Evidence map›Paper›PMID 41123890›Full record

ArticleJAMA network open2025

Perspectives on Point-of-Care Ultrasonography Credentialing and Privileging: A Qualitative Study.

Stephanie M Conner, James E Anstey, Meghan K Thomas, Patricia A Carney, Maya D Fiore, Carley E Little, Trevor P Jensen, Kevin M Piro

Abstract read
In one paragraph

Article in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stephanie M ConnerDivision of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, New York.
James E AnsteyDivision of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland.
Meghan K ThomasDivision of Hospital Medicine, Department of Medicine, Medical University of South Carolina, Charleston.
Patricia A CarneyDivision of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland.
Maya D FioreSchool of Medicine, University of South Carolina-Greenville.
Carley E LittleDivision of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland.
Trevor P JensenDivision of Hospital Medicine, Department of Medicine, University of California San Francisco.
Kevin M PiroDivision of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Point-of-care ultrasonography (POCUS) use is rapidly expanding across several acute care specialties, yet no defined standards currently exist to guide health systems in regulation of POCUS use or clinician best practices. Objective: To describe existing POCUS credentialing and privileging policy design and implementation in a purposive sample of health care institutions across the US. Design, Setting, and Participants: This qualitative study used a cross-sectional, mixed-methods analysis of POCUS policies and procedures conducted between July 23 and October 28, 2024, and was guided by the Practical, Robust Implementation and Sustainability Model (PRISM) framework. Qualitative analyses used an interpretive phenomenological approach. Participants were POCUS leaders at health care institutions with existing POCUS policies, representing diverse geographic areas, sizes, and practice settings. Exposures: Thirty-item online survey and 60-minute key informant structured interviews. Main Outcomes and Measures: Quantitative survey findings and qualitative analyses of current POCUS policies and practice patterns related to content, implementation, adoption, facilitators, and barriers to use. Results: Twenty survey and interview participants were included (mean [SD] age, 41.17 [3.79] years; 15 [75.0%] male) and 19 POCUS policies were analyzed. Interviewees reported that successful policy development was influenced by contextual factors (eg, institutional motivators, external forces), policy infrastructure, diverse stakeholder engagement, ability to anticipate and address multilevel barriers, and strategies to maximize policy reach, adoption, and sustainability. Key insights from interviewees highlighted the importance of multidisciplinary POCUS committees and purposeful policy design tailored to align with institutional POCUS practice patterns and values. Leaders stressed the need for careful consideration of policy outcomes and institutional capabilities prior to implementation. While features of policies varied, most delineated specific POCUS applications within the policy and all required institutional training or proctoring from institutional POCUS champions. Conclusions and Relevance: This study identified common themes and barriers in POCUS implementation and strategies used by exemplar institutions to aid other programs in addressing POCUS privileging and establishing standards for safe and effective POCUS use in patient care. The findings suggest POCUS policy development is important for standardizing its use within institutions, guiding training requirements, and establishing oversight procedures.

Indexed as

CredentialingPoint-of-Care SystemsAdultCross-Sectional StudiesFemaleHumansMaleQualitative ResearchUltrasonographyUnited States

Identifiers

PMID41123890
PMCPMC12547612

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.