Bedside Ultrasound Maximizes Patient Satisfaction

Howard, Zoe D.; Noble, Vicki E.; Marill, Keith A.; Sajed, Dana; Rodrigues, Márcio; Bertuzzi, Bianca; Liteplo, Andrew S.

doi:10.1016/j.jemermed.2013.05.044

Cited by 134 publications

(105 citation statements)

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“…There is certainly evidence to suggest that patients gain satisfaction from POCUS and it adds to the doctor-patient relationship. 36,37 Perhaps the biggest barrier to the widespread uptake of POCUS, particularly in the UK, has been the lack of available trainers and suitable training curricula. 38,39 The Royal College of Radiologists have published ultrasound training standards for medical and surgical specialties, 40 but these do not include any detail on respiratory failure and do not follow the more binary approach that POCUS encourages.…”

Section: Discussionmentioning

confidence: 99%

Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine?

2018

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Over the last decade there has been increasing interest and enthusiasm in point-of-care ultrasound (POCUS) as an aide to traditional examination techniques in assessing acutely unwell adult patients. However, it currently remains the domain of a relatively small handful of physicians within the UK. There are numerous reasons for this, notably a lack of training pathways and supervisors but also a lack of understanding of the evidence base behind this imaging modality. This review article aims to explore some of the evidence base behind POCUS for a number of medical pathologies, and where possible compare it to evidenced traditional examination techniques. We discuss the issues around training in bedside ultrasound and recommend a push to integrate POCUS training into internal medicine curricula and support trainers to comprehensively deliver this.

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Section: Discussionmentioning

confidence: 99%

Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine?

2018

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“…36,37 Previous work has also demonstrated that ED utilization may be correlated to patient outcomes, including patient satisfaction/ engagement, length of stay, and costs. 38,39 Defined as emergency service units and tracked to understand utilization of resources, the following are recommended as service units (Table 7). It is well known that the cost of providing care for patients in the ED depends in part upon staffing resources; as such, for the first time the Summit participants recommend standardized definitions (Table 8).…”

Section: Ed Utilization and Emergency Staffing Unitsmentioning

confidence: 99%

Emergency Department Performance Measures Updates: Proceedings of the 2014 Emergency Department Benchmarking Alliance Consensus Summit

Wiler

Welch

Pines

et al. 2015

Academic Emergency Medicine

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Objectives: The objective was to review and update key definitions and metrics for emergency department (ED) performance and operations.Methods: Forty-five emergency medicine leaders convened for the Third Performance Measures and Benchmarking Summit held in Las Vegas, February 21-22, 2014. Prior to arrival, attendees were assigned to workgroups to review, revise, and update the definitions and vocabulary being used to communicate about ED performance and operations. They were provided with the prior definitions of those consensus summits that were published in 2006 and 2010. Other published definitions from key stakeholders in emergency medicine and health care were also reviewed and circulated. At the summit, key terminology and metrics were discussed and debated. Workgroups communicated online, via teleconference, and finally in a face-to-face meeting to reach consensus regarding their recommendations. Recommendations were then posted and open to a 30-day comment period. Participants then reanalyzed the recommendations, and modifications were made based on consensus.Results: A comprehensive dictionary of ED terminology related to ED performance and operation was developed. This article includes definitions of operating characteristics and internal and external factors relevant to the stratification and categorization of EDs. Time stamps, time intervals, and measures of utilization were defined. Definitions of processes and staffing measures are also presented. Definitions were harmonized with performance measures put forth by the Centers for Medicare and Medicaid Services (CMS) for consistency.Conclusions: Standardized definitions are necessary to improve the comparability of EDs nationally for operations research and practice. More importantly, clear precise definitions describing ED operations are needed for incentive-based pay-for-performance models like those developed by CMS. This document provides a common language for front-line practitioners, managers, health policymakers, and researchers.ACADEMIC EMERGENCY MEDICINE 2015;22:542-553

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“…The integration of US into EM practice has been demonstrated to decrease complications and improve the success of medical procedures such as thoracentesis, paracentesis, lumbar puncture, central venous cannulation, and peripheral nerve blockade . Furthermore, recent studies have confirmed that the use of point‐of‐care US can decrease the length of stay, decrease overall hospital costs, and increase patient satisfaction …”

mentioning

confidence: 99%