Идёт набор NCT07159269

Cardiac point-of Care Ultrasound Training Pathway for Emergency Department Advanced Practice Providers

Без фазы С лечением Cardiovascular Disease Acute Emergency Department Patient Heart Failure Acute Pulmonary Embolism (Diagnosis)

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Cardiac point-of-care ultrasound (POCUS) training and clinical pathway.
Кому может быть актуально: Состояния в реестре: Cardiovascular Disease Acute, Emergency Department Patient, Heart Failure Acute, Pulmonary Embolism (Diagnosis). Базовые параметры: от 18 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: США
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Cardiac Point-of-care Ultrasound Clinical Training Pathway Implementation and Impact Assessment for Advanced Practice Providers in the Emergency Department

Обзор

The aim of this study is to assess emergency medicine physician and advanced practice provider (APP) knowledge and technical skill in performance of a point-of-care ultrasound simulation and just-in-time training pathway to determine the feasibility, acceptability, and usability of the ultrasound training program. By performing this study, we hope to create a standardized training model which could potentially facilitate point-of-care ultrasound (POCUS) clinical performance and thereby improve patient care.

Вмешательства

Поведенческое Cardiac point-of-care ultrasound (POCUS) training and clinical pathway
Participants will complete a cardiac POCUS simulation session and a hands-on observed structured clinical skill exam (OSCE) post-training led by ultrasound-trained faculty. Then as part of standard clinical care, advanced practice providers (APPs) will perform POCUS while supervised by emergency medicine (EM) attending physicians. To assess program feasibility and acceptability, participants will complete a pre/post and 6-month post-survey and semi-structured interview, as well as a knowledge an

Первичные конечные точки

Aim 1: Assess the feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. [Срок оценки: 1-2 years for each study site]
Aim 1: Acceptability of the Intervention as measured by the Acceptability of Intervention Measure (AIM) [Срок оценки: 1-2 years for each study site]
Aim 1: Appropriateness of the Intervention as measured by the Intervention Appropriateness Measure (IAM) [Срок оценки: 1-2 years for each study site]
Aim 1: Feasibility of the Intervention as measured by the Feasibility of Intervention Measure (FIM) survey tool [Срок оценки: 1-2 years for each study site]

Вторичные конечные точки (8)

Aim 1: Feasibility of implementing a just-in-time cardiac point-of-care ultrasound (POCUS) clinical training pathway for advanced practice providers (APPs) using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. [Срок оценки: 1-2 years for each study site]
Aim 2: Educational impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance [Срок оценки: 1-2 years for each study site]
Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - number of clinical POCUSs performed [Срок оценки: 1-2 years for each study site]
Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - image quality [Срок оценки: 1-2 years for each study site]
Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - diagnostic accuracy [Срок оценки: 1-2 years for each study site]
Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - time to initial cardiology consult [Срок оценки: 1-2 years for each study site]
Aim 2: Clinical impact of the training model on point-of-care ultrasound (POCUS) use and diagnostic performance - emergency department length-of-stay [Срок оценки: 1-2 years for each study site]
Aim 2: Impact of the training model on cost-effectiveness [Срок оценки: 1-2 years for each study site]

Критерии участия

Критерии включения

advanced practice providers (APPs) currently working in our ED, with additional APPs as they are hired (expected to be about 75 APPs total within the next 3 years due to expanding staffing needs and coverage models).