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Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke

Received: 6 May 2023     Accepted: 23 May 2023     Published: 29 May 2023
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Abstract

Objective To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. Methods Refer to PDSA cycle, Randomly select 600 image and text reports (including images and text descriptions) of carotid artery ultrasonic examination from January 2021 to December 2021 in the ultrasonic medical image information system, scored according to the quality scoring standard; The goal of this time is to achieve more than 95% of the reports of Class A image and texts, propose solutions to the problems of image quality and text description in the report. Formulate countermeasures from May to June 2021. Take 50 carotid ultrasound image and text reports after implementing various improvement measures from November 2021 to December 2021 for scoring, compare the differences between 2022 and 2021 ultrasonic image text reports and clinical satisfaction scores. Analyze the changes of image text reports and clinical satisfaction scores before and after the implementation of PDSA cycle, and continuously optimize the carotid ultrasound examination process through training and learning, discussion within the department, and collection of clinical feedback. Result Before implementing the PDSA process of standardized medical quality management, the score of carotid ultrasound image and text reports was (87.46±5.82), the clinical satisfaction was (84.46±6.42), and the number of A-class image and text reports accounted for 58% (348/600); After the implementation of the standardized medical quality management PDSA process, the score of graphic reports increased to (92.74±3.55) points, and the clinical satisfaction increased to (93.14±3.86) points. The number of Class A graphic reports accounted for 82% (492/600), with statistically significant differences (all P<0.05). Conclusion PDSA circulation has effectively improved the image and text report of carotid ultrasound screening and clinical satisfaction score, which can be applied to the quality control of other single diseases in the ultrasound department, so as to improve the medical quality of the ultrasound department.

Published in American Journal of Internal Medicine (Volume 11, Issue 3)
DOI 10.11648/j.ajim.20231103.13
Page(s) 41-47
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Ultrasound, Quality Assurance, PDSA Cycle, Carotid

References
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[13] Jiang Yuxin, Li Jianchu, Wang Hongyan, et al. Information technology promotes the new development of ultrasound quality control [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18 (07): 625-628.
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[15] Ernst BP, Strieth S, Katzer F, et al. The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency. Eur Arch Otorhinolaryngol. 2020 Jan; 277 (1): 269-276.
Cite This Article
  • APA Style

    Dong Huiqin, Wang Yang, Peng Liu, Wu Jinhua, Li Xiujuan. (2023). Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. American Journal of Internal Medicine, 11(3), 41-47. https://doi.org/10.11648/j.ajim.20231103.13

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    ACS Style

    Dong Huiqin; Wang Yang; Peng Liu; Wu Jinhua; Li Xiujuan. Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. Am. J. Intern. Med. 2023, 11(3), 41-47. doi: 10.11648/j.ajim.20231103.13

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    AMA Style

    Dong Huiqin, Wang Yang, Peng Liu, Wu Jinhua, Li Xiujuan. Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. Am J Intern Med. 2023;11(3):41-47. doi: 10.11648/j.ajim.20231103.13

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  • @article{10.11648/j.ajim.20231103.13,
      author = {Dong Huiqin and Wang Yang and Peng Liu and Wu Jinhua and Li Xiujuan},
      title = {Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke},
      journal = {American Journal of Internal Medicine},
      volume = {11},
      number = {3},
      pages = {41-47},
      doi = {10.11648/j.ajim.20231103.13},
      url = {https://doi.org/10.11648/j.ajim.20231103.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20231103.13},
      abstract = {Objective To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. Methods Refer to PDSA cycle, Randomly select 600 image and text reports (including images and text descriptions) of carotid artery ultrasonic examination from January 2021 to December 2021 in the ultrasonic medical image information system, scored according to the quality scoring standard; The goal of this time is to achieve more than 95% of the reports of Class A image and texts, propose solutions to the problems of image quality and text description in the report. Formulate countermeasures from May to June 2021. Take 50 carotid ultrasound image and text reports after implementing various improvement measures from November 2021 to December 2021 for scoring, compare the differences between 2022 and 2021 ultrasonic image text reports and clinical satisfaction scores. Analyze the changes of image text reports and clinical satisfaction scores before and after the implementation of PDSA cycle, and continuously optimize the carotid ultrasound examination process through training and learning, discussion within the department, and collection of clinical feedback. Result Before implementing the PDSA process of standardized medical quality management, the score of carotid ultrasound image and text reports was (87.46±5.82), the clinical satisfaction was (84.46±6.42), and the number of A-class image and text reports accounted for 58% (348/600); After the implementation of the standardized medical quality management PDSA process, the score of graphic reports increased to (92.74±3.55) points, and the clinical satisfaction increased to (93.14±3.86) points. The number of Class A graphic reports accounted for 82% (492/600), with statistically significant differences (all PConclusion PDSA circulation has effectively improved the image and text report of carotid ultrasound screening and clinical satisfaction score, which can be applied to the quality control of other single diseases in the ultrasound department, so as to improve the medical quality of the ultrasound department.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke
    AU  - Dong Huiqin
    AU  - Wang Yang
    AU  - Peng Liu
    AU  - Wu Jinhua
    AU  - Li Xiujuan
    Y1  - 2023/05/29
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ajim.20231103.13
    DO  - 10.11648/j.ajim.20231103.13
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 41
    EP  - 47
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20231103.13
    AB  - Objective To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. Methods Refer to PDSA cycle, Randomly select 600 image and text reports (including images and text descriptions) of carotid artery ultrasonic examination from January 2021 to December 2021 in the ultrasonic medical image information system, scored according to the quality scoring standard; The goal of this time is to achieve more than 95% of the reports of Class A image and texts, propose solutions to the problems of image quality and text description in the report. Formulate countermeasures from May to June 2021. Take 50 carotid ultrasound image and text reports after implementing various improvement measures from November 2021 to December 2021 for scoring, compare the differences between 2022 and 2021 ultrasonic image text reports and clinical satisfaction scores. Analyze the changes of image text reports and clinical satisfaction scores before and after the implementation of PDSA cycle, and continuously optimize the carotid ultrasound examination process through training and learning, discussion within the department, and collection of clinical feedback. Result Before implementing the PDSA process of standardized medical quality management, the score of carotid ultrasound image and text reports was (87.46±5.82), the clinical satisfaction was (84.46±6.42), and the number of A-class image and text reports accounted for 58% (348/600); After the implementation of the standardized medical quality management PDSA process, the score of graphic reports increased to (92.74±3.55) points, and the clinical satisfaction increased to (93.14±3.86) points. The number of Class A graphic reports accounted for 82% (492/600), with statistically significant differences (all PConclusion PDSA circulation has effectively improved the image and text report of carotid ultrasound screening and clinical satisfaction score, which can be applied to the quality control of other single diseases in the ultrasound department, so as to improve the medical quality of the ultrasound department.
    VL  - 11
    IS  - 3
    ER  - 

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Author Information
  • Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China

  • Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China

  • Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China

  • Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China

  • Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China

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