Impact of the COVID 19 Pandemic on Radiological Imaging in Germany

Purpose To analyze the impact of the COVID-19 pandemic in 2020 on the radiological imaging volume in Germany. Materials und Methods In this retrospective multicenter study, we analyzed CT and MRI examinations of 7 radiology institutes across Germany from January to December 2020. The imaging volume was compared to 2019 (Wilcoxon-Mann-Whitney test). Modality, patient service locations, and examined body parts were assessed in consideration of time periods of the pandemic. In addition, correlation with the incidence of SARS-CoV-2 cases and associated death was performed (Spearman-test). Results In total, in 2020, imaging volume declined by 4 % (n = 8314) compared with 2019 (p < 0.05). The hard lockdown during the first pandemic wave (calendar week 12–16, March 22 – April 19) revealed the highest decrease with 29 % (n = 894, p < 0.01), with the greatest decrease in CT (36 % vs. MRI 26 %), outpatients (38 %, p < 0.01), and imaging of the spine and extremities (51–72 %, < 0.05 – p < 0.01). Examinations referred from the emergency department (–13 %, p < 0.05) and CT of the chest (–16 %, p < 0.05) were least affected. With the end of the first wave, gradual normalization of the imaging volume was observed and persisted until the end of the observation period. A reduction of imaging volume negatively correlated with the incidence of SARS-CoV-2-positive cases and associated deaths (r = 0.28 and 0.49, p < 0.05 and p < 0.001). Conclusion The COVID-19 pandemic was associated with a significant temporary decline in imaging volume. After the first lockdown period, a quick recovery was observed with radiologic imaging examinations steadily approaching prior-year figures. Key points: Citation Format

Pengaruh Respon Time Perawat Terhadap Tingkat Kepuasan Pasien Dalam Pelayanan Pasien di Ruang IGD Rumah Sakit Aminah Kota Tangerang

ABSTRACT : EFFECT OF NURSE'S RESPONSE TIME ON SATISFACTION LEVEL PATIENTS IN PATIENT SERVICES IN THE EMERGENCY ROOM OFTHE HOSPITAL AMINAH TANGERANG CITY Introduction : Response time is the speed in handling patients, calculated from the time the patient arrives until there is a response from the nurse, the response time of the nurse will affect the satisfaction of the patient's and patient's family based on meeting or exceeding the expectations of the patient and family. Purpose: This study aims to identify the effect of the nurse's response time on the level of patient satisfaction in patient service in the emergency room at Aminah Hospital, Tangerang City.), Method: the sampling technique uses Systematic random sampling. Researchers collected data using instruments about patient satisfaction in this study using a standardized questionnaire, namely the questionnaire of the gap model of the Supriyanto questionnaire (2015). Meanwhile, the response time instrument used the first emergency service observation sheet or emergency response time rate. statistical test using the Spearman Rank statistical test. Result : Based on the research results obtained with a value of p = 0.000. Because the p value = 0.000 or <0.05. Conclusion : there is a significant relationship between the response time of the nurse to the level of patient satisfaction in patient service in the emergency room at Aminah Hospital, Tangerang City. Keyword: Nurse's Response and Satisfaction Level INTISARI: PENGARUH RESPON TIME PERAWAT TERHADAP TINGKAT KEPUASAN PASIEN DALAM PELAYANAN PASIEN DI RUANG IGD RUMAH SAKIT AMINAH KOTA TANGERANG Latar Belakang : Response time merupakan kecepatan dalam penanganan pasien, dihitung sejak pasien datang sampai adanya tanggapan dari perawat, respon time perawat akan berpengaruh terhadap Kepuasan keluarga pasien dan pasien didasarkan pada terpenuhi atau terlampauinya harapan pasien dan keluarga.Tujuan : Penelitian ini bertujuan mengidentifikasi Pengaruh Respon Time Perawat Terhadap Tingkat Kepuasan Pasien Dalam Pelayanaan Pasien di Ruang IGD Rumah Sakit Aminah Kota Tangerang Tahun 2021, terdapat 90 pasien di Ruang IGD berpartisipasi dalam penelitian ini.Metode penelitian : Jenis penelitian korelasional, dengan metode kuantitatif Eksperimen semu (Quasy experimental),teknik pengambilan sampel menggunakan Systematic random sampling. Peneliti melakukan pengumpulan data dengan menggunakan Instrumen tentang kepuasan pasien pada penelitian ini menggunakan kuisioner yang sudah baku yaitu kuisioner model kesenjangan kuisioner Supriyanto (2015) Sedangkan untuk intrumen Respon Time menggunakan lembar observasi pelayanan pertama gawat darurat atau emergency respon time rate. uji statistik menggunakan uji statistik Spearman RankHasil : Berdasarkan hasil penelitian didapatkan dengan nilai p= 0,000. Karena nilai p value = 0,000 atau <0,05.Kesimpulan : terdapat hubungan yang signifikan antara Respon Time Perawat Terhadap Tingkat Kepuasan Pasien Dalam Pelayanaan Pasien di Ruang IGD Rumah Sakit Aminah Kota Tangerang Kata kunci: Respon Perawat dan Tingkat Kepuasan

COVID-19 triage in general adult in-patient psychiatry: perspectives from clinicians on a novel triage ward during the pandemic

SUMMARY Intra-hospital transmission of COVID-19 is a major concern. To mitigate this risk, ‘COVID-triage’ psychiatric wards were implemented by some in-patient service providers in the UK. Although the effectiveness of this model has not been investigated, there are questions about the benefits and detriments of this model of care for patients and staff. This reflection draws from the experiences of clinicians who were redeployed from their planned clinical posts (and training rotations, in the case of trainees) to staff a newly established COVID-triage ward at a large urban mental healthcare provider, between August 2020 and March 2021.

