Point-of-care ultrasound stewardship.

TitlePoint-of-care ultrasound stewardship.
Publication TypeJournal Article
Year of Publication2020
AuthorsShokoohi H, Duggan NM, Adhikari S, Selame LAnn, Amini R, Blaivas M
JournalJ Am Coll Emerg Physicians Open
Date Published2020 Dec
ISSN Number2688-1152

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.

Alternate JournalJ Am Coll Emerg Physicians Open
PubMed ID33392540
PubMed Central IDPMC7771754
Faculty Reference: 
Srikar Adhikari, MD, MS, FACEP
Richard Amini, MD