2/2 Clinician feedback (98% response): most agreed the pathway improved patient safety & access, reduced cognitive burden, and cut ED referrals. Model is feasible, acceptable, and may help relieve ED strain—warrants broader implementation studies.
#PrimaryCare#QI#POCUS
1/2
Our primary care POCUS DVT pathway is published!
-evaluated 80 patients—DVT diagnosed in 5% (4/80); ED visits were potentially avoided for 46% (37/80), with estimated cost savings of ~$85,100. Shows feasibility of in-clinic DVT diagnosis.
https://t.co/IteZZFKUN6
Excited to share this commentary published in JABFM: An Academic Family Physician’s Point-of-Care Ultrasound (POCUS) Experience https://t.co/kjrSSNIgsl
- Providers strongly agreed that:
(1) the POCUS DVT clinic improved patient safety & access
(2) When evaluating a borderline DVT concern, the POCUS DVT clinic reduced the clinician's cognitive burden
(3) Without the POCUS DVT clinic, (I) would have sent the patient to the ED
- Results:
- out of 62 patients, 2+ proximal DVT treated, 2+ distal found on follow up imaging within 1 week
- out of 60 patients, 0 had a VTE diagnosis, 3 months after the scan.
-48% potentially avoidable ED visit = cost savings
I really like this checklist as a framework to introducing #POCUS to a department or clinical group, as well as tracking how your program is doing
"A Clinician's Guide to Implementation of POCUS in the Outpatient Practice" @OvergaardJosh@BThilagarMD
🔗https://t.co/9bX2YqzX4d
Cool #POCUS case of an abscess communicating with bone leading to a diagnosis of osteomyelitis
From "Abscess pulsatility: a sonographic sign of osteomyelitis" by @hopewerenski @TheCaseyGlass
🔗https://t.co/jYT0aAdIc5
📊 Exciting findings from a new Canadian study! 🇨🇦🔬 Comparable to the HOCUS POCUS study, the latest article reveals no statistical difference in sensitivity and specificity between DVT POCUS exams and radiology. Precision meets portability! #POCUS thanks @NephroP for sharing!
Now available: Butterfly’s software development kit for third-party developer use!
Let’s grow “Butterfly Garden” together! Learn more apply for SDK access: https://t.co/4ASAyueSBf
For pts w/ low abdominal pain or vaginal hemorrhage in early pregnancy, clinicians must confirm intrauterine pregnancy & gestational age to guide care. This new #research compares the accuracy of #POCUS devices to comprehensive #echo in this assessment: https://t.co/hcZ3iYWJ34