전산화단층촬영검사 (CT) 시 조영제 부작용 발생에 대한 실태조사
Status Survey on the Adverse Reactions of CT Contrast Media
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
This study is aimed at suggesting the necessity of critical paths for the adverse reactions of contrast media, and investigating the ways to respond properly at the time of adverse reactions. The question on the size of hospitals in possession of CT equipment indicated that general hospitals accounted for 50% at the highest rate. In terms of job experience, 50% of radiological technologists had more than 10 years of experience, which accounted for the highest rate. It was shown that the average number of radiological technologists in the CT room was 3, that of nurses 0.6 and that of administrative workers and others 0.3 (87.5%) of respondents explained the treatment method of adverse reaction, and 97.5% responded that they were using the manual for the case of adverse reactions. Also, 87.5% of respondents indicated that they had the division of works at the time of adverse reaction, and the yearly average number of cases was 35. The average handling time was shown to be 51 minutes. This Emergency treatment manual and Critical Pathway program can be used as one of the patient care tools for reducing the adverse reactions to contrast media and increasing the efficiency of care process in CT examination settings.
Abstract
This study is aimed at suggesting the necessity of critical paths for the adverse reactions of contrast media, and investigating the ways to respond properly at the time of adverse reactions. The question on the size of hospitals in possession of CT equipment indicated that general hospitals accounted for 50% at the highest rate. In terms of job experience, 50% of radiological technologists had more than 10 years of experience, which accounted for the highest rate. It was shown that the average number of radiological technologists in the CT room was 3, that of nurses 0.6 and that of administrative workers and others 0.3 (87.5%) of respondents explained the treatment method of adverse reaction, and 97.5% responded that they were using the manual for the case of adverse reactions. Also, 87.5% of respondents indicated that they had the division of works at the time of adverse reaction, and the yearly average number of cases was 35. The average handling time was shown to be 51 minutes. This Emergency treatment manual and Critical Pathway program can be used as one of the patient care tools for reducing the adverse reactions to contrast media and increasing the efficiency of care process in CT examination settings.
참고문헌 (17)
- Bush WH, "Acute reactions to intravascular contrast media: types, risk factors, recognition, and specific treatment", Am. J. Roentgenol, 157(6), pp.1153~1161 (1991)
- Chen AY, "The impact of clinical pathways on the practice of head and neck oncologic surgery", Arch. Otolaryngol. Head Neck Surg, 126(3), pp.322~326 (2000)
- Hwang SM, "The Optimal Length of Time to Observe Patients with Contrast Media Anaphylaxis in the Emergency Department", J. Korean Soc. Clin. Tox, 8(1), pp.37~42 (2010)
- 임창선, "조영제 부작용에 대한 조직책임", 방사선기술과학, 30(2), pp.89~93 (2007), 대한방사선과학회
- 권대철, "CT 조영제의 부작용 예방을 위한 표준진료지침서의 개발과 적용", 방사선기술과학, 30(1), pp.39~46 (2007), 대한방사선과학회
- Kim MK, "Development of a Critical Pathway of Bullectomy for Spontaneous Pneumothorax Patients", Quality Improve. Health Care, 9(1), pp.34~51 (2002)
- Kim YW, "Development and Implementation of a Critical Pathway in Patient with Osmidrosis", Quality Improve. Health Care, 9(1), pp.66~73 (2002)
- 권대철, "가토 정맥에서 CT 조영제의 혈관외유출 예방을 위한 EDA 시스템의 실험적 연구", 의학물리, 17(4), pp.238~245 (2006), 한국의학물리학회
- 권대철, "CT 검사에서 조영제의 혈관외유출 예방을 위한 EDA 시스템 개발의 예비 보고", 의학물리, 17(1), pp.32~39 (2006), 한국의학물리학회
- 권대철, "전산화단층검사에서 조영제의 피하 정맥 혈관외유출 환자의 3D영상", 의학물리, 16(1), pp.47~51 (2005), 한국의학물리학회
- Kwon KS, "Analysis of Adverse Reactions to Computed Tomography Contrast Medium", J. Korean Biol. Nuls. Sci, 6(2), pp.57~68 (2004)
- Lee JM, "Biphasic anaphylaxis reaction in pediatrics", Pediatrics, 106(4), pp.762~766 (2000)
- Morcos SK., "Acute serious and fatal reactions to contrast media: our current understanding", Br. J. Radiol, 78(932), pp.686~693 (2005)
- Park YW, "Development and Clinical Application of Critical Pathways for Vaginal Delivery and Cesarean section", Quality Improve. Health Care, 7(1), pp.32~45 (2000)
- Raddan D., "Patients at high risk of adverse events from intravenous contrast media after computed tomography examination", Eur. J. Radiol, 62, pp.S26~S32 (2007)
- Smit DV, "Anaphylaxis presentations to an emergency department in Hong Kong:Incidence and predictors of biphasic reactions", J. Emerg. Med, 28(4), pp.381~388 (2005)
- Zander K., "Nursing care management : strategic management of cost and quality outcomes", J. Nurs. Adm, 18(5), pp.23~30 (1988)
