Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke

Dong Huiqin; Wang Yang; Peng Liu; Wu Jinhua; Li Xiujuan

doi:doi:10.11648/j.ajim.20231103.13

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Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke

Dong Huiqin, Wang Yang, Peng Liu, Wu Jinhua, Li Xiujuan

Published in American Journal of Internal Medicine (Volume 11, Issue 3)

Received: 6 May 2023 Accepted: 23 May 2023 Published: 29 May 2023

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Abstract

Objective To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. Methods Refer to PDSA cycle, Randomly select 600 image and text reports (including images and text descriptions) of carotid artery ultrasonic examination from January 2021 to December 2021 in the ultrasonic medical image information system, scored according to the quality scoring standard; The goal of this time is to achieve more than 95% of the reports of Class A image and texts, propose solutions to the problems of image quality and text description in the report. Formulate countermeasures from May to June 2021. Take 50 carotid ultrasound image and text reports after implementing various improvement measures from November 2021 to December 2021 for scoring, compare the differences between 2022 and 2021 ultrasonic image text reports and clinical satisfaction scores. Analyze the changes of image text reports and clinical satisfaction scores before and after the implementation of PDSA cycle, and continuously optimize the carotid ultrasound examination process through training and learning, discussion within the department, and collection of clinical feedback. Result Before implementing the PDSA process of standardized medical quality management, the score of carotid ultrasound image and text reports was (87.46±5.82), the clinical satisfaction was (84.46±6.42), and the number of A-class image and text reports accounted for 58% (348/600); After the implementation of the standardized medical quality management PDSA process, the score of graphic reports increased to (92.74±3.55) points, and the clinical satisfaction increased to (93.14±3.86) points. The number of Class A graphic reports accounted for 82% (492/600), with statistically significant differences (all P<0.05). Conclusion PDSA circulation has effectively improved the image and text report of carotid ultrasound screening and clinical satisfaction score, which can be applied to the quality control of other single diseases in the ultrasound department, so as to improve the medical quality of the ultrasound department.

Published in	American Journal of Internal Medicine (Volume 11, Issue 3)
DOI	10.11648/j.ajim.20231103.13
Page(s)	41-47
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Ultrasound, Quality Assurance, PDSA Cycle, Carotid

References

[1]	Jiang Yuxin, Li Jianchu, Wang Hongyan, et al. Scientific management, innovation and strict quality control: ultrasonic quality control methods and research [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17 (07): 597-601.
[2]	Chen Xia, He Nian, an. Construction of ultrasound quality control management system based on PDCA cycle model [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18 (11): 1106-1108.
[3]	Xie Xiaohong, Ma Suya, Zhang Jingliang, etc. The popularization and application of standardized ultrasound examination of carotid artery plaques in high risk populations of cerebral apoplexy in primary grassroots hospitals [J]. Chinese Journal of Ultrasound Medicine, 2020, 36 (10): 886-890.
[4]	Chen Y, Zheng J, Wu D, et al. Application of the PDCA cycle for standardized nursing management in a COVID-19 intensive care unit. Ann Palliat Med. 2020 May; 9 (3): 1198-1205.
[5]	Ma Xudong. Application of objective management mode and innovation of safety management mode of medical quality [J]. Chinese Journal of Medicine, 2021, 56 (05): 468-469.
[6]	Zhang Hongmei, Yin Lixue, Li Chunmei, et al. Baseline investigation report of ultrasound medicineon quality control in Sichuan Province, China [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18 (03): 313-320.
[7]	Cao Sheng, Zhou Qing. Analysis of ultrasound quality control indexes in hospitals of different leves in Hubei Province [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17 (07): 656-661.
[8]	Li Chuang, Yuan Jianjun. Discussion on Quality Control and Management Model of Ultrasound Medicine in Henan Province [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16 (05): 336-338.
[9]	Chen Shun, Xue Ensheng, Lin Liwu, et al. Thoughts on and Strategies for ultrasonic medical quality management in Fujian Province [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16 (05): 333-335.
[10]	Wang Jiajia, Wang Jinping, Jiang Fan, et al. Comparison of ultrasound quality control between tertiary hospitals of traditional Chinese medicine and other tertiary general hospitals in Anhui Province, China in 2019 [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18 (07): 643-646.
[11]	Xie Xiaohong, Ma Suya, Du Zusheng, et al. Construction of ultrasonic quality control management system in primary hospitals [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17 (07): 672-678.
[12]	Qian Sasha, Zhang Qin, Tan Mingming. Improving Clinical Diagnosis and Treatment through Quality Management Tools [J]. Chinese Health Quality Management, 2019, 26 (05): 1-2+15.
[13]	Jiang Yuxin, Li Jianchu, Wang Hongyan, et al. Information technology promotes the new development of ultrasound quality control [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18 (07): 625-628.
[14]	Wang Hongyan, Ma Li, Gu Yang, etc. Strengthening quality control of ultrasound medicine to promote development and innovation of this discipline [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16 (05): 321-326+400.
[15]	Ernst BP, Strieth S, Katzer F, et al. The use of structured reporting of head and neck ultrasound ensures time-efficiency and report quality during residency. Eur Arch Otorhinolaryngol. 2020 Jan; 277 (1): 269-276.

