Point-of-care ultrasound stewardship.

integration point‐of‐care ultrasound pre‐test probability safety spectrum effect stewardship ultrasound

Journal

Journal of the American College of Emergency Physicians open
ISSN: 2688-1152
Titre abrégé: J Am Coll Emerg Physicians Open
Pays: United States
ID NLM: 101764779

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 20 05 2020
revised: 21 09 2020
accepted: 22 09 2020
entrez: 4 1 2021
pubmed: 5 1 2021
medline: 5 1 2021
Statut: epublish

Résumé

Rapid adoption and widespread use of point-of-care ultrasound (POCUS) has impacted diagnostic testing and clinical care across medical disciplines. The benefits of POCUS must be weighed against certain pitfalls, such as the risk of misdiagnosis and false assurance. Beyond technical error in image acquisition and interpretation, an important pitfall is reliance on POCUS results without considering pre-test patient characteristics or the diagnostic accuracy of POCUS in varying clinical contexts. In this article, we introduce the concept of POCUS stewardship that emphasizes critical evaluation of clinical indications prior to performing POCUS as well as the individual patient and test characteristics of POCUS when integrating results into clinical decisionmaking. Adherence to these principles can lead to optimized POCUS application and improved patient care.

Identifiants

pubmed: 33392540
doi: 10.1002/emp2.12279
pii: EMP212279
pmc: PMC7771754
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1326-1331

Informations de copyright

© 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.

Déclaration de conflit d'intérêts

The authors have no conflict of interest to disclose.

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Auteurs

Hamid Shokoohi (H)

Harvard Medical School Emergency Ultrasound Fellowship Massachusetts General Hospital Boston Massachusetts USA.

Nicole M Duggan (NM)

Harvard Affiliated Emergency Medicine Residency Program Department of Emergency Medicine, Massachusetts General Hospital Brigham and Women's Hospital Boston Massachusetts USA.

Srikar Adhikari (S)

Emergency Medicine, Emergency Ultrasound University of Arizona Tucson Arizona USA.

Lauren Ann Selame (LA)

Emergency Ultrasound, Department of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA.

Richard Amini (R)

Department of Emergency Medicine University of Arizona Tucson Arizona USA.

Michael Blaivas (M)

Department of Medicine University of South Carolina Columbia South Carolina USA.
Society of Ultrasound in Medical Education Columbia South Carolina USA.

Classifications MeSH