Development of a multisystem point of care ultrasound skills assessment checklist
Abstract Background Many institutions are training clinicians in point-of-care ultrasound (POCUS), but few POCUS skills checklists have been developed and validated. We developed a consensus-based multispecialty POCUS skills checklist with anchoring references for basic cardiac, lung, abdominal, and...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-05-01
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| Series: | The Ultrasound Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13089-022-00268-4 |
| _version_ | 1818203732284801024 |
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| author | Nilam J. Soni Robert Nathanson Mark Andreae Rahul Khosla Karthik Vadamalai Karthik Kode Jeremy S. Boyd Charles M. LoPresti Dana Resop Zahir Basrai Jason Williams Brian Bales Harald Sauthoff Erin Wetherbee Elizabeth K. Haro Natalie Smith Michael J. Mader Jacqueline Pugh Erin P. Finley Christopher K. Schott |
| author_facet | Nilam J. Soni Robert Nathanson Mark Andreae Rahul Khosla Karthik Vadamalai Karthik Kode Jeremy S. Boyd Charles M. LoPresti Dana Resop Zahir Basrai Jason Williams Brian Bales Harald Sauthoff Erin Wetherbee Elizabeth K. Haro Natalie Smith Michael J. Mader Jacqueline Pugh Erin P. Finley Christopher K. Schott |
| author_sort | Nilam J. Soni |
| collection | DOAJ |
| description | Abstract Background Many institutions are training clinicians in point-of-care ultrasound (POCUS), but few POCUS skills checklists have been developed and validated. We developed a consensus-based multispecialty POCUS skills checklist with anchoring references for basic cardiac, lung, abdominal, and vascular ultrasound, and peripheral intravenous line (PIV) insertion. Methods A POCUS expert panel of 14 physicians specializing in emergency, critical care, and internal/hospital medicine participated in a modified-Delphi approach to develop a basic POCUS skills checklist by group consensus. Three rounds of voting were conducted, and consensus was defined by ≥ 80% agreement. Items achieving < 80% consensus were discussed and considered for up to two additional rounds of voting. Results Thirteen POCUS experts (93%) completed all three rounds of voting. Cardiac, lung, abdominal, and vascular ultrasound checklists included probe location and control, basic machine setup, image quality and optimization, and identification of anatomical structures. PIV insertion included additional items for needle tip tracking. During the first round of voting, 136 (82%) items achieved consensus, and after revision and revoting, an additional 21 items achieved consensus. A total of 153 (92%) items were included in the final checklist. Conclusions We have developed a consensus-based, multispecialty POCUS checklist to evaluate skills in image acquisition and anatomy identification for basic cardiac, lung, abdominal, and vascular ultrasound, and PIV insertion. |
| first_indexed | 2024-12-12T03:30:01Z |
| format | Article |
| id | doaj.art-69a1de2af73a443ba883079c6ad4bdbd |
| institution | Directory Open Access Journal |
| issn | 2524-8987 |
| language | English |
| last_indexed | 2024-12-12T03:30:01Z |
| publishDate | 2022-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Ultrasound Journal |
| spelling | doaj.art-69a1de2af73a443ba883079c6ad4bdbd2022-12-22T00:39:57ZengSpringerOpenThe Ultrasound Journal2524-89872022-05-011411710.1186/s13089-022-00268-4Development of a multisystem point of care ultrasound skills assessment checklistNilam J. Soni0Robert Nathanson1Mark Andreae2Rahul Khosla3Karthik Vadamalai4Karthik Kode5Jeremy S. Boyd6Charles M. LoPresti7Dana Resop8Zahir Basrai9Jason Williams10Brian Bales11Harald Sauthoff12Erin Wetherbee13Elizabeth K. Haro14Natalie Smith15Michael J. Mader16Jacqueline Pugh17Erin P. Finley18Christopher K. Schott19Medicine Service, South Texas Veterans Health Care SystemMedicine Service, South Texas Veterans Health Care SystemDepartments of Critical Care Medicine and Emergency Medicine, University of Pittsburgh