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Audit assessment of competence and performance of ultrasound practice in a general gynaecology clinic

Ooi, R., Griffiths, A. and Wilson, D. J. 2019. Audit assessment of competence and performance of ultrasound practice in a general gynaecology clinic. BJOG: An International Journal of Obstetrics and Gynaecology 126 , p. 126. 10.1111/1471-0528.10_15703

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Abstract

Introduction Ultrasound is considered as the first‐line imaging method of choice in gynaecology due to it being a simple, accurate, and safe technique. The quality and diagnostic accuracy of ultrasound depends on the skills of the individual performing the ultrasound scan. Despite the implications that poor ultrasound practice has on patient safety, the role of training and evaluation of ultrasound practice has received limited attention. Aim Ultrasound practice in a general gynaecology clinic was assessed by evaluating the video‐recorded quality of ultrasound images and comparing these to best practice guidelines; Objective Structured Assessment of Ultrasound Skills (OSAUS), Society and College of Radiographers, British Medical Ultrasound Society (SCoR/BMUS), and International Society of Ultrasound in Obstetrics and Gynaecology (ISUOG). Methods A video recording device was connected to a randomly selected ultrasound machine in gynaecology clinics of a busy teaching hospital. To minimise the Hawthorne effect, staff were notified through email 3 weeks in advance. Data were collected over a three‐week period. The anonymised recordings were analysed against current best practice guidelines. Ultrasound practice was categorised as compliant, partially compliant and noncompliant. Results In total, 43 observations of ultrasound use were recorded and findings with regard to the three categories were recorded as percentage frequencies (%). The study found 41.9% of images were annotated appropriately and 25.6% of clinicians examined bladder, vagina, and cervix when indicated. Assessment of image optimisation was compliant in 23.3% of recorded observations, 11.6% partially compliant, and 65.1% noncompliant. The study also found that the global examination on gynaecology was 20.9% compliant, 18.6% partially compliant, and 60.47% noncompliant. Conclusion The study has shown that ultrasound practice among gynaecologists did not reflect the standards of current guidelines. The results suggest a need for improvement, through supervised training and core knobology. Accuracy and performance of ultrasound examination remains highly operator‐dependent. Video surveillance of ultrasound use was found to be an effective tool for assessing competence and performance of ultrasound examination.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Wiley
ISSN: 1470-0328
Last Modified: 06 Aug 2019 09:45
URI: http://orca.cf.ac.uk/id/eprint/124688

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