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Improving the investigation of suspected respiratory disease
P188 Impact of ward based chest ultrasound on the radiology department
  1. H Lockman,
  2. N J Withers
  1. Royal Devon and Exter Hospital, Exeter, Devon

Abstract

Introduction The ability for chest physicians to perform chest ultrasound is on the increase since the NPSA report concerning chest drain insertion and the BTS Pleural guidelines 2010. Our respiratory department received a portable ultrasound device (Sonosite 180 Plus) in April 2010 and by August 2010 we had 3 physicians who have achieved level 1 thoracic ultrasound skill (1 Chest Consultant, 2 Specialist Registrars—1 Respiratory, 1 Acute Medicine). We were keen to see what kind impact this has made on the chest ultrasound requests on the radiology department.

Methods Data collected comparing 2 periods. Dataset 1: Nov 2009–Jan 2010 and Dataset 2: Nov 2010–Jan 2011. Information was gathered via the Webpacs system (GE Medical System: Centricity® Enterprise Web) and the CRIS—Clinical Radiology Information System (Healthcare software system). Only adult (=16 years) inpatient request were included.

Dataset 1: Nov 2009–Jan 2010Dataset 2: Nov 2010–Jan 2011
n=81n=45
55 (68%) scan done on same day of receiving request32 (71%) scan done on same day of receiving requests
All scans done within 6 daysAll scans done within 3 days
Imaged saved 62 (77%)Images saved 35 (78%)

Summary Having physicians with skills to perform chest ultrasound by the bedside has reduced the burden on the radiology department and the response times to the scan all the patients has halved from 6 to 3 days. We hope this service can be further improved with more physicians attaining this skill.

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