实施 eFAST 指南和教学，以改善文档记录实践和保存超声图像。
Implementation of an eFAST guideline and teaching to improve documentation practices and saving of ultrasound images.
机构信息
St Vincent's Hospital Sydney, Sydney, New South Wales, Australia.
出版信息
Emerg Med Australas. 2024 Aug;36(4):645-647. doi: 10.1111/1742-6723.14431. Epub 2024 May 19.
OBJECTIVES
To investigate whether implementation of a hospital-based Extended Focused Assessment with Sonography in Trauma (eFAST) guideline and teaching improved documentation and saving of images.
METHODS
A retrospective cohort study was conducted on trauma patients aged ≥16 years presenting to St Vincent's Hospital Sydney Emergency Department over two, three-month periods in 2023.
RESULTS
Guideline and teaching implementation resulted in statistically significant improvement in documentation on the Trauma Response Form, 85% (113/133) to 93% (120/129), odds ratio (OR) 2.4 (95% confidence interval [CI] = 1.03-5.40), P = 0.04, and images saved, 4% (5/133) to 21% (27/129), OR 6.7 (95% CI = 2.5-18.2), P < 0.001.
CONCLUSIONS
Developing an eFAST Standard of Care Guideline and education was associated with improvements in documentation and saving of images to ultrasound machines.
目的
探究医院实施基于扩展焦点评估的创伤超声检查（eFAST）指南和教学是否能改善文档记录和图像保存。
方法
对 2023 年在悉尼圣文森特医院急诊科就诊的≥16 岁创伤患者进行了一项回顾性队列研究，研究时间为两个、三个连续的三个月。
结果
指南和教学的实施使创伤反应表上的文档记录有了统计学上的显著改善，从 85%（113/133）提高到 93%（120/129），优势比（OR）为 2.4（95%置信区间[CI]为 1.03-5.40），P=0.04，图像保存也有所改善，从 4%（5/133）提高到 21%（27/129），OR 为 6.7（95% CI 为 2.5-18.2），P<0.001。
结论
制定 eFAST 标准护理指南和教育与提高文档记录和向超声机保存图像的能力有关。
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