Point-of-care ultrasound stewardship

Hamid Shokoohi, Nicole M. Duggan, Srikar Adhikari, Lauren Ann Selame, Richard Amini, Michael Blaivas

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1326-1331
Number of pages6
JournalJACEP Open
Volume1
Issue number6
DOIs
StatePublished - Dec 2020
Externally publishedYes

Keywords

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

ASJC Scopus subject areas

  • Emergency Medicine

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