura nacional brasileña. Resultados: el enfriamiento debe ocurrir durante 72 horas con hipotermia leve. Las indicaciones para la inclusión en el protocolo fueron: primeras seis horas de vida, edad gestacional mayor de 35 semanas y acidosis en la primera hora de vida. El cuidado esencial incluye monitoreo hemodinámico, observación de la piel, control térmico rectal, vigilancia integrada de electroencefalograma de amplitud. Conclusión: la terapia tiene beneficios, pero su aplicación depende del protocolo institucional y del entrenamiento del equipo, enfocándose en posibles complicaciones.


Assuntos
Humanos , Recém-Nascido , Protocolos Clínicos/normas , Hipóxia-Isquemia Encefálica/terapia , Segurança do Paciente/normas , Hipotermia Induzida/métodos , Hipotermia Induzida/normas , Asfixia Neonatal/complicações , Hipóxia-Isquemia Encefálica/etiologia , Hipotermia Induzida/efeitos adversos , Hipotermia Induzida/enfermagem
4.
Surg Clin North Am ; 100(6): 1021-1047, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33128878

RESUMO

Quality improvement is a dynamic process that requires continuously monitoring quality indicators and benchmarking these with national and professional standards. Endoscopists have formed societal task forces to propose quality indicators and performance goals. Institutions are now incentivized by payers and value-based reimbursement agreements to have processes in place to measure, report, and act on these quality metrics. Nationwide registries, such as the Gastrointestinal Quality Improvement Consortium, are used to report quality data to these merit-based incentive payment systems. Quality improvement processes such as these are instrumental to improve patient safety, health, and satisfaction while decreasing costs and medical errors.


Assuntos
Endoscopia do Sistema Digestório/normas , Guias de Prática Clínica como Assunto/normas , Melhoria de Qualidade , Benchmarking/normas , Competência Clínica , Endoscopia/normas , Endossonografia/normas , Humanos , Segurança do Paciente/normas , Melhoria de Qualidade/normas , Indicadores de Qualidade em Assistência à Saúde/normas
6.
J Am Med Dir Assoc ; 21(10): 1365-1370.e7, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32981662

RESUMO

During the first few months of the coronavirus disease 2019 (COVID-19) pandemic, Canadian nursing homes implemented strict no-visitor policies to reduce the risk of introducing COVID-19 in these settings. There are now growing concerns that the risks associated with restricted access to family caregivers and visitors have started to outweigh the potential benefits associated with preventing COVID-19 infections. Many residents have sustained severe and potentially irreversible physical, functional, cognitive, and mental health declines. As Canada emerges from its first wave of the pandemic, nursing homes across the country have cautiously started to reopen these settings, yet there is broad criticism that emerging visitor policies are overly restrictive, inequitable, and potentially harmful. We reviewed the nursing home visitor policies for Canada's 10 provinces and 3 territories as well as international policies and reports on the topic to develop 10 provi-informed, data-driven, and expert-reviewed guidance for the re-opening of Canadian nursing homes to family caregivers and visitors.


Assuntos
Infecções por Coronavirus/prevenção & controle , Solidão/psicologia , Casas de Saúde/organização & administração , Pandemias/prevenção & controle , Segurança do Paciente/normas , Pneumonia Viral/prevenção & controle , Isolamento Social/psicologia , Envelhecimento/psicologia , Betacoronavirus , Canadá , Infecções por Coronavirus/epidemiologia , Gerenciamento Clínico , Política de Saúde , Humanos , Pneumonia Viral/epidemiologia
7.
Rech Soins Infirm ; (141): 78-86, 2020 06.
Artigo em Francês | MEDLINE | ID: mdl-32988194

RESUMO

Despite its proven dangers, the ward stock drug distribution system predominates in French hospitals. This system allows 12 million injectable ampoules of concentrated potassium chloride to circulate uncontrolled each year. Such a situation is absurd for the following reasons : 1) injected by mistake, concentrated potassium kills within seconds ; 2) the true incidence of potassium-related fatalities and incidents is unknown ; 3) fatal intravenous injection of potassium produces no specific anatomical changes and subtle, if any, findings at autopsy ; 4) it is used for capital punishment by lethal injection in various countries ; and 5) healthcare worker serial killers benefit from the fact that potassium is not identifiable in post-mortem examinations and that investigations to find the murderer are complex and of uncertain outcome. Other medications classed as high-risk have similar characteristics to those of concentrated potassium solutions. Injectable potassium can therefore be regarded as emblematic of the lack of safety of the drug use process in French hospitals. The priority measure to protect patients from this deadly risk is to remove these drugs from uncontrolled ward stocks and to provide premixed potassium solutions. Evidence of the increased safety of the unit dose drug dispensing system should compel health policy makers to systematically implement it, thus bringing the drug use process into compliance with existing French and European regulations.


