Lucile Packard Children's Hospital Stanford, Palo Alto, California.
Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.
Am J Perinatol. 2015 May;32(6):599-604. doi: 10.1055/s-0035-1545667. Epub 2015 Mar 2.
Our aim was to assess whether mandated completion of an electronic checklist and a quality assurance (QA) process improved obstetric (OB) ultrasound image documentation.
A checklist of mandated images based on the American Institute of Ultrasound in Medicine guidelines was created. A baseline QA assessment was performed with a lead senior sonographer reviewing eight random OB examinations for each sonographer. An electronic checklist was then instituted for all OB examinations on each ultrasound machine. It was mandated that each anatomical structure be checked off during real-time image acquisition. A repeat QA assessment of each sonographer was then performed quarterly.
Baseline assessments were performed between September 2011 and November 2011. Out of the 110 examinations analyzed, only 49% were deemed "complete" with none of the sonographers having a 100% complete examination rate. Following institution of the mandated electronic checklist, a repeat assessment revealed an 81% complete examination rate for the next quarter, and 90% were complete at the end of a year. All sonographers improved their image acquisition regardless of baseline skill level at the initial QA.
A QA process and a mandated standardized electronic checklist improved the image documentation.
评估强制完成电子检查表和质量保证 (QA) 流程是否能改进产科超声图像文件记录。
根据美国超声医学研究所的指南创建了一份强制性图像检查表。由一位资深首席超声医师对每位超声医师的 8 次随机产科检查进行基线 QA 评估。然后，为每台超声机上的所有产科检查实施电子检查表。要求在实时图像采集过程中检查每个解剖结构。然后每季度重复对每位超声医师进行 QA 评估。
基线评估于 2011 年 9 月至 11 月进行。在分析的 110 次检查中，只有 49%被认为是“完整”的，没有一位超声医师的完整检查率达到 100%。在强制实施电子检查表之后，下一个季度的重复评估显示完整检查率达到 81%，一年后达到 90%。所有超声医师都提高了图像采集能力，无论初始 QA 时的技能水平如何。
QA 流程和强制性标准化电子检查表提高了图像文件记录的质量。
