ArticleBMJ open quality2026
Prospective cohort study identifies barriers and facilitators to point-of-care ultrasound use in an academic emergency department.
Article in BMJ open quality, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- Prospective cohort study identifies barriers and facilitators to point-of-care ultrasound use in an academic emergency department.BMJ open quality · 2026Article
- Impact Evaluation of a Clinical Point-of-care Ultrasound Intervention in an Academic Emergency Department.The western journal of emergency medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoint-of-care ultrasound (POCUS) improves patient care by expedited diagnosis and safer procedures. Despite POCUS benefits, some clinicians, including emergency physicians, do not readily use POCUS.
objectivesThe study objective identified barriers and facilitators to clinical POCUS use and performed an intervention to address these barriers.
methodsA prospective cohort study at a single academic hospital included emergency department attendings, residents and advanced practice providers (APPs). Participants were surveyed on perceived POCUS use barriers and facilitators (primary outcome). A multifaceted intervention from December 2023 to January 2024 addressed identified barriers and involved: in-person POCUS education during shift by ultrasound faculty, clinical POCUS workflow demonstration during resident conference/faculty meetings and QR code reference files on machines.
results42/99 participants (42.4%) responded to surveys preintervention and 28 postintervention (28.3%). 56 physicians and APPs participated in the in-person POCUS intervention (17 attendings, 34 residents, 5 APPs). Perceived POCUS barriers were time constraints on shift; internet/connectivity problems and losing saved images; forgetting to finish exam worksheets online; images not uploading into Butterfly cloud by the end of shift and residents performing 'phantom scans'. Perceived POCUS facilitators included clear documentation protocols, hands-on teaching sessions and incentives for completing scans. Comfort in teaching diagnostic and procedural POCUS improved pre to postintervention but did not change for performing POCUS.
conclusionIdentified barriers and facilitators were incorporated into a multifaceted intervention to improve clinical POCUS workflow processes. Future individualised interventions for low POCUS users and institutional initiatives with POCUS champions can be studied for improved patient care.
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