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

Abstract

<i>Objective</i> To explore the application effect of PDSA circulation in improving the quality of carotid artery ultrasound screening in high-risk populations for stroke. <i>Methods</i> 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. <i>Result</i> 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 <I>P</I><0.05). <i>Conclusion</i> 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.