Implementing a Continuous Quality Improvement Program in a High-Volume Clinical Echocardiography Laboratory Improving Care for Patients With Aortic Stenosis

Samad Zainab; Minter Stephanie; Armour Alicia; Tinnemore Amanda; Sivak Joseph A.; Sedberry Brenda; Strub Karen; Horan Seanna M.; Harrison J. Kevin; Kisslo Joseph; Douglas Pamela S.; Velazquez Eric J.

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Implementing a Continuous Quality Improvement Program in a High-Volume Clinical Echocardiography Laboratory Improving Care for Patients With Aortic Stenosis

机译：在大剂量临床超声心动图实验室中实施持续质量改进计划，以改善对主动脉瓣狭窄患者的护理

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Background The management of aortic stenosis rests on accurate echocardiographic diagnosis. Hence, it was chosen as a test case to examine the utility of continuous quality improvement (CQI) approaches to increase echocardiographic data accuracy and reliability. A novel, multistep CQI program was designed and prospectively used to investigate whether it could minimize the difference in aortic valve mean gradients reported by echocardiography when compared with cardiac catheterization.

机译：背景技术主动脉瓣狭窄的治疗取决于准确的超声心动图诊断。因此，它被选作测试用例，以检验持续质量改进（CQI）方法在提高超声心动图数据准确性和可靠性方面的效用。设计了一种新颖的多步CQI程序，并前瞻性地研究了与心脏导管检查相比，它能否使超声心动图报告的主动脉瓣平均梯度差异最小化。

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《Circulation. Cardiovascular imaging》 |2016年第3期|共9页
作者
Samad Zainab; Minter Stephanie; Armour Alicia; Tinnemore Amanda; Sivak Joseph A.; Sedberry Brenda; Strub Karen; Horan Seanna M.; Harrison J. Kevin; Kisslo Joseph; Douglas Pamela S.; Velazquez Eric J.;
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正文语种 eng
中图分类诊断学;
关键词
aortic valve stenosis; catheterization; echocardiography; image acquisition; image quality; quality improvement;

机译：主动脉瓣狭窄;导管插入;超声心动图;图像采集;图像质量;质量改善;

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1. Implementing a Continuous Quality Improvement Program in a High-Volume Clinical Echocardiography Laboratory Improving Care for Patients With Aortic Stenosis [J] . Samad Zainab, Minter Stephanie, Armour Alicia, Circulation. Cardiovascular imaging . 2016,第3期

机译：在大剂量临床超声心动图实验室中实施持续质量改进计划，以改善对主动脉瓣狭窄患者的护理
2. Improving the management of anemia in hemodialysis patients by implementing the continuous quality improvement program. [J] . Chen M, Deng JH, Zhou FD, Blood purification . 2006,第3期

机译：通过实施持续质量改进计划，改善血液透析患者贫血的管理。
3. How Can We Improve Outcomes for Patients and Families Under Palliative Care? Implementing Clinical Audit for Quality Improvement in Resource Limited Settings [J] . Lucy Selman, Richard Harding Indian journal of palliative care . 2010,第1期

机译：我们如何改善姑息治疗患者和家庭的结果？在资源有限的环境中实施临床审核以提高质量
4. From Clinical Imaging to Patient-Specific Computational Model: Rapid Adaptation of the Living Heart Human Model to a Case of Aortic Stenosis [C] . Andrew D. Wisneski, Salvatore Cutugno, Ashley Stroh, International Conference on Functional Imaging and Modeling of the Heart . 2021

机译：从临床成像到患者特定的计算模型：将活心脏人体模型快速适应主动脉狭窄的情况
5. Performance measures of quality for academic libraries implementing continuous quality improvement programs: A Delphi study. [D] . Harer, John Brady. 2001

机译：高校图书馆实施持续质量改进计划的质量绩效衡量指标：Delphi研究。
6. Impact of Horizontal Approach in Vertical Program: Continuous Quality Improvement of Malaria and Tuberculosis Diagnostic Services at Primary-Level Medical Laboratories in the Context of HIV Care and Treatment Program in Ethiopia [O] . Francesco Marinucci, Tsegahun Manyazewal, Antonio D. Paterniti, 2013

