N/A
N=116
Evaluation of Implementation of a National Point-of-Care Ultrasound Training Program
Other Acute Illnesses Presenting to the Hospital · Heart Failure · Pneumonia · Deep Venous Thrombosis · Cellulitis
Bottom Line
View on ClinicalTrials.gov: NCT03296280 ↗Enrolled (actual)
116
Serious AEs
—
Results posted
Mar 2020
Primary outcome: Primary: Change in Frequency of Point-of-care Ultrasound Use for Diagnostic and Procedural Applications at Baseline and 6-9 Months — 12.9; 4.0 Number of POCUS Exams/week
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- —
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jun 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Frequency of Point-of-care Ultrasound Use for Diagnostic and Procedural Applications at Baseline and 6-9 Months |
12.9; 4.0 | — |
| SECONDARY Change in Point-of-care Ultrasound Knowledge From Baseline to 6-9 Months |
5.3; 6.5 | — |
| SECONDARY Change in Point-of-care Ultrasound Cardiac Skills From Baseline to 6-9 Months |
41.6; 46.1 | — |
| SECONDARY Change in Point-of-care Ultrasound Lung Skills From Baseline to 6-9 Months |
49.2; 60.5 | — |
| SECONDARY Change in Point-of-care Ultrasound Peripheral IV Skills From Baseline to 6-9 Months |
31.6; 40.5 | — |
| SECONDARY Change in Point-of-care Ultrasound Abdominal Skills From Baseline to 6-9 Months |
40.8; 54.8 | — |
| SECONDARY Change in Barrier to Point-of-care Ultrasound Use (Ability to Operate) From Baseline to 6-9 Months Post-Course |
68; 67 | — |
| SECONDARY Change in Barriers to Point-of-care Ultrasound Use (Skill Maintenance) From Baseline to 6-9 Months Post-Course |
23; 37 | — |
Summary
This VA QUERI Partnered Evaluation Initiative will evaluate the impact of an immersive Point-of-care Ultrasound (POCUS) Training Course on provider skill acquisition and retention; the frequency of POCUS use by trained providers; and the barriers/facilitators to POCUS in the VHA. Data sources include pre- and post-course assessment tools, medical coding data, and course evaluations. Providers that participate in the POCUS Training Course will be compared to control providers from wait-listed facilities. Additionally, participating facilities vs. wait-listed facilities for the POCUS Training Course will be compared. Findings from this project will guide ongoing efforts of the investigators' operating partners, VA Specialty Care Centers of Innovation (SCCI) and the VA Simulation Learning and Research Network (SimLEARN), to develop a national POCUS training program and facilitate implementation of POCUS use system-wide in the VA healthcare system.
Eligibility Criteria
Inclusion Criteria
Selection of VA facilities invited to participate in the national POCUS training course was based on data from a national needs assessment conducted by the VA's Health Analysis and Information Group. VA facilities that meet all of the following inclusion criteria are eligible to send physicians to participate in the POCUS training course:
- Chief of staff desires POCUS training for his/her facility
- >=2 Service Chiefs from emergency medicine, critical care medicine, or hospital medicine desire training for his/her physicians, AND
- >=1 portable ultrasound machine(s) available to physicians within these services
Exclusion Criteria
- Chief of staff does not desire POCUS training for his/her facility
- <2 Service Chiefs from emergency medicine, critical care medicine, or hospital medicine desire training for his/her physicians, OR
- No portable ultrasound machine(s) available to physicians within these services
Data sourced from ClinicalTrials.gov (NCT03296280). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.