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Gibney BT, Roberts JM, D'Ortenzio RM, Sheikh AM, Nicolaou S, Roberge EA, O'Neill SB. Preventing and Mitigating Radiology System Failures: A Guide to Disaster Planning. Radiographics 2021; 41:2111-2126. [PMID: 34723695 DOI: 10.1148/rg.2021210083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Disaster planning is a core facet of modern health care practice. Owing to complex infrastructure requirements, radiology departments are vulnerable to system failures that may occur in isolation or during a disaster event when the urgency for and volume of imaging examinations increases. Planning for systems failures helps ensure continuity of service provision and patient care during an adverse event. Hazards to which a radiology department is vulnerable can be identified by applying a systematic approach with recognized tools such as the Hazard, Risk, and Vulnerability Analysis. Potential critical weaknesses within the department are highlighted by the Failure Mode and Effects Analysis tool. Recognizing the potential latent conditions and active failures that may impact systems allows implementation of strategies to prevent failure or to build resilience and mitigate the effects if they happen. Inherent system resilience to an adverse event can be estimated, and the ability of a department to operate during a disaster and the subsequent recovery can be predicted. The main systems at risk in a radiology department are staff, structure, stuff (supplies and/or equipment), and software, although individual issues and solutions within these are department specific. When medical imaging or examination interpretation needs cannot be met in the radiology department, the use of portable imaging modalities and teleradiology can augment the disaster response. All phases of disaster response planning should consider both sustaining operations and the transition back to normal function. Online supplemental material and the slide presentation from the RSNA Annual Meeting are available for this article. Work of the U.S. Government published under an exclusive license with the RSNA.
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Affiliation(s)
- Brian T Gibney
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - James M Roberts
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Robert M D'Ortenzio
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Adnan M Sheikh
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Savvas Nicolaou
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Eric A Roberge
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
| | - Siobhán B O'Neill
- From the Department of Radiology, Vancouver General Hospital, 899 W 12th Ave, Vancouver, BC, Canada V5Z 1L5 (B.T.G., J.M.R., R.M.D., A.M.S., S.N., S.B.O.); Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (R.M.D.); and Department of Radiology, Madigan Army Medical Center, Tacoma, Wash, and the Uniformed Services University of the Health Sciences, Bethesda, Md (E.A.R.)
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Elliott R, Ohene Baah N, Grossman VA, Sharma AK. COVID-19 Related Mortality During Management of a Hepatic Abscess. JOURNAL OF RADIOLOGY NURSING 2020; 39:271-274. [PMID: 32982611 PMCID: PMC7508491 DOI: 10.1016/j.jradnu.2020.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
The coronavirus disease (COVID-19) is caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which originated in the capital city of the Hubei Province, Wuhan, China, in late 2019. Declared a pandemic by the World Health Organization on March 11th, 2020, COVID-19 has challenged healthcare systems to limit the spread of community and hospital-acquired disease. This article uses a patient case to highlight the importance of infection control during the height of the SARS-CoV-2 surge at a Level I affiliated community hospital in Western New York.
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Affiliation(s)
- Robert Elliott
- Imaging Sciences, University of Rochester, Rochester, New York
| | - Nana Ohene Baah
- Department of Radiology, University of Louisville, Louisville, Kentucky
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