• J. Cardiothorac. Vasc. Anesth. · Feb 2017

    Assessment of Perioperative Ultrasound Workflow Understanding: A Consensus.

    • Lu Yeh, Mario Montealegre-Gallegos, Feroze Mahmood, Philip E Hess, Marc Shnider, John D Mitchell, Stephanie B Jones, Azad Mashari, Vanessa Wong, and Robina Matyal.
    • Department of Anesthesiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
    • J. Cardiothorac. Vasc. Anesth. 2017 Feb 1; 31 (1): 197-202.

    ObjectivesUnderstanding of the workflow of perioperative ultrasound (US) examination is an integral component of proficiency. Workflow consists of the practical steps prior to executing an US examination (eg, equipment operation). Whereas other proficiency components (ie, cognitive knowledge and manual dexterity) can be tested, workflow understanding is difficult to define and assess due to its contextual and institution-specific nature. The objective was to define the workflow components of specific perioperative US applications using an iterative process to reach a consensus opinion.DesignExpert consensus, survey study.SettingTertiary university hospital.ParticipantsThis study sought expert consensus among a focus group of 9 members of an anesthesia department with experience in perioperative US. Afterward, 257 anesthesia faculty members from 133 academic centers across the United States were surveyed.InterventionsA preliminary list of tasks was designed to establish the expectations of workflow understanding by an anesthesiology resident prior to clinical exposure to perioperative US. This list was modified by a focus group through an iterative process. Afterwards, a survey was sent to faculty members nationwide, and Likert scale ratings for each task were obtained and reviewed during a second round.Measurements And Main ResultsConsensus among members of the focus group was reached after 2 iterations. 72 participants responded to the nationwide survey (28%), and consensus was reached after the second round (Cronbach's α = 0.99, ICC = 0.99) on a final list of 46 workflow-related tasks.ConclusionsSpecific components of perioperative US workflow were identified. Evaluation of workflow understanding may be combined with cognitive knowledge and manual dexterity testing for assessing proficiency in perioperative US.Copyright © 2017 Elsevier Inc. All rights reserved.

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