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APA Style

Dong Huiqin, Wang Yang, Peng Liu, Wu Jinhua, Li Xiujuan. (2023). Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. American Journal of Internal Medicine, 11(3), 41-47. https://doi.org/10.11648/j.ajim.20231103.13

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ACS Style

Dong Huiqin; Wang Yang; Peng Liu; Wu Jinhua; Li Xiujuan. Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. Am. J. Intern. Med. 2023, 11(3), 41-47. doi: 10.11648/j.ajim.20231103.13

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AMA Style

Dong Huiqin, Wang Yang, Peng Liu, Wu Jinhua, Li Xiujuan. Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. Am J Intern Med. 2023;11(3):41-47. doi: 10.11648/j.ajim.20231103.13

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@article{10.11648/j.ajim.20231103.13,
  author = {Dong Huiqin and Wang Yang and Peng Liu and Wu Jinhua and Li Xiujuan},
  title = {Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke},
  journal = {American Journal of Internal Medicine},
  volume = {11},
  number = {3},
  pages = {41-47},
  doi = {10.11648/j.ajim.20231103.13},
  url = {https://doi.org/10.11648/j.ajim.20231103.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20231103.13},
  abstract = {Objective To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. Methods Refer to PDSA cycle, Randomly select 600 image and text reports (including images and text descriptions) of carotid artery ultrasonic examination from January 2021 to December 2021 in the ultrasonic medical image information system, scored according to the quality scoring standard; The goal of this time is to achieve more than 95% of the reports of Class A image and texts, propose solutions to the problems of image quality and text description in the report. Formulate countermeasures from May to June 2021. Take 50 carotid ultrasound image and text reports after implementing various improvement measures from November 2021 to December 2021 for scoring, compare the differences between 2022 and 2021 ultrasonic image text reports and clinical satisfaction scores. Analyze the changes of image text reports and clinical satisfaction scores before and after the implementation of PDSA cycle, and continuously optimize the carotid ultrasound examination process through training and learning, discussion within the department, and collection of clinical feedback. Result Before implementing the PDSA process of standardized medical quality management, the score of carotid ultrasound image and text reports was (87.46±5.82), the clinical satisfaction was (84.46±6.42), and the number of A-class image and text reports accounted for 58% (348/600); After the implementation of the standardized medical quality management PDSA process, the score of graphic reports increased to (92.74±3.55) points, and the clinical satisfaction increased to (93.14±3.86) points. The number of Class A graphic reports accounted for 82% (492/600), with statistically significant differences (all PConclusion PDSA circulation has effectively improved the image and text report of carotid ultrasound screening and clinical satisfaction score, which can be applied to the quality control of other single diseases in the ultrasound department, so as to improve the medical quality of the ultrasound department.},
 year = {2023}
}

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TY  - JOUR
T1  - Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke
AU  - Dong Huiqin
AU  - Wang Yang
AU  - Peng Liu
AU  - Wu Jinhua
AU  - Li Xiujuan
Y1  - 2023/05/29
PY  - 2023
N1  - https://doi.org/10.11648/j.ajim.20231103.13
DO  - 10.11648/j.ajim.20231103.13
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 41
EP  - 47
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20231103.13
AB  - Objective To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. Methods Refer to PDSA cycle, Randomly select 600 image and text reports (including images and text descriptions) of carotid artery ultrasonic examination from January 2021 to December 2021 in the ultrasonic medical image information system, scored according to the quality scoring standard; The goal of this time is to achieve more than 95% of the reports of Class A image and texts, propose solutions to the problems of image quality and text description in the report. Formulate countermeasures from May to June 2021. Take 50 carotid ultrasound image and text reports after implementing various improvement measures from November 2021 to December 2021 for scoring, compare the differences between 2022 and 2021 ultrasonic image text reports and clinical satisfaction scores. Analyze the changes of image text reports and clinical satisfaction scores before and after the implementation of PDSA cycle, and continuously optimize the carotid ultrasound examination process through training and learning, discussion within the department, and collection of clinical feedback. Result Before implementing the PDSA process of standardized medical quality management, the score of carotid ultrasound image and text reports was (87.46±5.82), the clinical satisfaction was (84.46±6.42), and the number of A-class image and text reports accounted for 58% (348/600); After the implementation of the standardized medical quality management PDSA process, the score of graphic reports increased to (92.74±3.55) points, and the clinical satisfaction increased to (93.14±3.86) points. The number of Class A graphic reports accounted for 82% (492/600), with statistically significant differences (all PConclusion PDSA circulation has effectively improved the image and text report of carotid ultrasound screening and clinical satisfaction score, which can be applied to the quality control of other single diseases in the ultrasound department, so as to improve the medical quality of the ultrasound department.
VL  - 11
IS  - 3
ER  -

