Integrated Safety Protocols: Enhancing Patient Security and Communication Across Emergency Radiology, Nursing Care, and Medical Documentation
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
Khaled Ayed Al-Sahli, Fatimah Mousa Jaber Alshehri, Amal Mashabab Al Bogami, Mutlaq Hadyan Al-Mutairi, Jameel Saud Saleh Alsubhi, Manal Mazen Almutairi, Ghadeer Ghurman Alamri, Lama Abdulrahman Alzomia
Abdulaziz Mohammed Aljuhayri, Sahar Nasser Alshahrani, Abdullah Mohammed Radhi AlSurayhi, Emad Salah Al-hejaili, Mohammed Hulayyil Ateeq Alharbi, Amal Abdullah AlFouzan, Hanan Hassan Jalwai Alanezi
Abstract
This comprehensive study examines the multifaceted approach required to enhance patient safety and communication in radiology departments, with particular focus on emergency settings. Drawing from established literature and clinical evidence, it explores the intersection of radiological practices, nursing care protocols, medical documentation standards, and security measures. The article outlines critical areas including radiation safety, contrast media risks, magnetic resonance imaging hazards, ultrasound safety considerations, and effective risk communication strategies. Furthermore, it provides practical frameworks for implementing integrated safety protocols that bridge departments, enhance interdisciplinary communication, and prioritize patient-centered care. This holistic approach addresses the complex challenges faced in modern healthcare settings while emphasizing ethical considerations, regulatory compliance, and continuous quality improvement.
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