Obstetric ultrasound quality improvement initiative-utilization of a quality assurance process and standardized checklists

American Journal of Perinatology
Barbora Mrazek-PughJane Chueh

Abstract

Our aim was to assess whether mandated completion of an electronic checklist and a quality assurance (QA) process improved obstetric (OB) ultrasound image documentation. A checklist of mandated images based on the American Institute of Ultrasound in Medicine guidelines was created. A baseline QA assessment was performed with a lead senior sonographer reviewing eight random OB examinations for each sonographer. An electronic checklist was then instituted for all OB examinations on each ultrasound machine. It was mandated that each anatomical structure be checked off during real-time image acquisition. A repeat QA assessment of each sonographer was then performed quarterly. Baseline assessments were performed between September 2011 and November 2011. Out of the 110 examinations analyzed, only 49% were deemed "complete" with none of the sonographers having a 100% complete examination rate. Following institution of the mandated electronic checklist, a repeat assessment revealed an 81% complete examination rate for the next quarter, and 90% were complete at the end of a year. All sonographers improved their image acquisition regardless of baseline skill level at the initial QA. A QA process and a mandated standardized electronic che...Continue Reading

Citations

Sep 14, 2016·Journal of Biomedical Informatics·Heidi S Kramer, Frank A Drews
Jun 11, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Thierry BultezLaurent Julien Salomon
Jul 10, 2017·American Journal of Obstetrics and Gynecology·Beryl R BenacerrafAlfred Z Abuhamad
Jul 26, 2017·Clinical Obstetrics and Gynecology·Roxane Holt, Jacques S Abramowicz
Jan 4, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Beryl R BenacerrafAlfred Z Abuhamad
Sep 12, 2018·Obstetrics and Gynecology·Tetsuya KawakitaHelain J Landy
Jan 12, 2019·Obstetrics and Gynecology·Tetsuya KawakitaMelissa Fries
Oct 28, 2019·Prenatal Diagnosis·Mary B JanickiReinaldo Figueroa
Mar 15, 2019·Obstetrics and Gynecology·Cassandra R DuffyCynthia Gyamfi-Bannerman
Jun 28, 2018·Journal of Ultrasound·H GrazhdaniR Chimenz
Jun 9, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Elizabeth SherwinYair J Blumenfeld

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