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ISRRT | Book Of Abstracts

34 in the traumatic event. Post incident debriefing sessions may provide the staff member the only opportunity to speak openly and safely about the traumatic event. The purpose of this paper is to review the workplace mechanisms in place to support staff following critical incidents in my own workplace, in relation to some of the published literature regarding critical incident stress management. ‘A holistic approach to community resilience through a well-planned and implemented critical incident stress management programme has been shown in the literature to promote self-help and self-efficacy of individuals and organisations’ (Guenthner, 2012, p1). “Critical incident stress is defined as the emotional stress experienced by individuals secondary to their exposure to a specific incident or number of Incidents” (Blacklock,2012, p3). Methods: Radiographers and Emergency Department nursing staff were surveyed to gauge the level of incidents encountered, debriefing sessions offered, and the perceived impact of the support mechanisms. Results: Determining whether practices offered in the workplace make a difference to managing stress of a traumatic incident for the current staff complement should be identifiable from the survey results. Literature suggests that while CISD success hasn’t been “conclusively supported by research findings” (Mitchell et al, 2003, p49), there is clinical evidence within employment groups that support following significant trauma events does have a positive impact on staff wellbeing and morale. 10.7. Implementation of a Radiological Department as an integral part of an Emergency Department for faster and better care to patients Presenter: Kristian Blessing, Odense University Hospital, Denmark Author: Kristian Blessing Introduction: To optimize care for all incoming patients through the Emergency Department (ED,) at Odense University Hospital, a new ED was built and taken into use in 2012. The most important issue for the new ED, was to diagnose the patient as fast as possible. One of the key factors for optimizing patient flow, and thereby getting a faster diagnosis, was the integration of a complete (4 X-ray, 1 CT and 1 US) small Radiological Department (RD) in the ED. The idea was to fully integrate the Radiological Department as an integral part of the ED. To do this, an experienced radiographer was hired 6 month prior to the opening. The radiographer was tasked with identifying the new goals of the ED and implements these to the RD in the ED. One of the most important factors was to change the mind-set of a large group off radiographers from the old workflow, to a completely new one. The ED and RD wanted to perform all radiological exams within one hour after receiving the referral and all patients should have a tentative diagnosis within 4 hours. Methods: An experienced radiographer, who used lead the way management, facilitated the new and efficient workflow. The entire workforce helped the process along and made the big step from an old workflow to a completely new one. Results: Due to several factors; the effectiveness of the radiographers has been considerably improved. The overall flow through the RD in the ED is much more efficient now than before the integration. Two key factors, the proximity of the RD to the ED and that there are no ambulatory patients in the RD (ED,) are the most prominent. 10.8. Hong Kong Medical Imaging Service in China Presenter: Edward Chan, The University of Hong Kong Shenzhen Hospital Author: Edward Chan Introduction: The accessibility of Healthcare service is a serious problem in China. The public of China has complained it for many years. Health Care Reform become high priority in the agenda of Chinese government officials in the last decade but it is not a easy task to find a sustainable solution to satisfy the need of 1.3 billion people. As the other developing countries, China have to import method and system from the well developed area and start pilot studies to tackle their own problem. Hong Kong is the window city of China, having independent and international standard of medical service system by the concept of “one country two systems”. So the central government of China would like to introduce HK’s system as a pilot study of Health Care Reform. The faculty of Medicine of the University of Hong Kong was identified to be the partner of this project since 2010. A new hospital was transferred to the University of Hong Kong at the Futian Distant of Shenzhen and named “The University of Hong Kong Shenzhen Hospital” (HKU-SZH). Hong Kong Healthcare professionals are the backbone of management and clinical services. The first HK radiographer reported duty about 3 months before the opening as the Department Manager (DM). The second HK radiographer arrived in November 2012. The third and fourth resumed their duties in August and September of 2013 respectively. They all are experts of different specialities. They also do the administrative work of the ultrasound service. This presentation will share our experience and strategies of setting up a new radiography service model within difference culture and healthcare system. Methods: Currently, 4 HK Radiographers are managing 19 local radiographers provide services of general, DSA, CT, MRI, NM, DEXA, ESWL, Mammography and Fluoroscopy. They expected to have 52 radiographers to operate the department at the end of 2014. Results: They had too many differences of both systems. The cultural different of work was a major problem of operation. Although they faced many obstacles, the operation become seamless and combined all the advantages of Hong Kong high healthcare standard and the local high output practice by the courage of local and HK staff. The transparent policies, good strategy and communication are the keys of success. This format of healthcare service may be a good model for the Health Care Reform in China. 10.9. Tampere Cancer Center, TAMCAN Presenter: Anne Kahiluoto, Pirkanmaa Hospital District/ Tampere University Hospital, Finland Author: Anne Kahiluoto Introduction: Cancer diseases are a major public health problem. About 30 000 new cancers are diagnosed yearly and One third of Finns are diagnosed with cancer, and cancer causes one in five deaths in Finland. Cancer treatment is a multi-professional teamwork from primary care to specialized medical care, and back. The treatment consists of today an increasing number of different treatment modalities are combined; options put together: surgery, chemo-pharmaceutical and hormone therapy, radiation therapy, and targeted therapies. Various molecular biological drug therapies. The choice of cancer treatment is based on molecular, biological and clinical factors. Evaluation of the effectiveness of treatments requires constant research. Patient care must have clear links and interfaces with research, as well as population level research to guarantee a wide availability of the new therapies. To improve cancer treatment and research opportunities, many countries have established national cancer center networks. Now, the same model is being applied in Finland. The developmental project of Tampere Cancer Center, TAMCAN, aims to examine fully the specific responsibilities of the cancer center, establishing conditions - as well as the opportunities and modeling tasks. TAMCAN will be one part of the Finnish cancer center (FINCAN) network. Evaluation of the treatment effectiveness requires constant research. Patient care must have clear links and interfaces, as well as research in the development of treatments that guarantee the availability of new therapies. To improve cancer treatment and research opportunities, many countries have established national cancer center networks Methods: The Chairman is involved in the National Cancer Center’s planning at the national level. The project group has visited cancer centers in Europe and discussed with the regional hospital leaders about their preferences and expectations as to TAMCAN. Results: The project group proposes that TAMCAN will be established. Its mission is to contribute to cancer research, treatment and education. TAMCAN will be one part of the FINCAN -network. TAMCAN's primary focus is going to be a wide-ranging prostate and breast cancer research, including basic, translational, clinical, and health care and scientific research. TAMCAN will also support other types of cancer research and a high level of care. A Phase I-II anti-cancer drug research center will be an important part of TAMCAN, linking translational research done at the Institute of Biomedical Technology to patient care, and providing funding of research through cooperation with the pharmaceutical industry. 10.10. Is it economically justifiable to let sonographers perform diagnostic ultrasound examinations in the upper abdomen? Presenter: Kari Gerhardsen Vikestad, Oslo Kommune, Norway Author: Kari Gerhardsen Vikestad Introduction: A scientific study from Norway concluded in 2011 that sonographers are qualified to perform ultrasound examinations of upper abdomen equal to radiologists. This is a cost/benefit analyze to explore


ISRRT | Book Of Abstracts
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