Assuntos
Segurança do Paciente/normas , Cloreto de Potássio/envenenamento , Controle de Medicamentos e Entorpecentes , França , Hospitais , Humanos , Injeções , Cloreto de Potássio/administração & dosagem , Cloreto de Potássio/química
8.
PLoS One ; 15(9): e0239179, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32941481

RESUMO

Various patient safety interventions have been implemented since the late 1990s, but their evaluation has been lacking. To obtain basic information for prioritizing patient safety interventions, this study aimed to extract high-priority interventions in Japan and to identify the factors that influence the setting of priority. Six perspectives (contribution, dissemination, impact, cost, urgency, and priority) on 42 patient safety interventions classified into 3 levels (system, organizational, and clinical) were evaluated by Japanese experts using the Delphi technique. We examined the relationships of the levels and the perspectives on interventions with the transition of the consensus state in rounds 1 and 3. After extracting the high-priority interventions, a chi-squared test was used to examine the relationship of the levels and the impact/cost ratio with high priority. Regression models were used to examine the influence of each perspective on priority. There was a significant relationship between the level of interventions and the transition of the consensus state (p = 0.033). System-level interventions had a low probability of achieving consensus. "Human resources interventions," "professional education and training," "medication management/reconciliation protocols," "pay-for performance (P4P) schemes and financing for safety," "digital technology solutions to improve safety," and "hand hygiene initiatives" were extracted as high-priority interventions. The level and the impact/cost ratio of interventions had no significant relationships with high priority. In the regression model, dissemination and impact had an influence on priority (ß = -0.628 and 0.941, respectively; adjusted R-squared = 0.646). The influence of impact and dissemination on the priority of interventions suggests that it is important to examine the dissemination degree and impact of interventions in each country for prioritizing interventions.


Assuntos
Prova Pericial , Política de Saúde , Prioridades em Saúde/normas , Segurança do Paciente/normas , Análise Custo-Benefício , Técnica Delfos , Prioridades em Saúde/economia , Prioridades em Saúde/legislação & jurisprudência , Japão , Segurança do Paciente/economia , Segurança do Paciente/legislação & jurisprudência
9.
Plast Reconstr Surg ; 146(2): 250e-251e, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32740632
10.
Medicine (Baltimore) ; 99(32): e21627, 2020 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-32769925

RESUMO

BACKGROUND: Acupoint application combined with western medicine has been used for treating allergic rhinitis widely. However, the efficacy and safety of acupoint application combined with western medicine for allergic rhinitis are unclear. This study aims to evaluate the efficacy and safety of acupoint application combined with western medicine for allergic rhinitis. METHODS: Randomized controlled trials of acupoint application combined with western medicine for allergic rhinitis will be searched in PubMed, EMbase, Cochrane Library, Web of Science, China National Knowledge Infrastructure, WanFang, the Chongqing VIP Chinese Science and Technology Periodical Database, and China biomedical literature database from inception to July, 2020. And Baidu Scholar, Google Scholar, International Clinical Trials Registry Platform, and Chinese Clinical Trials Registry will be searched to obtain more relevant studies comprehensively. Two researchers will perform data extraction and risk of bias assessment independently. Statistical analysis will be conducted in RevMan 5.3. RESULTS: This study will summarize the present evidence by exploring the efficacy and safety of acupoint application combined with western medicine for the treatment of allergic rhinitis. CONCLUSIONS: The findings of the study will provide helpful evidence for the efficacy and safety of acupoint application combined with western medicine in the treatment of allergic rhinitis, facilitating clinical practice and further scientific studies. ETHICS AND DISSEMINATION: The private information from individuals will not publish. This systematic review also will not involve endangering participant rights. Ethical approval is not required. The results may be published in a peer-reviewed journal or disseminated in relevant conferences. OSF REGISTRATION NUMBER: DOI 10.17605/OSF.IO/NSGJH.


