全民即时超声：一项跨越大型四级医疗体系的多学科调查。

Point of care ultrasound for all by all: A multidisciplinary survey across a large quaternary care medical system.

机构信息

Department of Pediatrics, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, USA.

Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington School of Medicine, Seattle, Washington, USA.

出版信息

J Clin Ultrasound. 2020 Oct;48(8):443-451. doi: 10.1002/jcu.22894. Epub 2020 Jul 31.

DOI:10.1002/jcu.22894

PMID:32734612

Abstract

PURPOSE

We sought to understand current POCUS practices and comfort as well as assess opinions about POCUS across our medical system via a survey to guide program development.

METHODS

This study was conducted as a 19 question RedCap survey with multiple parts. Respondents were queried for demographics as well as experience with, attitudes toward, and clinical use of POCUS in common critical care scenarios.

RESULTS

The survey was completed by 343 individuals, a response rate of 30%. Most respondents "agreed" that POCUS is a needed skill and helped them provide safer care (78% and 86% agreement). Most faculty and trainees reported some POCUS training (62% and 88%) and at least weekly use. Trainees rated themselves more comfortable than faculty for most exam types. The majority of faculty rated their POCUS education as inadequate while trainees had mixed responses.

CONCLUSIONS

POCUS is a frequently used tool, yet users are less confident in their skills than expected. POCUS applications are viewed as needed for future practice but there is a substantial need for improved education among faculty and trainees. Pooling resources and sharing educational initiatives across multiple specialties may help improve POCUS implementation.

摘要

目的

通过调查了解我们医疗系统中即时超声检查（POCUS）的实践和舒适度情况，以及评估对 POCUS 的看法，从而为项目开发提供指导。

方法

本研究采用包含多个部分的 19 个问题的 RedCap 调查进行。调查对象被询问了人口统计学特征，以及在常见的重症监护场景中使用 POCUS 的经验、态度和临床应用。

结果

共有 343 人完成了这项调查，应答率为 30%。大多数受访者“同意”POCUS 是一项必要的技能，有助于他们提供更安全的护理（分别有 78%和 86%的人同意）。大多数教员和学员报告接受过一些 POCUS 培训（分别为 62%和 88%），并且每周至少使用一次。在大多数检查类型方面，学员对自己的舒适度评价高于教员。大多数教员认为他们的 POCUS 教育不足，而学员的反应则不尽相同。