FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2149284498> ?p ?o ?g. }

• W2149284498 endingPage "e12" @default.
• W2149284498 startingPage "e12" @default.
• W2149284498 abstract "We read with interest the article on bedside ultrasound in a palliative care unit (Gishen & Trotman 2009). We agree that ultrasound can be an extremely useful investigation in palliative care patients. Its non-invasive, painless nature and the dynamic nature of scanning make it appropriate for all the purposes suggested in this paper. However, we would like to draw your attention to a number of points. First, there is no mention made to the recommendations made by the Royal College of Radiologists for Training in Ultrasound for the Medical and Surgical Specialties (Royal College of Radiologists 2005). These widely accepted guidelines are aimed to ensure high quality imaging services (or ‘best practice’) and support the minimal training requirements proposed by the European Federations of Societies for Ultrasound in Medicine and Biology. For the needs of the service suggested in the article, Level 1 training would be required – equivalent to a radiology registrar after 3 or 4 years of training. This level of training includes (for example) a knowledge of the physics underlying the technology of ultrasound so that artefacts can be differentiated from pathology. Ongoing training and clinical supervision by Level 2 or 3 standard practitioners is also necessary. Sufficient number of scans need to be performed – 40 scans in a 17-month period is arguably insufficient to maintain competence. Second, simply buying an ultrasound machine and ensuring its safety is inadequate. Some form of regular Quality Assurance, such as a service contract, is needed to ensure the machine can still produce diagnostic quality scans. No form of Quality Assurance is mentioned in the paper. This would increase the apparently cheap scan cost. On this point, we would like to make a recalculation. The discussion implies that many of these scans were simply done due to the easy availability of the scan. Removing the scans relating to paracentesis the cost per scan increases to almost £40, excluding all ongoing expenses. While we support the availability of easily accessible ultrasound services, particularly in the palliative care setting, quality must be paramount over expediency. Scans should only be performed by suitably trained individuals with an established clinical support structure. Such individuals should only use appropriate machines which are regularly maintained to ensure adequate scan quality. While such services are often most easily provided by a hospital-based clinical radiology department, this may not be most practical in a hospice remotely sited from the nearest hospital. With the advent of portable ultrasound machines, a peripatetic community-based ultrasound service is perfectly feasible. Indeed, in north Bristol, such a service providing GP surgeries with deep venous thrombosis ultrasound has been commissioned. We summarise by arguing that it would be a better use of resources to employ a professional peripatetic service than to mimic the service described in the paper by Gishen and Trotman (2009)." @default.
• W2149284498 created "2016-06-24" @default.
• W2149284498 creator A5023871576 @default.
• W2149284498 creator A5065270324 @default.
• W2149284498 creator A5065302557 @default.
• W2149284498 creator A5070461517 @default.
• W2149284498 date "2010-01-19" @default.
• W2149284498 modified "2023-09-23" @default.
• W2149284498 title "Quality not expediency" @default.
• W2149284498 cites W2077205722 @default.
• W2149284498 doi "https://doi.org/10.1111/j.1365-2354.2009.01171.x" @default.
• W2149284498 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/20088920" @default.
• W2149284498 hasPublicationYear "2010" @default.
• W2149284498 type Work @default.
• W2149284498 sameAs 2149284498 @default.
• W2149284498 citedByCount "1" @default.
• W2149284498 countsByYear W21492844982022 @default.
• W2149284498 crossrefType "journal-article" @default.
• W2149284498 hasAuthorship W2149284498A5023871576 @default.
• W2149284498 hasAuthorship W2149284498A5065270324 @default.
• W2149284498 hasAuthorship W2149284498A5065302557 @default.
• W2149284498 hasAuthorship W2149284498A5070461517 @default.
• W2149284498 hasBestOaLocation W21492844981 @default.
• W2149284498 hasConcept C100521375 @default.
• W2149284498 hasConcept C106436119 @default.
• W2149284498 hasConcept C111472728 @default.
• W2149284498 hasConcept C126838900 @default.
• W2149284498 hasConcept C136264566 @default.
• W2149284498 hasConcept C138885662 @default.
• W2149284498 hasConcept C142724271 @default.
• W2149284498 hasConcept C143753070 @default.
• W2149284498 hasConcept C162324750 @default.
• W2149284498 hasConcept C187736073 @default.
• W2149284498 hasConcept C19527891 @default.
• W2149284498 hasConcept C2778618615 @default.
• W2149284498 hasConcept C2779530757 @default.
• W2149284498 hasConcept C2780378061 @default.
• W2149284498 hasConcept C509550671 @default.
• W2149284498 hasConcept C71924100 @default.
• W2149284498 hasConceptScore W2149284498C100521375 @default.
• W2149284498 hasConceptScore W2149284498C106436119 @default.
• W2149284498 hasConceptScore W2149284498C111472728 @default.
• W2149284498 hasConceptScore W2149284498C126838900 @default.
• W2149284498 hasConceptScore W2149284498C136264566 @default.
• W2149284498 hasConceptScore W2149284498C138885662 @default.
• W2149284498 hasConceptScore W2149284498C142724271 @default.
• W2149284498 hasConceptScore W2149284498C143753070 @default.
• W2149284498 hasConceptScore W2149284498C162324750 @default.
• W2149284498 hasConceptScore W2149284498C187736073 @default.
• W2149284498 hasConceptScore W2149284498C19527891 @default.
• W2149284498 hasConceptScore W2149284498C2778618615 @default.
• W2149284498 hasConceptScore W2149284498C2779530757 @default.
• W2149284498 hasConceptScore W2149284498C2780378061 @default.
• W2149284498 hasConceptScore W2149284498C509550671 @default.
• W2149284498 hasConceptScore W2149284498C71924100 @default.
• W2149284498 hasIssue "5" @default.
• W2149284498 hasLocation W21492844981 @default.
• W2149284498 hasLocation W21492844982 @default.
• W2149284498 hasOpenAccess W2149284498 @default.
• W2149284498 hasPrimaryLocation W21492844981 @default.
• W2149284498 hasRelatedWork W1841185769 @default.
• W2149284498 hasRelatedWork W2061252561 @default.
• W2149284498 hasRelatedWork W2342266048 @default.
• W2149284498 hasRelatedWork W2373416058 @default.
• W2149284498 hasRelatedWork W2384552761 @default.
• W2149284498 hasRelatedWork W2384594362 @default.
• W2149284498 hasRelatedWork W2474504086 @default.
• W2149284498 hasRelatedWork W2899084033 @default.
• W2149284498 hasRelatedWork W3032221727 @default.
• W2149284498 hasRelatedWork W4304117808 @default.
• W2149284498 hasVolume "19" @default.
• W2149284498 isParatext "false" @default.
• W2149284498 isRetracted "false" @default.
• W2149284498 magId "2149284498" @default.
• W2149284498 workType "article" @default.