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Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists

BACKGROUND: POCUS (point-of-care ultrasound) is an important diagnostic tool for several medical specialties. To provide safe patient care, the quality of this exam should be as high as possible. This includes solid documentation with a written report and the availability of images for review. Howev...

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Autores principales: van Essen, Larissa, Olgers, Tycho J., van Heel, Moritz, ter Maaten, Jan C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9023621/
https://www.ncbi.nlm.nih.gov/pubmed/35445988
http://dx.doi.org/10.1186/s13089-022-00267-5
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author van Essen, Larissa
Olgers, Tycho J.
van Heel, Moritz
ter Maaten, Jan C.
author_facet van Essen, Larissa
Olgers, Tycho J.
van Heel, Moritz
ter Maaten, Jan C.
author_sort van Essen, Larissa
collection PubMed
description BACKGROUND: POCUS (point-of-care ultrasound) is an important diagnostic tool for several medical specialties. To provide safe patient care, the quality of this exam should be as high as possible. This includes solid documentation with a written report and the availability of images for review. However, international guidelines or publications about this quality assessment and its application in clinical practice are scarce. METHODS: We designed a criteria-checklist to evaluate the quality of POCUS examinations. This checklist was made based on international guidelines and protocols and was validated by a Dutch expert group using the nominal group technique (NGT). All POCUS exams in general internal medicine patients documented between August 2019 and November 2020 in our ED were evaluated using this checklist. RESULTS: A total of 169 exams were included. In general, the compliance for most important criteria was high, but not optimal. A clinical question or indication for the POCUS exam was stated in 75.7% of cases. The completeness of all standard views differed per indication, but was lower when more than one standard view was required. Labels were provided in 83.5% of the saved images, while 90.8% of all examinations showed a written conclusion. CONCLUSIONS: Our research showed that the overall quality of documentation varies with regard to several important criteria. Suboptimal compliance of documentation may have adverse effects on patient safety. We have developed a checklist which can be used to improve POCUS documentation.
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spelling pubmed-90236212022-05-06 Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists van Essen, Larissa Olgers, Tycho J. van Heel, Moritz ter Maaten, Jan C. Ultrasound J Original Article BACKGROUND: POCUS (point-of-care ultrasound) is an important diagnostic tool for several medical specialties. To provide safe patient care, the quality of this exam should be as high as possible. This includes solid documentation with a written report and the availability of images for review. However, international guidelines or publications about this quality assessment and its application in clinical practice are scarce. METHODS: We designed a criteria-checklist to evaluate the quality of POCUS examinations. This checklist was made based on international guidelines and protocols and was validated by a Dutch expert group using the nominal group technique (NGT). All POCUS exams in general internal medicine patients documented between August 2019 and November 2020 in our ED were evaluated using this checklist. RESULTS: A total of 169 exams were included. In general, the compliance for most important criteria was high, but not optimal. A clinical question or indication for the POCUS exam was stated in 75.7% of cases. The completeness of all standard views differed per indication, but was lower when more than one standard view was required. Labels were provided in 83.5% of the saved images, while 90.8% of all examinations showed a written conclusion. CONCLUSIONS: Our research showed that the overall quality of documentation varies with regard to several important criteria. Suboptimal compliance of documentation may have adverse effects on patient safety. We have developed a checklist which can be used to improve POCUS documentation. Springer International Publishing 2022-04-21 /pmc/articles/PMC9023621/ /pubmed/35445988 http://dx.doi.org/10.1186/s13089-022-00267-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
van Essen, Larissa
Olgers, Tycho J.
van Heel, Moritz
ter Maaten, Jan C.
Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists
title Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists
title_full Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists
title_fullStr Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists
title_full_unstemmed Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists
title_short Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists
title_sort quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9023621/
https://www.ncbi.nlm.nih.gov/pubmed/35445988
http://dx.doi.org/10.1186/s13089-022-00267-5
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