在第三级护理急诊部进行远程超声波咨询计划的定量需求评估
Onyinyechi F Eke1, Kelechi Umoga2, Christina Morone2
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, 02114, USA. oeke@mgh.harvard.edu.
Internal and emergency medicine
|November 5, 2024
概括
紧急医疗的临床医生需要更多的培训和监督点的护理超声波 (POCUS). 远程超声波 (tele-US) 可以通过提供实时支持图像解释和获取来提高POCUS的使用和熟练程度.
科学领域:
- 紧急医疗 紧急医疗
- 医疗成像医学成像
- 护理地点超声波 (POCUS) 超声波检查方法
背景情况:
- 在急诊医疗 (EM) 临床医生中,医疗点超声波 (POCUS) 的采用不同,尽管它有好处.
- 了解POCUS的使用模式和整合差距对于改善其应用至关重要.
研究的目的:
- 确定POCUS使用模式,并评估其在EM临床医生中整合的需求.
- 为开发以用户为中心的远程超声波 (tele-US) 咨询计划奠定基础.
主要方法:
- 给EM临床医生进行了一项25项需求评估调查,使用5分利克尔特尺度.
- 用描述性分析和千平方测试来分析POCUS的使用,舒适度以及提供者类型之间的差异.
主要成果:
- 48%的符合条件的提供者回应了,包括临床医生,住院医生和高级实践提供者 (APP).
- 70%的人希望接受更多的培训,76%的人对图像获取感到满意,68%的人对解释感到满意.
- 与住院者相比,APP报告图像解释和临床整合的舒适度较低 (p < 0.0001和p = 0.02).
- 65%的人会使用POCUS更多的实时远程监控.
结论:
- 医生表示需要加强POCUS培训和实时监督,特别是在图像解释方面.
- 一种以临床医生为中心的方法,如远程超声波,显示了提高熟练POCUS利用率的希望.
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