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一种多步骤综合工作流程的实施,以改善医疗重症监护病房中床旁超声检查的记录。

A Multi-step Integrative Workflow Implementation to Improve Documentation of Point of Care Ultrasound in Medical Intensive Care Unit.

作者信息

Deepak Vishal, Ahmed Haroon, Minardi Joseph, Sharma Sunil

机构信息

Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, School of Medicine, West Virginia University, Morgantown, WV, USA.

Department of Emergency Medicine, School of Medicine, West Virginia University, Morgantown, WV, USA.

出版信息

J Imaging Inform Med. 2025 Apr;38(2):1091-1097. doi: 10.1007/s10278-024-01260-1. Epub 2024 Sep 16.

DOI:10.1007/s10278-024-01260-1
PMID:39284985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11950549/
Abstract

Point of care ultrasound (POCUS) provides quick bedside assessment for diagnosing and managing life-threatening conditions in critical care medicine. There has been increasing interest in developing infrastructure to archive images, record clinical interpretation, assess quality, and recoup revenue for POCUS. We present a simple workflow by systems integration of electronic medical record, ultrasound machines, picture archiving, and communication system to facilitate POCUS documentation and billing. We recorded a trend on the number of POCUS performed before and after introduction of the structured integration. We observed and recorded a linear increase over time post-intervention. Our innovative and integrated POCUS workflow is an effective way to document and bill POCUS.

摘要

床旁超声(POCUS)可为重症医学中危及生命的病症诊断和管理提供快速的床边评估。人们对开发用于存档图像、记录临床解读、评估质量以及收回POCUS相关费用的基础设施的兴趣与日俱增。我们通过电子病历、超声设备、图像存档与通信系统的系统集成,展示了一种简单的工作流程,以促进POCUS文档记录和计费。我们记录了结构化集成引入前后POCUS执行数量的趋势。我们观察并记录到干预后随时间呈线性增长。我们创新且集成的POCUS工作流程是记录POCUS并为之计费的有效方式。

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本文引用的文献

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Current use, training, and barriers in point-of-care ultrasound in hospital medicine: A national survey of VA hospitals.在医院医学中使用、培训和障碍:对退伍军人事务部医院的全国调查。
J Hosp Med. 2022 Aug;17(8):601-608. doi: 10.1002/jhm.12911. Epub 2022 Jul 17.
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Point-of-Care Ultrasonography.即时超声检查
N Engl J Med. 2021 Oct 21;385(17):1593-1602. doi: 10.1056/NEJMra1916062.
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Current Use, Perceived Barriers, and Learning Preference of Point of Care Ultrasound (POCUS) in the Emergency Medicine in Qatar - A Mixed Design.卡塔尔急诊医学中床旁超声(POCUS)的当前使用情况、感知障碍及学习偏好——一项混合设计研究
Open Access Emerg Med. 2021 May 18;13:177-182. doi: 10.2147/OAEM.S304153. eCollection 2021.
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Improving Point-of-Care Ultrasound Documentation and Billing Accuracy in a Pediatric Emergency Department.提高儿科急诊科即时超声检查记录与计费准确性
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Hand-held Ultrasound Scanners in Medical Education: A Systematic Review.医学教育中的手持式超声扫描仪:一项系统综述。
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Point-of-Care Ultrasound Work Flow Innovation: Impact on Documentation and Billing.床旁超声工作流程创新:对文档记录和计费的影响。
J Ultrasound Med. 2017 Dec;36(12):2467-2474. doi: 10.1002/jum.14284. Epub 2017 Jun 24.
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International Federation for Emergency Medicine point of care ultrasound curriculum.国际急诊医学联合会床旁超声课程
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Implementation of a novel point-of-care ultrasound billing and reimbursement program: fiscal impact.一项新型即时超声检查计费与报销计划的实施:财务影响
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Point-of-care ultrasonography.即时超声检查
N Engl J Med. 2011 Feb 24;364(8):749-57. doi: 10.1056/NEJMra0909487.