Emergency Medicine: Quality Improvement
Emergency Medicine 9
Julie Klensch, MD (she/her/hers)
Norton Children’s Hospital
Louisville, Kentucky, United States
The aim of this study was to identify and address areas for improvement in POCUS use by pediatric emergency medicine (PEM) physicians. The primary objective was to increase PEM physician confidence in obtaining POCUS cardiac and lung exams and increase confidence utilizing the department’s touchscreen Mindray ultrasound machine. The secondary objective was to increase the frequency these studies were obtained.
The initial pre-intervention survey was sent to all PEM physicians, including fellows. With responses from 23 of 30 targeted physicians, areas of interest were identified. After video intervention, 14 of 18 targeted attendings completed the 5 question competency assessment on Mindray use and 11 of 18 completed the follow up survey. Physician confidence increased on 5-point Likert scale by 0.82 for performing cardiac ultrasound, 1.27 for performing lung ultrasound, and 1.1 for using Mindray machine. Mindray use overall demonstrated a 14% increase after intervention. Total cardiac scans increased by 31%.
This study shows that targeted POCUS educational videos can increase comfort and utilization of specific ultrasound skill of PEM physicians.