Natembeya, M. C., Anudjo, M. N. K., Ackah, J. A., Osei, M. B. and Akudjedu, T.. N., 2024. The environmental sustainability implications of contrast media supply chain disruptions during the COVID-19 pandemic: A document analysis of international practice guidelines. Radiography, 30 (1), S43-S54.
Full text available as:
|
PDF (OPEN ACCESS ARTICLE)
1-s2.0-S1078817424001500-main.pdf - Published Version Available under License Creative Commons Attribution. 527kB | |
Copyright to original material in this document is with the original owner(s). Access to this content through BURO is granted on condition that you use it only for research, scholarly or other non-commercial purposes. If you wish to use it for any other purposes, you must contact BU via BURO@bournemouth.ac.uk. Any third party copyright material in this document remains the property of its respective owner(s). BU grants no licence for further use of that third party material. |
DOI: 10.1016/j.radi.2024.05.017
Abstract
Introduction Travel restrictions implemented during the acute phases of the COVID-19 pandemic disrupted supply chain for critical radiology consumables including contrast media (CM) leading to shortages. Consequently, some departments had to restructure their clinical workflows in accordance to recommended guidelines to ensure safe continuity of patient care. This study aimed to summarise the temporary crisis-driven recommendations with implicit environmental sustainability essence and to analyse how these measures might inform the development of a more sustainable, long-term clinical guideline for safer and cost-effective CM usage without compromising diagnostic quality. Methods Documents were obtained through an electronic database search together with a relevant manual search in Google Scholar and relevant reference lists. The selected documents were subjected to a pre-defined eligibility criteria for inclusion. The READ approach was employed for document analysis and a thematic analysis of the obtained data was conducted. Results Of the 17 documents included, 70% (n = 12) emanate from the United States of America. The summary of the findings relate to minimising CM usage through strategic clinical approaches including optimisation of CM volumes, prioritisation of non-contrast imaging and/or alternative imaging depending on patient need without compromising diagnostic quality. Conclusion Critical lessons of sustainability essence are implicitly embedded in the policy guidelines issued during the periods of acute CM shortage in the COVID-19 pandemic. These lessons were themed around CM conservation based on: type and priority of medical imaging investigation, kind of imaging modality and use of smaller vials over multi-dose vials packaging. Implications for practice: The temporary crisis-driven strategies may offer critical lessons for post-pandemic service delivery to enhance patient safety while saving cost and promoting greener practice via strategic clinical and operational monitoring of CM through policy renewal, education and training and collaboration with industry partners.
Item Type: | Article |
---|---|
ISSN: | 1078-8174 |
Uncontrolled Keywords: | climate change; Contrast media; Document analysis; Environmental sustainability; Green radiology; Radiography |
Group: | Faculty of Health & Social Sciences |
ID Code: | 40083 |
Deposited By: | Symplectic RT2 |
Deposited On: | 26 Jun 2024 07:47 |
Last Modified: | 26 Jun 2024 07:47 |
Downloads
Downloads per month over past year
Repository Staff Only - |