Implementation of the GSA KAER Toolkit in a Large Clinic System: Workflow Modifications and EMR Tools

We implemented the KAER toolkit in the University of Washington primary care clinics. In this session we share the workflows implemented to promote the KAER model and share the tools we developed within EPIC, the system's electronic medical record (EMR). We collaborated with clinic staff to develop interdisciplinary workflows including: training patient service representatives, social workers, nurses, and medical assistants (MAs) about 'red flags;' training medical assistants to complete the Patient Health Questionnaire (PHQ-9) and Montreal Cognitive Assessment (MoCA); and assuring they are appropriately entered into flowsheets in EPIC. We created a checklist (EPIC 'SmartPhrase') and educated the clinics' interdisciplinary teams to utilize it within their scope of practice. Additionally, we created an order set (EPIC 'SmartSet') of commonly ordered tests and referrals to expedite evaluation of patients with suspected cognitive impairment. Lastly, we created a direct link from our EMR to our website containing community resources.

Current and Future Photography Techniques in Aesthetic Surgery

Background The rapidly increasing modalities and mediums of clinical photography, use of 3D and 4D patient modeling, and widening implementation of cloud-based storage and artificial intelligence call for an overview of various methods currently in use as well as future considerations in the field. Objectives Through a close look at the methods used in aesthetic surgery photography, clinicians will be able to select the modality best suited to their practice and goals. Methods Review and discussion of current data pertaining to: 2D and 3D clinical photography, current photography software, augmented reality reconstruction, artificial intelligence photography, and cloud-based storage. Results Important considerations for current image capture include a device with a gridded viewing screen and high megapixel resolution, a tripod with leveling base, studio lighting with dual-sourced light, standardized matte finish background, and consistency in patient orientation. Currently, 3D and 4D photography devices offer advantages such as improved communication to the patient on outcome expectation and better quality of patient service and safety. Artificial intelligence may contribute to post-capture processing and 3D printing of post-operative outcomes. Current smartphones distort patient perceptions about their appearance and should be used cautiously in an aesthetic surgery setting. Cloud-based storage provides flexibility, cost, and ease of service while remaining vulnerable to data breaches. Conclusions While there are advancements to be made in the physical equipment and preparation for the photograph, the future of clinical photography will be heavily influenced by innovations in software and 3D and 4D modeling of outcomes.

Psychiatry In-patient Substance Profile Changes in COVID year 2020 from 2019 in a Teaching hospital of Eastern Nepal

Subsequent time, after declaration of COVID-19 pandemic, witnessed variable changes in various aspects due to COVID circumstances around the globe. We report and reflect here over the observation regarding substance use and use disorder scenario in initial COVID year 2020 in reference to 2019 (year preceding COVID-19 pandemic). It is an observation in psychiatry in-patient service of a teaching hospital of eastern Nepal. There were 420 (284 male, 136 female) and 279 (194 male and 85 female) admissions in 2019 and 2020 respectively. The most striking and significant change was seen for Nicotine, both overall and use disorder-wise. Over all, the proportion increased for Nicotine (34.05 to 48.03%) and Cannabis (16.67 to 17.92%) whereas decreased for Alcohol (38.33 to 31.18%), Opiote (7.62 to 6.81%), Benzodiazepine (6.43 to 5.73%) and other substance (0.71% to nil) among the in-patients in 2020. Categorically, both the Use and Dependence syndrome (ICD-10) increased for Nicotine (8.81 to 21.86%% and 25.24 to 26.17%) and Cannabis (10.71 to 11.47% and 5.72 to 6.45%). Proportion of Alcohol use and Harmful use decreased whereas Alcohol dependence increased, Opiote use increased whereas Harmful use and Dependence decreased, Benzodiazepine use and Dependence decreased and other substances decreased too. The observation shows various changes in the pattern of substance among the psychiatry in-patients which indicates the need for some strategic and policy changes to tackle this pandemic situation.

Perancangan dan Implementasi Sistem Informasi Rekam Medis (Studi Kasus: Puskesmas Onekore)

The medical record information system is an information system that manages patient data and documents containing patient identities, examination results, payments and other services that have been provided to patients. The existing medical record information system at the Onekore Health Center is still processed manually, namely using a ledger for recording and also takes up a lot of storage space. So that patient service at the Onekore Health Center becomes less effective and efficient. Therefore, we need a concept for processing patient medical record data by considering the time efficiency and safety required for the patient data collection process. The purpose of this study is to build a computerized medical record information system in order to provide convenience for medical officers in providing health services to patients to be more effective and also easier in making reports. This medical record information system is designed using the Microsoft Visual Studio programming language and MySQL as the database. The research method used in this research is descriptive qualitative method. While the testing technique uses the Blackbox testing method.

IT ambidexterity driven patient agility and hospital patient service performance: a variance approach

Hospitals are currently exploring digital options to transform their clinical procedures and their overall engagement with patients. This paper investigates how hospital departments can leverage the ability of firms to simultaneously explore new IT resources and practices (IT exploration) as well as exploit their current IT resources and practices (IT exploitation), i.e., IT ambidexterity, to adequately sense and respond to patients' needs and demands, i.e., patient agility. This study embraces the dynamic capability view and develops a research model, and tests it accordingly using cross-sectional data from 90 clinical hospital departments from the Netherlands through an online survey. The model's hypothesized relationships are tested using Partial Least Squares (PLS) structural equation modeling (SEM). The outcomes demonstrate the significance of IT ambidexterity in developing patient agility, positively influencing patient service performance. The study outcomes support the theorized model can the outcomes shed light on how to transform clinical practice and drive patient agility.