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  1. Article ; Online: Recommendations for the Cleaning of Endocavity Ultrasound Transducers Between Patients.

    Westerway, Susan Campbell / Basseal, Jocelyne M / Abramowicz, Jacques / Moran, Carmel

    Ultrasound in medicine & biology

    2024  

    Abstract: The COVID-19 pandemic highlighted the importance of infection prevention and control measures for all medical procedures, including ultrasound examinations. As the use of ultrasound increases across more medical modalities, including point-of-care ... ...

    Abstract The COVID-19 pandemic highlighted the importance of infection prevention and control measures for all medical procedures, including ultrasound examinations. As the use of ultrasound increases across more medical modalities, including point-of-care ultrasound, so does the risk of possible transmission from equipment to patients and patients to patients. This is particularly relevant for endocavity transducers, such as trans-vaginal, trans-rectal and trans-oesophageal, which could be contaminated with organisms from blood, mucosal, genital or rectal secretions. This article proports to update the WFUMB 2017 guidelines which focussed on the cleaning and disinfection of trans-vaginal ultrasound transducers between patients.
    Language English
    Publishing date 2024-03-13
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 186150-5
    ISSN 1879-291X ; 0301-5629
    ISSN (online) 1879-291X
    ISSN 0301-5629
    DOI 10.1016/j.ultrasmedbio.2024.02.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Global Outbreak Alert and Response Network deployments during the COVID-19 pandemic, WHO Western Pacific Region.

    Salmon, Sharon / Brinkwirth, Simon / Loi, Gianluca / Basseal, Jocelyne M

    Western Pacific surveillance and response journal : WPSAR

    2024  Volume 15, Issue 5 Spec edition, Page(s) 1–7

    Abstract: Problem: The Global Outbreak Alert and Response Network (GOARN) has responded to more than 100 outbreaks during the past 23 years. The coronavirus disease (COVID-19) pandemic presented unprecedented operational constraints that challenged GOARN's core ... ...

    Abstract Problem: The Global Outbreak Alert and Response Network (GOARN) has responded to more than 100 outbreaks during the past 23 years. The coronavirus disease (COVID-19) pandemic presented unprecedented operational constraints that challenged GOARN's core mission to rapidly deploy technical experts from its partners to support national in-country responses to public health emergencies. This paper describes the type and duration of GOARN deployments to and within the World Health Organization's (WHO's) Western Pacific Region during the COVID-19 pandemic.
    Context: Despite strict border closures and ever-changing vaccination and quarantine requirements, GOARN continued to deploy international technical assistance to strengthen COVID-19 response operations within the Region, as requested.
    Action: Data were analysed from the GOARN Knowledge Platform about deployments to and within the Region for responses to the COVID-19 pandemic between 1 January 2020 and 5 May 2023. Data were available about deployment duration, technical role requested, country or area, partner organization and deployed expert's demographics. Feedback from postdeployment briefings with the experts was collected and thematically analysed to determine ongoing needs and gaps to help improve deployment operations.
    Outcome: There were 72 experts deployed on 89 missions through GOARN to 12 countries and areas in the Region, for a total of 4558 field days, to support the response to the COVID-19 pandemic.
    Discussion: The volume of requests for assistance from countries and areas in the Region to respond to the COVID-19 pandemic uncovered a deficit in human resources available for domestic response to outbreaks and the reliance on international assistance. Strengthening the in-country capacity of ready-to-respond public health emergency staff is critical to meet the needs for outbreak response. The ongoing demand for technical experts to support national responses means that these lessons may have immediate implications.
    MeSH term(s) Humans ; Pandemics/prevention & control ; COVID-19/epidemiology ; COVID-19/prevention & control ; Disease Outbreaks/prevention & control ; Public Health ; World Health Organization
    Language English
    Publishing date 2024-02-06
    Publishing country Philippines
    Document type Journal Article
    ZDB-ID 2592503-9
    ISSN 2094-7313 ; 2094-7313
    ISSN (online) 2094-7313
    ISSN 2094-7313
    DOI 10.5365/wpsar.2024.15.5.1060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: How do healthcare workers in diagnostic imaging minimise risks but maximise performance during the COVID-19 pandemic?

    Basseal, Jocelyne M / Collignon, Peter

    Australasian journal of ultrasound in medicine

    2020  Volume 23, Issue 2, Page(s) 87–89

    Language English
    Publishing date 2020-05-05
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2843953-3
    ISSN 2205-0140 ; 1836-6864
    ISSN (online) 2205-0140
    ISSN 1836-6864
    DOI 10.1002/ajum.12207
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Endocavity Ultrasound Transducers: Why High-Level Disinfection Is Necessary.