机译：横向方法对纵向计划的影响：埃塞俄比亚艾滋病毒护理和治疗计划背景下基层医学实验室的疟疾和结核病诊断服务质量不断提高
7. Poster Session 3The imaging examination and quality assessmentP626Value of mitral and tricuspid annular displacement to assess the interventricular systolic relationship in severe aortic valve stenosis : a Pilot studyP627Follow-up echocardiography in asymptomatic valve disease: assessing the potential economic impact of the European and American guidelines in a dedicated valve clinic, compared to standard care.P628The tricuspid valve: identification of optimal view for assessing for prolapseP629Right atrial volume by two-dimensional echocardiography in healthy subjectsP630Disturbance of inter and intra atrial conduction assessed by tissue doppler imaging in patients with medicaly controlled hypertension and prehypertension.P631Liver stiffness by shear wave elastography, new noninvasive and quantitative tool for acute variation estimation of central venous pressure in real-time?P632Weak atrial kick contribution is associated with a risk for heart failure decompensationP633Usefulness of wave intensity analysis in predicting the response to cardiac resynchronization therapyP634Early subclinical left ventricular systolic and diastolic dysfunction in gestational hypertension and preeclampsiaP635Clinical comparison of three different echocardiographic methods for left ventricular ejection fraction and LV end diastolic volume measurementP636Assessment of right ventricular-arterial coupling parameters by 3D echocardiography in patients with pulmonary hypertension receiving specific vasodilator therapyP637Prediction of right ventricular failure after left ventricular assist device implant: assessing usefulness of standard and strain echocardiographyP638Kinematic analysis of diastolic function using the novel freely available software Echo E-waves - feasibility and reproducibilityP639Evaluation of coronary flow velocity by Doppler echocardiography in the treatment of hypertension with the ARB: correlation to the histological cardiac fibrosisP640The clinical significance of limited apical ischaemia and the prognostic value of stress echocardiography - A contemporary study from a high volume centerP641Effects of intermediate stenosis of left anterior descending coronary artery on survival in patients with chronic total occlusion of right coronary arteryP642Left ventricular remodeling after a first myocardial infarction in patients with preserved ejection fraction at dischargeP643Left atrial size and acute coronary syndromes. Let is make simple.P644Influence of STEMI reperfusion strategy on systolic and diastolic functionP645Aortic valve resistance risk-stratifies low-gradient severe aortic stenosisP646Does permanent pacemaker implantation complicate the prognosis of patients after transcatheter aortic valve implantation?P647Influence of metabolic syndrome and diabetes on progression of calcific aortic valve stenosis - The COFRASA - GENERAC StudyP648Low referral for aortic valve replacement accounts for worse long-term outcome in low versus high gradient severe aortic stenosis with preserved ejection fractionP649The impact of right ventricular function from aortic valve replacement: A randomised study comparing minimally invasive aortic valve surgery and conventional open heart surgery [O] . T. Ota, DNS Senaratne, NK. Preston, 2016

机译：海报课程3年度成像检查和质量评估P626尺寸二尖瓣环形位移，评估严重主动脉瓣狭窄中的间隔收缩系统关系：无症状瓣膜病的先导术627推翻超声心动图：评估欧洲和美国指南的潜在经济影响专用阀门诊所，与标准Care.P628相比，Tricuspid阀门：鉴定通过在医疗主题的Hystantsp630中，通过组织多普勒成像在医疗和术语中的癌细胞癌和术语患者进行评估，通过二维超声心动图进行评估的最佳视图。 .p631抗剪力波弹性凝视，新的非侵入性和定量工具，用于实时急性变异估计中央静脉压力的急性变化？P632Weak心房踢贡献与心力衰竭分数的风险有关波强度分析预测心脏重新同步的响应治疗634亚临床左心室收缩和舒张性功能障碍，妊娠期高血压分数的三种不同超声心动仪和LV端舒张型方法的比较，3D超声心动图右心室凝血率测量3636分类在患有肺动脉高压的患者中，左心室辅助装置植入后接受特异性血管扩张器治疗637预测右心室失效：评估使用新颖的自由可用的软件回声电子波的标准和菌株超声心动图338云分析的标准和菌株超声心动图638云分析 - 可行性和再现冠状动脉速度的可行性和再现率。多普勒超声心动图在治疗高血压与arb中：相关性与组织学心肌纤维化p640的相关性李的临床意义紧张的缺血性和应激超声心动图的预后价值 - 一种高批量中心的当代研究，来自左前期下降冠状动脉中间狭窄患者中间狭窄患者急性闭塞患者患者患者患者第一次心肌梗死后的慢性冠状动脉间梗死患者存活的现代研究排出的射血分数在排出的343夜心房尺寸和急性冠状动脉综合征处。让令人生意的是STEMIESTOMELETERIC功能的STEMIEST.P644。在收缩和舒张功能上进行STEMI和舒张型阀门电阻危险危险率低梯度严重主动脉鼻窦646doe永久性起搏器植入使经截觉管主动脉瓣植入后的患者预后复杂化吗？P647型综合征和糖尿病患者的进展主动脉瓣狭窄 - Cofrasa - Generac STOMP648LOW用于主动脉瓣膜置换术的转诊表明，低梯度严重主动脉狭窄的更差的长期结果，并具有射血瓣膜置换术射精术中的抗锻术术造成的影响：随机研究比较微创主动脉阀门手术和常规开放式心脏手术

Implementing a Continuous Quality Improvement Program in a High-Volume Clinical Echocardiography Laboratory Improving Care for Patients With Aortic Stenosis

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