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Author Information

Dong Huiqin

Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China
Wang Yang

Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China
Peng Liu

Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China
Wu Jinhua

Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China
Li Xiujuan

Department of Ultrasound, Huangshi Hospital of Traditional Chinese Medicine, Huangshi, China

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Plain Text BibTeX RIS

APA Style

Dong Huiqin, Wang Yang, Peng Liu, Wu Jinhua, Li Xiujuan. (2023). Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. American Journal of Internal Medicine, 11(3), 41-47. https://doi.org/10.11648/j.ajim.20231103.13

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ACS Style

Dong Huiqin; Wang Yang; Peng Liu; Wu Jinhua; Li Xiujuan. Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. Am. J. Intern. Med. 2023, 11(3), 41-47. doi: 10.11648/j.ajim.20231103.13

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AMA Style

Dong Huiqin, Wang Yang, Peng Liu, Wu Jinhua, Li Xiujuan. Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke. Am J Intern Med. 2023;11(3):41-47. doi: 10.11648/j.ajim.20231103.13

Copy | Download

@article{10.11648/j.ajim.20231103.13,
  author = {Dong Huiqin and Wang Yang and Peng Liu and Wu Jinhua and Li Xiujuan},
  title = {Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke},
  journal = {American Journal of Internal Medicine},
  volume = {11},
  number = {3},
  pages = {41-47},
  doi = {10.11648/j.ajim.20231103.13},
  url = {https://doi.org/10.11648/j.ajim.20231103.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20231103.13},
  abstract = {Objective To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. Methods Refer to PDSA cycle, Randomly select 600 image and text reports (including images and text descriptions) of carotid artery ultrasonic examination from January 2021 to December 2021 in the ultrasonic medical image information system, scored according to the quality scoring standard; The goal of this time is to achieve more than 95% of the reports of Class A image and texts, propose solutions to the problems of image quality and text description in the report. Formulate countermeasures from May to June 2021. Take 50 carotid ultrasound image and text reports after implementing various improvement measures from November 2021 to December 2021 for scoring, compare the differences between 2022 and 2021 ultrasonic image text reports and clinical satisfaction scores. Analyze the changes of image text reports and clinical satisfaction scores before and after the implementation of PDSA cycle, and continuously optimize the carotid ultrasound examination process through training and learning, discussion within the department, and collection of clinical feedback. Result Before implementing the PDSA process of standardized medical quality management, the score of carotid ultrasound image and text reports was (87.46±5.82), the clinical satisfaction was (84.46±6.42), and the number of A-class image and text reports accounted for 58% (348/600); After the implementation of the standardized medical quality management PDSA process, the score of graphic reports increased to (92.74±3.55) points, and the clinical satisfaction increased to (93.14±3.86) points. The number of Class A graphic reports accounted for 82% (492/600), with statistically significant differences (all PConclusion PDSA circulation has effectively improved the image and text report of carotid ultrasound screening and clinical satisfaction score, which can be applied to the quality control of other single diseases in the ultrasound department, so as to improve the medical quality of the ultrasound department.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Application of PDSA Circulation in Carotid Artery Ultrasound Screening for High-Risk Individuals with Stroke
AU  - Dong Huiqin
AU  - Wang Yang
AU  - Peng Liu
AU  - Wu Jinhua
AU  - Li Xiujuan
Y1  - 2023/05/29
PY  - 2023
N1  - https://doi.org/10.11648/j.ajim.20231103.13
DO  - 10.11648/j.ajim.20231103.13
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 41
EP  - 47
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20231103.13
AB  - Objective To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. Methods Refer to PDSA cycle, Randomly select 600 image and text reports (including images and text descriptions) of carotid artery ultrasonic examination from January 2021 to December 2021 in the ultrasonic medical image information system, scored according to the quality scoring standard; The goal of this time is to achieve more than 95% of the reports of Class A image and texts, propose solutions to the problems of image quality and text description in the report. Formulate countermeasures from May to June 2021. Take 50 carotid ultrasound image and text reports after implementing various improvement measures from November 2021 to December 2021 for scoring, compare the differences between 2022 and 2021 ultrasonic image text reports and clinical satisfaction scores. Analyze the changes of image text reports and clinical satisfaction scores before and after the implementation of PDSA cycle, and continuously optimize the carotid ultrasound examination process through training and learning, discussion within the department, and collection of clinical feedback. Result Before implementing the PDSA process of standardized medical quality management, the score of carotid ultrasound image and text reports was (87.46±5.82), the clinical satisfaction was (84.46±6.42), and the number of A-class image and text reports accounted for 58% (348/600); After the implementation of the standardized medical quality management PDSA process, the score of graphic reports increased to (92.74±3.55) points, and the clinical satisfaction increased to (93.14±3.86) points. The number of Class A graphic reports accounted for 82% (492/600), with statistically significant differences (all PConclusion PDSA circulation has effectively improved the image and text report of carotid ultrasound screening and clinical satisfaction score, which can be applied to the quality control of other single diseases in the ultrasound department, so as to improve the medical quality of the ultrasound department.
VL  - 11
IS  - 3
ER  -

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