Improving point of care ultrasound documentation among emergency medicine residents (i-POCUS):an implementation research
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 272
- Locations
- 1
- Primary Endpoint
- To estimate the change in proportion of ultrasound examinations done by emergency residents that has 80% compliance with the standard reporting guidelines for point of care ultrasound in emergency department
Overview
Brief Summary
Point-of-care ultrasound is routinely performed in the emergency department, which helps in diagnostic accuracy, providing timely care , and procedural safety.It is rapid and has high diagnostic accuracy in detecting potentially life threatening pathologies so that fast and timely intervention can save the lives of patients.Emergency Medicine residents should be competent enough to perform POCUS and reach correct diagnoses which requires POCUS documentation adhering to standard reporting guidelines.Improving documentation and image archiving will lead on to quality improvement of POCUS.It also helps in enhancing residents confidence and proficiency in performing POCUS.we are conducting an implementation research study with a mixed method approach in which we measure the current quality of point-of-care ultrasound documentation in our emergency department and implement the ACEP guidelines standard reporting format, and we estimate the change in proportion of scans compliant with standard reporting guidelines. We conduct focused group discussions to identify the factors that hinder the adoption and implementation of standard reporting guidelines; based on the feedback collected, we modify the implementation strategy and implement it in different iterative cycles. By the end of our study we aim to increase the number of scans properly documented according to ACEP standard reporting format.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •All Emergency medicine residents in the residency program at JIPMER.
Exclusion Criteria
- •Emergency medicine residents who have not completed a point of care ultrasound training.
- •Missing Reporting Forms or documentation.
Outcomes
Primary Outcomes
To estimate the change in proportion of ultrasound examinations done by emergency residents that has 80% compliance with the standard reporting guidelines for point of care ultrasound in emergency department
Time Frame: 15 months
Secondary Outcomes
- To evaluate the emergency medicine residents confidence and proficiency in using the ACEP standard reporting guidelines for point of care ultrasound(12 months)
- To identify the factors that facilitate or hinder the adoption and implementation of the standard reporting guidelines for point of care ultrasound documentation among emergency medicine residents(3 months)
- To estimate the impact of the implementation of the ACEP standard reporting guidelines on image archiving and the retrieval of point of care ultrasound images in the emergency department(9 months)
- To determine the impact of the implementation of the ACEP standard reporting guidelines on credentialing or attaining expected competencies in using POCUS for clinical decision-making(6 months)
Investigators
Dr. M. Gaayathri
Jawaharlal Institute of Postgraduate Medical Education and Research