Assuntos
Pontos de Acupuntura , Protocolos Clínicos , Quimioterapia Combinada/normas , Segurança do Paciente/normas , Rinite Alérgica/terapia , Terapia por Acupuntura/métodos , Quimioterapia Combinada/efeitos adversos , Humanos , Metanálise como Assunto , Revisões Sistemáticas como Assunto , Resultado do Tratamento
11.
Am J Emerg Med ; 38(9): 1732-1736, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32738468

RESUMO

BACKGROUND: COVID-19 pandemic effects are still being elucidated. Stay-at-home orders and social distancing compounded with COVID-19 concerns have caused significant disruptions in daily life. One notable effect of these variables may be a change in the number of emergency department (ED) visits. This study aims to investigate the effects of COVID-19 on ED visits, and possible reasons for changes. METHODS: Retrospective analysis using CDC data for ED visits and percentage of visits for COVID-19-Like Illness (CLI) and Influenza-Like Illness (ILI). Google Trends was used to assess COVID-19 public awareness. Motor vehicle collision (MVC) data was collected from cities, which reported current data. A descriptive statistical analysis and two-sample t-test was performed on ED visit data to assess for significance and a descriptive analysis was conducted to assess COVID-19's impact on MVCs. RESULTS: The mean number of ED visits per week for the last four weeks of available data during the pandemic was significantly less than the four weeks prior to COVID-19 pandemic (p = 0.008). The ED visit decrease per week varied by region, with Region 1 having the greatest decrease (45%). MVCs decreased substantially across all cities studied, with New York City and Baton Rouge experiencing the greatest decrease (66%) during the pandemic. CONCLUSION: A number of factors have likely contributed to the substantial decrease in ED visits observed in this study. In light of these findings, it is important to raise patient awareness regarding acute conditions that are deadlier than COVID-19 and require immediate medical intervention to ensure recovery.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Transmissão de Doença Infecciosa/prevenção & controle , Serviço Hospitalar de Emergência/estatística & dados numéricos , Pandemias , Segurança do Paciente/normas , Pneumonia Viral/epidemiologia , Adulto , Infecções por Coronavirus/transmissão , Feminino , Humanos , Masculino , Pneumonia Viral/transmissão , Estudos Retrospectivos , Estados Unidos/epidemiologia
12.
Emerg Med Clin North Am ; 38(3): 693-703, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32616288

RESUMO

Emergency medicine is a high-risk area of medical practice, with a high rate of preventable adverse events. This is multifactorial, hinging on the myriad system and processes issues that complicate emergency care. Strong teamwork and communication have been identified as critical components for safe care in emergency medicine. Health care professionals and leaders within emergency medicine can implement solutions aimed at cultivating a strong safety culture, creating processes and system-based approaches to improve patient safety. This article provides an overview of the evidence-based approaches to improve patient safety and communication.


Assuntos
Serviço Hospitalar de Emergência/organização & administração , Segurança do Paciente , Guias de Prática Clínica como Assunto , Comunicação , Serviço Hospitalar de Emergência/normas , Humanos , Hidrocefalia , Cultura Organizacional , Equipe de Assistência ao Paciente/organização & administração , Segurança do Paciente/normas
13.
J Thorac Cardiovasc Surg ; 160(2): 447-451, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32689700

RESUMO

The COVID-19 pandemic necessitates aggressive infection mitigation strategies to reduce the risk to patients and healthcare providers. This document is intended to provide a framework for the adult cardiac surgeon to consider in this rapidly changing environment. Preoperative, intraoperative, and postoperative detailed protective measures are outlined. These are guidance recommendations during a pandemic surge to be used for all patients while local COVID-19 disease burden remains elevated.


Assuntos
Betacoronavirus/patogenicidade , Procedimentos Cirúrgicos Cardíacos/normas , Infecções por Coronavirus/prevenção & controle , Infecção Hospitalar/prevenção & controle , Cardiopatias/cirurgia , Controle de Infecções/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Salas Cirúrgicas/normas , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Sala de Recuperação/normas , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Consenso , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/transmissão , Infecção Hospitalar/virologia , Cardiopatias/epidemiologia , Humanos , Saúde do Trabalhador/normas , Segurança do Paciente/normas , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Medição de Risco , Fatores de Risco , Virulência
15.
J Thorac Cardiovasc Surg ; 160(2): 452-455, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32689701

RESUMO

In the setting of the current novel coronavirus pandemic, this document has been generated to provide guiding statements for the adult cardiac surgeon to consider in a rapidly evolving national landscape. Acknowledging the risk for a potentially prolonged need for cardiac surgery procedure deferral, we have created this proposed template for physicians and interdisciplinary teams to consider in protecting their patients, institution, and their highly specialized cardiac surgery team. In addition, recommendations on the transition from traditional in-person patient assessments and outpatient follow-up are provided. Lastly, we advocate that cardiac surgeons must continue to serve as leaders, experts, and relevant members of our medical community, shifting our role as necessary in this time of need.


