Evaluación de riesgos y mejora de la seguridad biológica y radiológica en la toma de radiografía torácica a pacientes con COVID-19

N. C. Santisteban Salazar, M. Y. Santisteban Salazar, M. A. Arrasco Barrenechea, M. Llashag Adán

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Introduction: Health workers are at high risk of becoming infected with COVID-19. The objective of the study was to evaluate the risks and improve the biological and radiological safety measures for taking chest X-rays in patients with COVID-19 in a Social Security hospital in Utcubamba (Peru). Material and methods: Quasi-experimental intervention study type before and after without a control group, carried out between May and September 2020. A process map and an analysis of failure modes and effects (FMEA) of radiological care were prepared. The gravity (G), occurrence (O), and detectability (D) values ??were found and the risk priority number (RPN) was calculated for each failure mode (FM). FM with RPN ≥ 100 and G ≥ 7 were prioritized. Improvement actions were implemented based on the recommendations of recognized institutions and the O and D values ??were re-evaluated. Results: The process map consisted of 6 threads and 30 steps. 54 FM were identified, 37 of whom had RPN ≥ 100 and 48 had G ≥ 7. Most of the errors occurred during the examination 50% (27). After entering the recommendations, 23 FM had RPN ≥ 100. Conclusions: Although none of the measures applied through the FMEA made the failure mode impossible, they made it more detectable and less frequent and reduced the RPN for each failure mode; however, a periodic update of the process is necessary.

Título traducido de la contribuciónRisk assessment and improvement of biological and radiological safety in taking chest X-rays in patients with COVID-19
Idioma originalEspañol
Páginas (desde-hasta)214-223
Número de páginas10
PublicaciónJournal of Healthcare Quality Research
Volumen38
N.º4
DOI
EstadoPublicada - 1 jul. 2023

Palabras clave

  • Biosecurity
  • Coronavirus
  • COVID-19
  • Radiation protection
  • Social security
  • X-ray

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