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10.1016/j.jmir.2021.04.006

http://scihub22266oqcxt.onion/10.1016/j.jmir.2021.04.006
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34049844!8106898!34049844
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suck abstract from ncbi


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pmid34049844      J+Med+Imaging+Radiat+Sci 2021 ; 52 (3): 363-373
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  • Computed tomography during the COVID-19 pandemic: A survey of changes to service delivery, working practices and decision-making role of radiographers #MMPMID34049844
  • Harris MA; Adamson HK; Foster B
  • J Med Imaging Radiat Sci 2021[Sep]; 52 (3): 363-373 PMID34049844show ga
  • INTRODUCTION: During the COVID-19 pandemic, Computed Tomography (CT) departments have established additional acute capacity whilst maintaining essential services. The purpose of this study was to investigate the changes in service delivery, working practices and decision-making role of diagnostic radiographers during the pandemic. METHODS: We conducted an electronic cross-sectional survey of diagnostic radiographers working in CT during the COVID-19 pandemic. The survey was open for 6-weeks, with radiographers from all geographical regions encouraged to respond. The questionnaire explored social distancing, patient scheduling and departmental organisation; PPE usage; recognition and escalation of COVID-19 changes, patient management pathways and any training. Additionally, we sought the personal perspectives of radiographers through free text comments. RESULTS: Following exclusions, 180 responses were analysed. Service delivery changes included social distancing (59.4%; n= 107), restriction of referrals to those considered time-critical (63.3%; n=114) and dedicated COVID-19 scanners (66.1%; n=119). Working practices were impacted by a need to implement PPE, although variation in PPE worn for different scenarios was seen. Half of the radiographers were routinely reviewing asymptomatic outpatient images for common COVID-19 signs, despite 63.5% of respondents not receiving formal training. Ad hoc patient pathways were in place in 90.5% of cases with 35% indicating that this was radiographer-led. CT staff had experienced anxiety, fatigue, and low morale, but praised teamwork. CONCLUSIONS: Radiographers were able to reduce the risk of transmission through social distancing, designated scanners, and PPE. This study has demonstrated that despite variance in practice, radiographers play a key role in identifying and triaging high-risk patients.
  • |*COVID-19[MESH]
  • |*Pandemics[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Radiography[MESH]
  • |SARS-CoV-2[MESH]
  • |Surveys and Questionnaires[MESH]


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