Assuntos
Betacoronavirus/patogenicidade , Procedimentos Cirúrgicos Cardíacos/normas , Infecções por Coronavirus/prevenção & controle , Infecção Hospitalar/prevenção & controle , Cardiopatias/cirurgia , Controle de Infecções/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Triagem/normas , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Consenso , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/transmissão , Infecção Hospitalar/virologia , Cardiopatias/epidemiologia , Humanos , Saúde do Trabalhador/normas , Segurança do Paciente/normas , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Medição de Risco , Fatores de Risco , Virulência
16.
N Z Med J ; 133(1518): 19-32, 2020 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-32683429

RESUMO

AIM: To extend a previous investigation published in the New Zealand Medical Journal in 2017 into the state of quality improvement and patient safety teaching within health professional curricula and inform further investigation. This detailed analysis of actual curricula investigated the extent to which the nine quality and safety domains outlined by New Zealand's Health Quality & Safety Commission (HSQC) are included in eight health professional degrees in disciplines covered by the Health Practitioners Competence Assurance (HPCA) Act as they were delivered to 2,869 students in 2019. An extended set of terms was identified for exploring the key concepts. METHOD: The key concepts within the nine quality and safety domains previously published by HSQC were identified and used to conduct electronic searches of undergraduate curricula. A detailed analysis of the findings indicated that a range of terms, beyond those used in the descriptions in the 2017 study, were utilised to convey the key concepts. An extended list of terms was developed, and further analyses undertaken to check the context of them and ensure relevance. The final analysis identified the terms from the extended list across curricula. Further cross-checking was undertaken to verify the meaning and context of them. RESULTS: The development of an extended list of terms relating to the quality and safety domains enabled a detailed analysis of eight undergraduate health professional curricula preparing students for registration under the HPCA. All the quality and safety domains are represented within health professional degrees and one curriculum in particular was identified as an exemplar in relation to the extent the domains were incorporated. The extended list of terms provides a tool for exploring these domains in other curricula and institutions. CONCLUSION: This detailed analysis of curricula presents a more reassuring picture of the presence of quality improvement and patient safety within undergraduate education in Aotearoa New Zealand than had been previously presented following interviews with educators. An extended list of terms relating to the HSQC domains identified during this analysis adds to the interprofessional vocabulary for considering quality and safety as curricula are continuously evaluated and refined. The curriculum of one discipline provides an exemplar of how key concepts may be incorporated across all levels of a programme of study.


Assuntos
Currículo , Educação de Graduação em Medicina/normas , Ocupações em Saúde/educação , Segurança do Paciente/normas , Melhoria de Qualidade , Humanos , Nova Zelândia , Estudos Retrospectivos
17.
Metas enferm ; 23(6): 27-32, jul. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-194596

RESUMO

El Grupo de Investigación en Cuidados (GIC) del Instituto de Investigación Sanitaria San Carlos (IdISSC) se creó en el año 2011, dando respuesta a la oportunidad que se dio por parte de las autoridades de investigación sanitaria de crear un grupo independiente de investigación para formar parte del instituto desde sus inicios, lo cual fue aprovechado de manera estratégica desde la Dirección de Enfermería del Hospital Clínico San Carlos (HCSC) de Madrid, creando dos grupos emergentes, uno de Investigación en Cuidados y otro de Investigación en Fisioterapia. El Grupo de Investigación en Cuidados está integrado por 41 personas del ámbito docente, gestor y asistencial del Hospital Clínico San Carlos y de la Universidad Complutense de Madrid (UCM), mayoritariamente. Sus tres líneas de investigación tienen interés en el entorno asistencial de hospitalización, quirúrgico y ambulatorio, denominándose "Seguridad del paciente y profesional", cuyo objetivo es "identificar mejores prácticas, optimizar y/o mejorar el cuidado que permitan minimizar riesgos, tanto en el paciente como en el profesional"; línea de "Educación terapéutica", cuyo fin es "investigar cuáles son las mejores prácticas que aseguren adherencia a tratamientos y resultados en salud" y la línea de "Evaluación y desarrollo de producto sanitario", que tiene el propósito de "optimizar y/o mejorar el uso y diseño de productos sanitarios, encaminados a disminuir la morbilidad iatrogénica". Actualmente el GIC está plenamente integrado en el IdISSC como grupo independiente emergente, y está presente en los órganos de decisión del instituto, teniendo como objetivo inmediato convertirse en grupo consolidado


