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Ritzmann S, Baker S, Peck M, Ingram TE, Allen J, Duffy L, Steeds RP, Houghton A, Elkington A, Bual N, Huggett R, Pearce K, Apostolakis S, Afshin K. British Society of Echocardiography Departmental Accreditation Standards 2019 with input from the Intensive Care Society. Echo Res Pract 2020; 7:G43-G49. [PMID: 32190342 PMCID: PMC7077600 DOI: 10.1530/erp-19-0045] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Accepted: 02/17/2020] [Indexed: 11/08/2022] Open
Abstract
This article sets out a summary of standards for departmental accreditation set by the British Society of Echocardiography (BSE) Departmental Accreditation Committee. Full accreditation standards are available at www.bsecho.org. The BSE were the first national organisation to establish a quality standards framework for departments that support the practice of individual echocardiographers. This is an updated version which recognises that, not only should all echocardiographers be individually accredited as competent to practice, but that departments also need to be well organised and have the facilities, equipment and processes to ensure the services they deliver are of an appropriate clinical standard. In combination with individual accreditation, departmental accreditation lays down standards to help ensure safe and effective patient care. These standards supersede the 2012 BSE Departmental Accreditation Standards. Standards are set to cover all potential areas of practice, including transthoracic (level 2) echocardiography, transoesophageal echocardiography, stress echocardiography, training, and emergency (level 1) echocardiography. The emergency echocardiography standard is a new addition to departmental accreditation and has been developed with input from the Intensive Care Society.
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Affiliation(s)
- Sarah Ritzmann
- Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Cardio-Respiratory, Doncaster Royal Infirmary, Doncaster, UK
| | - Stephanie Baker
- Grantham and District Hospital, Cardiology, Grantham, Lincolnshire, UK
| | - Marcus Peck
- Department of Anaesthesia, Frimley Park Hospital, Frimley, Surrey, UK
| | - Tom E Ingram
- Shrewsbury and Telford Hospital NHS Trust, Cardiology, Shrewsbury, UK
| | - Jane Allen
- York Teaching Hospital NHS Foundation Trust, CardioRespiratory, York, UK
| | - Laura Duffy
- York Teaching Hospital NHS Foundation Trust, CardioRespiratory, York, UK
| | - Richard P Steeds
- University Hospital Birmingham and University of Birmingham, Cardiology, Birmingham, West Midlands, UK
| | | | | | - Nina Bual
- Imperial College Healthcare NHS, Echocardiography Department, St Mary's Hospital, Paddington, London, UK
| | - Robert Huggett
- Dudley Group of Hospitals NHS Trust, Cardiology, Dudley, West Midlands, UK
| | - Keith Pearce
- University Hospital South Manchester, Cardiology, Wythenshawe, Manchester, UK
| | - Stavros Apostolakis
- Sandwell and West Birmingham Hospitals NHS Trust, Cardiology, Birmingham, UK
| | - Khalatabari Afshin
- Liverpool Heart and Chest Hospital NHS Foundation Trust, Cardiology, Liverpool, UK
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Roshen M, John S, Ahmet S, Amersey R, Gupta S, Collins G. Paired surveys for patients and physiologists in echocardiography: a single-centre experience. Echo Res Pract 2019; 6:1-6. [PMID: 30540562 PMCID: PMC6320332 DOI: 10.1530/erp-18-0064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2018] [Accepted: 12/11/2018] [Indexed: 11/24/2022] Open
Abstract
The British Society of Echocardiography (BSE) highlights the importance of patient questionnaires as part of the quality improvement process, To this end, we implemented a novel system whereby paired surveys were completed by patients and physiologists for transthoracic echocardiography scans, allowing for parallel comparison of the experiences of service providers and end users. Anonymised questionnaires were completed for each scan by the patient and physiologist for outpatient echocardiographic scans in a teaching hospital. In 26% of the responses, patient found the scans at least slightly painful, and in 24% of scans physiologists were in discomfort. The most common reason given by physiologists for technically difficult or inadequate scans was patient discomfort. In 38% of the scans at least one person (the patient or the physiologist) was in at least some discomfort. Comparative data showed that the scans reported as most painful by patients were also reported by the physiologists as difficult and uncomfortable. In summary, these results demonstrate the feasibility of implementing paired surveys. Patient information leaflets by the BSE and National Health Service (NHS) describe echocardiography as painless but the results here indicate this is not always the case.
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Masani N. The Echocardiography Quality Framework: a comprehensive, patient-centered approach to quality assurance and continuous service improvement. Echo Res Pract 2018; 5:ERP-18-0052.R1. [PMID: 30400065 PMCID: PMC6240123 DOI: 10.1530/erp-18-0052] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Accepted: 09/27/2018] [Indexed: 11/08/2022] Open
Abstract
The Echocardiography Quality Framework is a cohesive, patient-centered program, combining quality assurance and continuous service improvement, which can be adapted to suit the needs of any echocardiography department. The framework encompasses measures of the quality of care, reproducibility and consistency, education and training, and customer feedback. The EQF is scalable and adaptable to benefit any echocardiography service. A catalogue or library of supporting documents is being developed, drawing on expertise around the UK, to made available to any participating department. A mechanism and online infrastructure for national registration or assessment is being developed, to be used as a standalone adjunct or linked to BSE Departmental Accreditation. The principles that underpin the EQF may be applicable to other imaging disciplines and, ultimately, other medical or surgical specialties.
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Affiliation(s)
- Navroz Masani
- Cardiology, University Hospital of Wales, Cardiff, UK
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