and University of Pittsburgh Medical CenterVeterans Affairs Medical CenterCritical Care Medicine, Mercy HospitalDepartment of Medicine, University of Hawai’i at Manoa John A. Burns School of MedicineEmergency Medicine, Veterans Affairs Tennessee Valley Healthcare SystemMedicine Service, Louis Stokes Cleveland Veterans Affairs Medical CenterDepartment of Emergency Medicine, University of WisconsinEmergency Medicine, VA Greater Los Angeles Healthcare SystemSection of Hospital Medicine, Atlanta Veterans Affairs Medical CenterEmergency Medicine, Veterans Affairs Tennessee Valley Healthcare SystemMedicine Service, Veterans Affairs New York Harbor Healthcare SystemDivision of Pulmonary, Critical Care, and Sleep Medicine, University of MinnesotaMedicine Service, South Texas Veterans Health Care SystemMedicine Service, South Texas Veterans Health Care SystemResearch Service, South Texas Veterans Health Care SystemDepartment of Medicine, University of Texas Health San AntonioDepartment of Medicine, University of Texas Health San AntonioDepartments of Critical Care Medicine and Emergency Medicine, University of Pittsburgh and University of Pittsburgh Medical CenterAbstract Background Many institutions are training clinicians in point-of-care ultrasound (POCUS), but few POCUS skills checklists have been developed and validated. We developed a consensus-based multispecialty POCUS skills checklist with anchoring references for basic cardiac, lung, abdominal, and vascular ultrasound, and peripheral intravenous line (PIV) insertion. Methods A POCUS expert panel of 14 physicians specializing in emergency, critical care, and internal/hospital medicine participated in a modified-Delphi approach to develop a basic POCUS skills checklist by group consensus. Three rounds of voting were conducted, and consensus was defined by ≥ 80% agreement. Items achieving < 80% consensus were discussed and considered for up to two additional rounds of voting. Results Thirteen POCUS experts (93%) completed all three rounds of voting. Cardiac, lung, abdominal, and vascular ultrasound checklists included probe location and control, basic machine setup, image quality and optimization, and identification of anatomical structures. PIV insertion included additional items for needle tip tracking. During the first round of voting, 136 (82%) items achieved consensus, and after revision and revoting, an additional 21 items achieved consensus. A total of 153 (92%) items were included in the final checklist. Conclusions We have developed a consensus-based, multispecialty POCUS checklist to evaluate skills in image acquisition and anatomy identification for basic cardiac, lung, abdominal, and vascular ultrasound, and PIV insertion.https://doi.org/10.1186/s13089-022-00268-4EducationPoint of careUltrasoundChecklist |
| spellingShingle | Nilam J. Soni Robert Nathanson Mark Andreae Rahul Khosla Karthik Vadamalai Karthik Kode Jeremy S. Boyd Charles M. LoPresti Dana Resop Zahir Basrai Jason Williams Brian Bales Harald Sauthoff Erin Wetherbee Elizabeth K. Haro Natalie Smith Michael J. Mader Jacqueline Pugh Erin P. Finley Christopher K. Schott Development of a multisystem point of care ultrasound skills assessment checklist The Ultrasound Journal Education Point of care Ultrasound Checklist |
| title | Development of a multisystem point of care ultrasound skills assessment checklist |
| title_full | Development of a multisystem point of care ultrasound skills assessment checklist |
| title_fullStr | Development of a multisystem point of care ultrasound skills assessment checklist |
| title_full_unstemmed | Development of a multisystem point of care ultrasound skills assessment checklist |
| title_short | Development of a multisystem point of care ultrasound skills assessment checklist |
| title_sort | development of a multisystem point of care ultrasound skills assessment checklist |
| topic | Education Point of care Ultrasound Checklist |
| url | https://doi.org/10.1186/s13089-022-00268-4 |
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