Advanced Lung Step 15

Step 15: Read the following

 

Quality Assurance:

For UF Health advanced practice providers, ICU fellows, and ICU faculty, quality assurance is performed in individual units and follows the criteria listed below. The QA process will be done through Qpath (see Qpath instruction sheet) and will be required as a continuing process for fellows and attending physicians performing ultrasound in the intensive care units. Qpath allows individuals to submit cases for review. ICU fellows will be required to submit 2 QA’s per application per month (limited cardiac, thoracic, vascular/procedural, abdomen). This should result in approximately 80 reviewed scans per year (~25% of all scans done). In addition, faculty who are identified as “Reviewers” are able to review scans on an intermittent basis. The following is the scale we will be using:

5: Excellent images, adequate for evaluation and decision making No intervention required
4: Good images,adequate for evaluation and decision making PDF sent to fellow/attending physician on what could have been done better
3: Poor to Good images, not adequate for evaluation and decision making
PDF sent to fellow/attending physician on what could have been done better
2: Inadequate images; not adequate for any interpreation to perform, unable to identify system studied
PDF sent to fellow/attending physician on what could have been done better
1: Poor to good images; patient care decision with possible risk (chest tube placed for no pleural effusion causing pneumothorax, chest tube placed in abdomen, poor heart function evaluated as hyperdynamic and inappropriately given IV fluids)
intervention required is meeting with all attending physicians and fellow involved with action plan

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