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Improving Access Within the Clinic
Published in Joel Michael Reynolds, Christine Wieseler, The Disability Bioethics Reader, 2022
Nicole D. Agaronnik, Lisa I. Iezzoni
In January 2017, the Architectural and Transportation Barriers Compliance Board and U.S. Food and Drug Administration published Standards for Accessible Medical Equipment in the Federal Register (relating to exam tables and chairs, weight scales, gurneys or stretchers, diagnostic imaging equipment, and mammography machines). Despite this, accessible medical diagnostic equipment is not widely available across health settings. Indeed, the national physician survey found that 68% of physicians believe their practice is at risk of an ADA lawsuit because of problems providing reasonable accommodations for patients with disability. Implementation of these medical diagnostic equipment accessibility standards was stalled by failure to enact federal rules regarding these standards. In December 2017, the USA Department of Justice formally withdrew rulemaking that would have provided explicit regulations concerning the availability of accessible medical diagnostic equipment in healthcare settings (Iezzoni and Pendo 2018). Without such rulemaking, it is unclear how widely healthcare providers will voluntarily acquire equipment that meets federal accessibility standards.
Equipment maintenance and calibration standards
Published in R. C. Richard Davison, Paul M. Smith, James Hopker, Michael J. Price, Florentina Hettinga, Garry Tew, Lindsay Bottoms, Sport and Exercise Physiology Testing Guidelines: Volume I – Sport Testing, 2022
The function of diagnostic equipment within the sport and exercise community is to measure the value of a specific sample or parameter based upon a pre-determined method of measurement. During production, manufacturers assess methods of measurement against pre-existing criterion values for reliability and validity; during this process, fine adjustments occur until the manufacturer achieves appropriately equivalent results. This process of adjusting the method of measurement to attain a more accurate result is calibration. The requirement for re-calibration arises when a method of measurement is unstable over time. In this instance, any ‘drift’ in previous calibration procedures may result in inaccurate measures. Re-calibrating the equipment ensures alignment with the manufacturer’s original and acceptable tolerances.
Sources of Ultrasonic Exposure
Published in Marvin C. Ziskin, Peter A. Lewin, Ultrasonic Exposimetry, 2020
Certainly the most common use of ultrasonic waves in medicine is in diagnosis. Most hospitals have ultrasound diagnostic equipment in their radiology, cardiology, ophthalmology, ob/gyn, and peripheral vascular departments. Ultrasound diagnosis is presently being extended to urology, surgery, and emergency medicine.
Inflammatory bowel disease in Nigerian children: case series and management challenges
Published in Paediatrics and International Child Health, 2020
Idowu Senbanjo, Ayodeji Akinola, Tolulope Kumolu-Johnson, Olayinka Igbekoyi, Kazeem Oshikoya
Abdominal pain and chronic and bloody diarrhoea were the most frequent presenting symptoms, all of which are common in LMIC [17]. In LMIC where infectious diseases are very common, it is important that children with suspected IBD be screened for an infectious aetiology, and prolonged gastrointestinal symptoms should prompt consideration of IBD. Being a tertiary health facility, the availability of specialists and diagnostic equipment was invaluable in diagnosing the reported cases. Despite that, two of the five cases had surgical intervention with bowel resection for an ileocaecal and a caecal pole mass which were later confirmed to be owing to Crohn disease with no evidence of malignancy on histopathological examination. Awareness of IBD and recognition at an early stage of the disease could have prevented late presentation and the surgery.
The Time is Here! What You Need to Know for AUC Consultation
Published in Oncology Issues, 2019
This AUC was created in response to the requirements of the Protecting Access to Medicare Act of 2014 (PAMA). The Act specifically requires CMS to establish a program to promote the ordering provider's utilization of AUC for advanced diagnostic imaging services. Advanced imaging services include diagnostic computed tomography, magnetic resonance imaging, and nuclear medicine exams, including positron emission tomography. Ordering physicians and practitioners (“ordering professionals”) will be required to consult AUC for all advanced imaging studies billed under the Medicare Physician Fee Schedule, the Outpatient Prospective Payment System, and the Ambulatory Surgical Center Payment System, including those performed in a physician office, hospital outpatient department (including emergency department), independent diagnostic testing facility, or ambulatory surgery center. This means that if your organization owns any advanced diagnostic equipment that is utilized for diagnostic studies, then the consultation and reporting requirements will apply.
AUC Consultation Is on Its Way
Published in Oncology Issues, 2019
This new regulation was created by the Protecting Access to Medicare Act of 2014 (PAMA), which specifically requires CMS to establish a program to promote the utilization of AUC for advanced diagnostic imaging services. Advanced imaging services include diagnostic computed tomography, magnetic resonance, and nuclear medicine exams, including positron emission tomography. Ordering physicians and practitioners (“ordering professionals”) will be required to consult AUC for all advanced imaging studies billed under the Medicare Physician Fee Schedule (PFS), the Hospital Outpatient Prospective Payment System (OPPS), and the Ambulatory Surgical Center Payment System, including those performed in a physician office, hospital outpatient department (including emergency department), independent diagnostic testing facility, or ambulatory surgery center. Keep in mind that if your organization owns advanced diagnostic equipment that is utilized for diagnostic studies, then the AUC consultation and reporting requirements will apply.