    Westerway, Susan Campbell / Basseal, Jocelyne M

    Ultraschall in der Medizin (Stuttgart, Germany : 1980)

    2020  Volume 43, Issue 2, Page(s) 204–208

    Abstract: As a medical imaging modality, ultrasound is used by a wide cross-section of practitioners including radiologists, obstetricians, gynecologists, gastroenterologists, urologists and cardiologists. The increasing popularity of ultrasound as a diagnostic ... ...

    Title translation Endokavitäre Ultraschallsonden: Warum ein High-level-Desinfektionsverfahren notwendig ist.
    Abstract As a medical imaging modality, ultrasound is used by a wide cross-section of practitioners including radiologists, obstetricians, gynecologists, gastroenterologists, urologists and cardiologists. The increasing popularity of ultrasound as a diagnostic tool is due not only to the ease of use and portability of systems, but also to the perceived safety aspect of the examination. This latter point needs to be examined. As with any reusable medical device, the ultrasound transducer, also known as a probe, could potentially be a vector for the transmission of pathogenic viruses and fungi between patients if not correctly disinfected after each use. This transmission risk is magnified for an endocavity transducer that has come in contact with the vagina, anal canal or oral cavity, as it could be contaminated with organisms transmitted by blood or mucosal, genital or rectal secretions. Based on the Spaulding system, transducers that come in contact with mucous membranes are classified as semi-critical devices that require high-level disinfection (HLD) after each patient procedure. This HLD process should eliminate all microorganisms except high numbers of bacterial endospores. Only a small number of countries worldwide have implemented transducer reprocessing guidelines that adhere to the Spaulding classification and recommend HLD for endocavity transducers. Overall, there is a lack of conformity among global health agencies regarding the use of HLD for endocavity transducers. This is primarily due to the perception that the infection transmission risk is negligible and that if an endocavity transducer has been covered with a single-use sheath for the procedure, then low-level disinfection provides sufficient protection against pathogen transmission. The objective of this study was to review the published risk of infection transmission from endocavity transducers. By highlighting the outbreaks and case reports that implicate pathogen transmission from transducers, we posit that HLD should be a global standard of practice for the reprocessing of endocavity transducers. It requires substantial time for national health administrations to develop and legislate new recommendations, and for practice changes to be accepted and implemented by healthcare providers. We recommend that Joint Commission International (JCI) and other equivalent organizations enforce the use of HLD of endocavity ultrasound transducers during their accreditation reviews.
    MeSH term(s) Disinfection ; Female ; Humans ; Transducers ; Ultrasonography/methods ; Vagina/diagnostic imaging
    Language English
    Publishing date 2020-07-30
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 801064-x
    ISSN 1438-8782 ; 1439-0914 ; 1431-4894 ; 0172-4614
    ISSN (online) 1438-8782
    ISSN 1439-0914 ; 1431-4894 ; 0172-4614
    DOI 10.1055/a-1168-6602
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: How do healthcare workers in diagnostic imaging minimise risks but maximise performance during the COVID‐19 pandemic?

    Basseal, Jocelyne M. / Collignon, Peter

    Australasian Journal of Ultrasound in Medicine

    2020  Volume 23, Issue 2, Page(s) 87–89

    Keywords covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2843953-3
    ISSN 2205-0140 ; 1836-6864
    ISSN (online) 2205-0140
    ISSN 1836-6864
    DOI 10.1002/ajum.12207
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: How do healthcare workers in diagnostic imaging minimise risks but maximise performance during the COVID-19 pandemic?

    Basseal, Jocelyne M. / Collignon, Peter

    Australasian J. Ultrasound Med.

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #379539
    Database COVID19

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  7. Article ; Online: How do healthcare workers in diagnostic imaging minimise risks but maximise performance during the COVID-19 pandemic?

    Basseal, Jocelyne M. / Collignon, Peter

    2020  

    Keywords COVID-19 ; Coronavirus ; covid19
    Language English
    Publishing date 2020-01-01
    Publishing country au
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: COVID-19: Infection prevention and control guidance for all ultrasound practitioners.

    Basseal, Jocelyne M / Westerway, Susan Campbell / McAuley, Terry

    Australasian journal of ultrasound in medicine

    2020  Volume 23, Issue 2, Page(s) 90–95

    Abstract: The severe acute respiratory syndrome coronavirus (SARS-CoV-2), an enveloped virus, is the causative agent of the disease known as COVID-19 (coronavirus disease-2019). Proper infection prevention and control measures and good hygiene practices are ... ...

