Heel, M. van (Moritz) (2021) Quality assessment of point-of-care ultrasound examinations performed on internal medicine patients at the emergency department in the University Medical Center Groningen. thesis, Medicine.
Full text available on request.Abstract
Introduction: Point-of-care ultrasound (PoCUS) has become important for advanced clinical diagnosis in emergency departments (ED). International guidelines do not state much about documentation quality. This however is an important part in the handling of PoCUS results and therefore clinical decision making. At this moment, the quality of PoCUS documentation in the Netherlands including the UMCG is not known. Methods: We designed a criteria-checklist that represents the requirements of the international guidelines. The checklist was validated by a dutch expert group using the nominal group technique. We evaluated all PoCUS exams in in�ternal medicine patients that were documented in the ED of the UMCG. Statistical comparisons between specialists and residents were made where appropriate using the Chi Square Test or the Fisher’s Exact Test. Results: 183 exams were available between August 2019 and Novem�ber 2020. Of these, 169 were included. We showed that the overall compliance is high, but not optimal. Furthermore, rather non-critical aspects of documentation documented less precisely. We could not find out if incomplete exams were not carried out or not documented. A differ�ence between residents and specialists did exist on some levels, but was mostly not statistically significant. Discussion: Incomplete documentation can be potentially harmful when a clinical question can only be answered when all images are carried out or available. The already high level of PoCUS quality should be further optimized for patient safety. Previous research has shown that the reasons for quality impairment are likely to be related to complicated workflows and low awareness. These can be improved by awareness measures and a fill-in template. The quality of these interventions should be monitored.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Maaten, prof. dr. J. ter (Jan) and Olgers, drs. T. (Tycho) |
| Faculty: | Medical Sciences |
| Date Deposited: | 16 Dec 2021 15:24 |
| Last Modified: | 16 Dec 2021 15:24 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2886 |
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