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成功路线图:企业范围内部署即时超声平台的蓝图,包括治理、政策、教育、资质认证和质量保证。

Roadmap to success: Blueprint for enterprise-wide deployment of a point-of-care ultrasound platform, inclusive of governance, policy, education, credentialing, and quality assurance.

作者信息

Waldman David, Pino Chelsea

机构信息

Department of Imaging Sciences, University of Rochester, Rochester, New York, United States.

出版信息

J Clin Imaging Sci. 2024 Sep 16;14:35. doi: 10.25259/JCIS_96_2024. eCollection 2024.

Abstract

Point-of-care ultrasound (POCUS) has emerged as a cost-effective diagnostic tool that significantly augments physical examinations. Positioned as an extension of traditional examination methods, particularly appealing to the upcoming generation of clinicians, it holds promise in potentially replacing the stethoscope in various medical assessments and procedures. The University of Rochester is deploying 2500 POCUS machines, enhancing compliance for image storage and documentation. Halfway through our 4-year deployment plan, we will discuss our governance structure, educational initiatives, and credentialing strategies. While POCUS adoption has seen organic growth over the past decade, our aim is to implement a comprehensive strategy ensuring adherence to established protocols for image storage and documentation. At present, we have successfully deployed 789 probes, with integration across 64 departments or divisions into our IT platform. Notably, this implementation has resulted in a remarkable 116% increase in hospital charges, underscoring the tangible impact of POCUS integration. However, achieving compliance and education among established providers has proven to be challenging.

摘要

床旁超声(POCUS)已成为一种经济高效的诊断工具,显著增强了体格检查。作为传统检查方法的延伸,它对新一代临床医生特别有吸引力,有望在各种医学评估和程序中取代听诊器。罗切斯特大学正在部署2500台床旁超声机器,提高图像存储和记录的合规性。在我们为期4年的部署计划进行到一半时,我们将讨论我们的管理结构、教育举措和认证策略。虽然在过去十年中床旁超声的应用呈自然增长态势,但我们的目标是实施一项全面战略,确保遵守既定的图像存储和记录协议。目前,我们已成功部署789个探头,并将64个部门或科室整合到我们的IT平台中。值得注意的是,这一实施使医院收费显著增加了116%,凸显了床旁超声整合的切实影响。然而,事实证明,要让现有医疗人员实现合规并接受相关教育具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bfa/11450484/eb8ae142c4e6/JCIS-14-35-g001.jpg

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