000 | 02668cam a2200337 4500500 | ||
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005 | 20250121143526.0 | ||
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 |