Health And Safety In Health Care Settings: Review On Protection Of Patients And Healthcare Workers
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Fatmah Mubark Aboalnass, Waad Hussain Alguthamy, Abdulkarim Abdullah Nasser Al-Hussein, Abdullah Nasser Masoud Al-Mazargah, Ibrahim Salman Ibrahim Al-Harisi, Sami Shubat Hawwaf Alotaibi, Hamad Lafi Maziad Almotairi, Ghadi Ibrahim Ali Alqurashi
Ghufran Zaki Alfaraj, Fatimah Mohammed Albaharnah, Bakr Abduljabar A. Salman, Rauf Mohsen Aadawi, Rami Hamdan AlmotaIri, Fahad Masoud Almohammadi, Mansour Faris Alharbi
Abstract
Health and safety in healthcare settings constitute the foundation of quality medical services, ensuring that both patients and healthcare professionals operate in environments that minimize risks and prevent harm. The modern concept of safety culture emphasizes proactive risk identification rather than reactive incident management. Healthcare organizations increasingly recognize that maintaining a safe workplace directly influences patient care outcomes. Effective safety programs integrate organizational policies, behavioral training, and monitoring systems that promote accountability. Beyond technical controls, the establishment of a shared ethical commitment to “do no harm” serves as the cultural backbone of all safety efforts. In this framework, patient and worker safety are not competing interests but mutually reinforcing priorities that together define excellence in healthcare delivery (Macedo et al., 2020; Eliyana et al., 2020).
Keywords :
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Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty