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Table 1 Point-of-care ultrasound workflow barriers and interventions

From: A workflow task force affects emergency physician compliance for point-of-care ultrasound documentation and billing

Barriers

Interventions and solutions

Scan completed but documentation incomplete

Real-time transfer of study to image archiving software

Direct transfer of Qpath™ report to EHR

Attending physicians encouraged to transfer studies in real time

Q-path™ worksheet not completed real time

Emphasis on scan and documentation as a single event

Machinery upkeep

“Image of the week” email

Consultative services, e.g. general surgery and obstetrics–gynecology educated regarding proper care of equipment

Wireless transmission delays

Biomedical engineering correspondence

Information technology correspondence

Hardware vendor correspondence

Q-path logout time too short

Workstation logout time increased

Provider awareness of workflow process

Faculty meeting presentation

Resident conference presentation

Educational module distributed to all staff

Educational module placed on centralized website for immediate access and review

Laminated reminder signs placed at physician workstations

Attending compliance

Daily reports generated listing attending physicians with studies performed but not documented or vice versa

Regular follow-up from department chairman with noncompliant attending physicians