The Healthcare Research Group (HRG) of the Institute of Health Research San Carlos (IdISSC) was created in 2011, as an answer to the opportunity granted by health research authorities to create an independent research group as part of the institute from the start, which was taken strategically from the Nursing Management of the Hospital Clínico San Carlos (HCSC) of Madrid, creating two emergent groups, one for Healthcare Research and another for Research on Physiotherapy. The Healthcare Research Group is formed mainly by 41 persons from the teaching, management and care settings of the Hospital Clínico San Carlos and the Universidad Complutense of Madrid (UCM). Their three lines of research are of interest for the healthcare hospitalization, surgery and outpatient settings; one is called "Patient and Professional Safety", and its objective is "to identify the best practices, to optimize and/or improve care in order to minimize risks, both for patients and professionals", there is a "Therapeutic Education" line, with the aim to "research about the best practices that will ensure treatment adherence and health outcomes", and the "Healthcare Product Evaluation and Development" line, with the aim to "optimize and/or improve the use and design of healthcare products, in order to reduce iatrogenic mortality". Currently the HRG is completely integrated in the IdISSC as an emergent independent group, with presence in the decision-making boards of the institute, and with the immediate objective of becoming a consolidated group


Assuntos
Humanos , Pesquisa Biomédica/organização & administração , Pesquisa em Enfermagem/organização & administração , Segurança do Paciente/normas , Educação em Saúde/organização & administração , Academias e Institutos/organização & administração , Academias e Institutos/normas , Indicadores de Produção Científica
18.
J. negat. no posit. results ; 5(7): 721-725, jul. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-192329

RESUMO

INTRODUCCIÓN: Pandemia infectocontagiosa puede afectar a los equipos quirúrgicos actuantes. OBJETIVO: Presentar nuevo listado de verificación de cirugía segura. MÉTODO: Verificación en potenciales pacientes COVID-19 en el uso de instrumentos y vestuario tanto en la entrada como al finalizar el acto quirúrgico registrada en el reverso de la actual lista de verificación por el equipo quirúrgico actuante. CONCLUSIÓN: Aporte para prevención de equipos quirúrgicos actuantes


BACKGROUND: Infected pandemic may affect surgical team. OBJECTIVE: New safe surgery checklist was presented. METHOD: Checklist of safe surgery in potential COVID-19 patients with verification of the equipment surgical and the locker room used at the initial as well as in the removal end of surgical act registered on the back of the current checklist by the operating surgical team. CONCLUSION: Selfless contribution to protect the surgical team


Assuntos
Humanos , Pandemias/estatística & dados numéricos , Infecções por Coronavirus/complicações , Procedimentos Cirúrgicos Operatórios/normas , Gestão da Segurança/métodos , Infecção Hospitalar/prevenção & controle , Infecções por Coronavirus/epidemiologia , Precauções Universais/métodos , Segurança do Paciente/normas , Lista de Checagem/métodos , Controle de Doenças Transmissíveis/normas , Argentina/epidemiologia
20.
Eur Spine J ; 29(10): 2409-2412, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32601848

RESUMO

INTRODUCTION: At the time of writing, we are all coping with the global COVID-19 pandemic. Amongst other things, this has had a significant impact on postponing virtually all routine clinic visits and elective surgeries. Concurrently, the Magnetic Expansion Control (MAGEC) rod has been issued with a number of field safety notices and UK regulator medical device alerts. METHODS: This document serves to provide an overview of the current situation regarding the use of MAGEC rods, primarily in the UK, and the impact that the pandemic has had on the management of patients with these rods. RESULTS AND CONCLUSION: The care of each patient must of course be determined on an individual basis; however, the experience of the authors is that a short delay in scheduled distractions and clinic visits will not adversely impact patient treatment. The authors caution against a gap in distractions of longer than 6 months and emphasise the importance of continued remote patient monitoring to identify those who may need to be seen more urgently.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Imãs , Osteogênese por Distração/métodos , Pandemias/prevenção & controle , Segurança do Paciente , Pneumonia Viral/prevenção & controle , Próteses e Implantes , Escoliose/cirurgia , Criança , Alocação de Recursos para a Atenção à Saúde/métodos , Alocação de Recursos para a Atenção à Saúde/normas , Humanos , Controle de Infecções/métodos , Controle de Infecções/normas , Osteogênese por Distração/instrumentação , Osteogênese por Distração/normas , Segurança do Paciente/normas , Guias de Prática Clínica como Assunto , Telemedicina/métodos , Telemedicina/normas , Fatores de Tempo , Reino Unido
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