    Abstract The severe acute respiratory syndrome coronavirus (SARS-CoV-2), an enveloped virus, is the causative agent of the disease known as COVID-19 (coronavirus disease-2019). Proper infection prevention and control measures and good hygiene practices are essential to prevent spread of COVID-19 and protect both patients and the healthcare worker. These guidelines are relevant to all ultrasound practitioners and provides guidance on cleaning and disinfection of ultrasound equipment, the environment and PPE (protective personal equipment) during the COVID-19 outbreak in the Australasian region.
    Keywords covid19
    Language English
    Publishing date 2020-05-30
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2843953-3
    ISSN 2205-0140 ; 1836-6864
    ISSN (online) 2205-0140
    ISSN 1836-6864
    DOI 10.1002/ajum.12210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: How do healthcare workers in diagnostic imaging minimise risks but maximise performance during the COVID‐19 pandemic?

    Basseal, Jocelyne M. / Collignon, Peter

    2020  

    Abstract: The severe acute respiratory syndrome coronavirus (SARS‐CoV‐2), the causative agent of COVID‐19, is a lipid‐layer enveloped RNA virus, capable of infecting receptor‐expressing epithelial cells. The angiotensin‐converting enzyme 2 (ACE2) molecule has been ...

    Abstract The severe acute respiratory syndrome coronavirus (SARS‐CoV‐2), the causative agent of COVID‐19, is a lipid‐layer enveloped RNA virus, capable of infecting receptor‐expressing epithelial cells. The angiotensin‐converting enzyme 2 (ACE2) molecule has been identified as the attachment molecular for SARS‐CoV‐2 as well as for SARS‐CoV and the human coronavirus hCoV‐NL63.ACE2 is expressed to varying degrees by the cells of the upper and lower respiratory tract, stomach, intestine, kidney and the central nervous, circulatory and reproductive systems.
    Keywords COVID-19 ; Coronavirus ; covid19
    Language English
    Publishing date 2020-01-01
    Publishing country au
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Communication of Diagnostic Uncertainty in Primary Care and Its Impact on Patient Experience: an Integrative Systematic Review.

    Dahm, Maria R / Cattanach, William / Williams, Maureen / Basseal, Jocelyne M / Gleason, Kelly / Crock, Carmel

    Journal of general internal medicine

    2022  Volume 38, Issue 3, Page(s) 738–754

    Abstract: Background: Diagnostic uncertainty is a pervasive issue in primary care where patients often present with non-specific symptoms early in the disease process. Knowledge about how clinicians communicate diagnostic uncertainty to patients is crucial to ... ...

    Abstract Background: Diagnostic uncertainty is a pervasive issue in primary care where patients often present with non-specific symptoms early in the disease process. Knowledge about how clinicians communicate diagnostic uncertainty to patients is crucial to prevent associated diagnostic errors. Yet, in-depth research on the interpersonal communication of diagnostic uncertainty has been limited. We conducted an integrative systematic literature review (PROSPERO CRD42020197624, unfunded) to investigate how primary care doctors communicate diagnostic uncertainty in interactions with patients and how patients experience their care in the face of uncertainty.
    Methods: We searched MEDLINE, PsycINFO, and Linguistics and Language Behaviour Abstracts (LLBA) from inception to December 2021 for MeSH and keywords related to 'communication', 'diagnosis', 'uncertainty' and 'primary care' environments and stakeholders (patients and doctors), and conducted additional handsearching. We included empirical primary care studies published in English on spoken communication of diagnostic uncertainty by doctors to patients. We assessed risk of bias with the QATSDD quality assessment tool and conducted thematic and content analysis to synthesise the results.
    Results: Inclusion criteria were met for 19 out of 1281 studies. Doctors used two main communication strategies to manage diagnostic uncertainty: (1) patient-centred communication strategies (e.g. use of empathy), and (2) diagnostic reasoning strategies (e.g. excluding serious diagnoses). Linguistically, diagnostic uncertainty was either disclosed explicitly or implicitly through diverse lexical and syntactical constructions, or not communicated (omission). Patients' experiences of care in response to the diverse communicative and linguistic strategies were mixed. Patient-centred approaches were generally regarded positively by patients.
    Discussion: Despite a small number of included studies, this is the first review to systematically catalogue the diverse communication and linguistic strategies to express diagnostic uncertainty in primary care. Health professionals should be aware of the diverse strategies used to express diagnostic uncertainty in practice and the value of combining patient-centred approaches with diagnostic reasoning strategies.
    MeSH term(s) Humans ; Uncertainty ; Patients ; Empathy ; Health Personnel
    Language English
    Publishing date 2022-09-20
    Publishing country United States
    Document type Systematic Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-022-07768-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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