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Time needed to achieve completeness and accuracy in bedside lung ultrasound reporting in intensive care unit
- Source :
- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 18, Iss 1, p 44 (2010)
- Publication Year :
- 2010
-
Abstract
- Background The use of lung ultrasound (LUS) in ICU is increasing but ultrasonographic patterns of lung are often difficult to quantify by different operators. The aim of this study was to evaluate the accuracy and quality of LUS reporting after the introduction of a standardized electronic recording sheet. Methods Intensivists were trained for LUS following a teaching programme. From April 2008, an electronic sheet was designed and introduced in ICU database in order to uniform LUS examination reporting. A mark from 0 to 24 has been given for each exam by two senior intensivists not involved in the survey. The mark assigned was based on completeness of a precise reporting scheme, concerning the main finding of LUS. A cut off of 15 was considered sufficiency. Results The study comprehended 12 months of observations and a total of 637 LUS. Initially, although some improvement in the reports completeness, still the accuracy and precision of examination reporting was below 15. The time required to reach a sufficient quality was 7 months. A linear trend in physicians progress was observed. Conclusions The uniformity in teaching programme and examinations reporting system permits to improve the level of completeness and accuracy of LUS reporting, helping physicians in following lung pathology evolution.
- Subjects :
- medicine.medical_specialty
Time Factors
business.industry
Point-of-Care Systems
lcsh:Medical emergencies. Critical care. Intensive care. First aid
lcsh:RC86-88.9
respiratory system
Critical Care and Intensive Care Medicine
Intensive care unit
Lung ultrasound
law.invention
Intensive Care Units
law
Task Performance and Analysis
Emergency Medicine
medicine
Humans
Ultrasonography
Intensive care medicine
business
Lung
Pleural line
Original Research
Subjects
Details
- ISSN :
- 17577241
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Scandinavian journal of trauma, resuscitation and emergency medicine
- Accession number :
- edsair.doi.dedup.....3e7fac435fd65e63bf311f1365e426f1