000 02668cam a2200337 4500500
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041 _afre
042 _adc
100 1 0 _aBertrand-Barat, Josseline
_eauthor
700 1 0 _a Petit-Moneger, Aurélie
_eauthor
700 1 0 _a Parinaud, Anne-Sophie
_eauthor
700 1 0 _a Bonilla, Marion
_eauthor
700 1 0 _a Pineau, Xavier
_eauthor
700 1 0 _a Loiseau-Audirac,
_eauthor
700 1 0 _a Bohuon, Soazig
_eauthor
700 1 0 _a Lelièvre, Gaelle
_eauthor
700 1 0 _a Gaye, Delphine
_eauthor
700 1 0 _a Laurent, François
_eauthor
700 1 0 _a Saillour-Glenisson, Florence
_eauthor
245 0 0 _aAnalysis of circumstances of occurrence of contrast media in imaging services
260 _c2019.
500 _a5
520 _aIntroduction: To prevent extravasations in medical imaging, analyses of organizational and professional circumstances of the occurrence of extravasations have been conducted in the Bordeaux University Hospital (BUH). Method: Two parallel studies were conducted: (i) clinical practice evaluation (CPE) including practice analysis groups and development of indicator of extravasation occurrence; (ii) Case-control study analyzing the factors associated with the occurrence of extravasations. Cases were constituted with consecutive series of patients with extravasation occurred in the BUH; controls were constituted of series of patients managed in medical imaging in the BUH without any extravasation. Statistical analysis included univariate and multivariate regression logistic models. Results: CPE identified the following circumstances: patient’ characteristics (female gender, low blood vessels) and professional situations (lack of check of: peripheral veinous access, contrast media temperature, injection process and lack of matching between injection amount and veinous access diameter). In the case-control analysis, patients’ gender and catheter placement in medical imaging were significantly associated with the occurrence of extravasations. Guidelines have been drafted allowing the decrease of extravasation incidence. Conclusion: Adherence to guidelines of contrast media preparation and injection process is very important to prevent extravasation and improve patient safety.
690 _aradiology
690 _aprofessional practices assessment
690 _ahealth care quality
690 _aprofessional practices group analysis
690 _acontrast media extravasation
786 0 _nSanté Publique | 31 | 1 | 2019-05-14 | p. 93-102 | 0995-3914
856 4 1 _uhttps://shs.cairn.info/journal-sante-publique-2019-1-page-93?lang=en&redirect-ssocas=7080
999 _c587392
_d587392