Evidence map›Paper›PMID 41973032›Full record

ArticleEchocardiography (Mount Kisco, N.Y.)2026

Successful Incorporation of High Quality Left Ventricular Global Longitudinal Strain Into the Workflow of a Regional Hospital Echocardiography Laboratory.

Nour Beydoun, Madeline Jankowski, Asra Azizuddin, Kristina Degesys, Raja Mutharasan, Nauman Mushtaq, Brian Fey, Diane Smith, Zhiying Meng, Abigail S Baldridge and 2 more

Abstract read
In one paragraph

Article in Echocardiography (Mount Kisco, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Nour BeydounNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Madeline JankowskiNorthwestern Medicine, Chicago, Illinois, USA.
Asra AzizuddinNorthwestern Medicine, Chicago, Illinois, USA.
Kristina DegesysNorthwestern Medicine, Chicago, Illinois, USA.
Raja MutharasanNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Nauman MushtaqNorthwestern Medicine, Chicago, Illinois, USA.
Brian FeyNorthwestern Medicine, Chicago, Illinois, USA.
Diane SmithNorthwestern Medicine, Chicago, Illinois, USA.
Zhiying MengNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Abigail S BaldridgeNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Nausheen AkhterNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Vera H RigolinNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs hospitals merge with large healthcare systems, maintaining quality across all echocardiography laboratories has increased in complexity. Since left ventricular global longitudinal strain (LV-GLS) is now available for routine use, some small echo labs may not be performing this technique routinely. We demonstrate the feasibility of an educational intervention accompanied by audit and feedback cycles for sonographers and physicians in a regional hospital to incorporate LV-GLS into their clinical workflow.

methodsTwo physicians and two sonographers with expertise in LV-GLS performed a baseline audit of randomly selected transthoracic echocardiograms with LV-GLS performed at a regional hospital. Technical aspects of LV-GLS acquisition by sonographers and physician LV-GLS reporting skills were scored. Audit results with feedback were shared with the echo lab members. Three pre-recorded educational modules were provided for on-demand viewing. Two subsequent audits and feedback cycles were performed at 2- and 5-months post baseline along with surveys to assess balance measures.

resultsThe number of sonographers and physicians evaluating LV-GLS increased following the educational intervention and each subsequent audit. The overall median score for physicians improved from 42% (audit 1) to 67% (audit 2) to 100% (audit 3), (p < 0.01). The overall median score for sonographers showed a trend toward improvement from 79% (audit 1) to 81% (audit 2) to 85% (audit 3), (p = 0.11). Surveys revealed that despite LV-GLS images increasing exam duration, neither sonographers nor physicians felt that LV-GLS negatively impacted their efficiency, while both felt it added value to their skillset.

conclusionProviding educational modules and repeat audits with feedback is a feasible method to incorporate new technology into a regional hospital echo lab and is associated with improved performance. This technique can be used to ensure high-quality echo standards across a healthcare network as hospital systems continue to expand.

Indexed as

Clinical CompetenceEchocardiographyGlobal Longitudinal StrainHeart VentriclesVentricular Dysfunction, LeftWorkflowFeasibility StudiesHumansaudits with feedbackecho quality improvementleft ventricular global longitudinal strainPDSA cycle

Identifiers

PMID41973032
PMCPMC13075460

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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.