The problems of performing transthoracic echocardiography: from organizing to the report of examination
https://doi.org/10.24835/1607-0771-301
Abstract
Transthoracic echocardiography has become an important tool in the diagnosis of not only cardiovascular diseases but also other pathologies. With the technological progress, echocardiography has become a widely used modality by doctors of various specialties, which increases its value in clinical practice. Despite this, there are still problems with the organization and standardization of examinations, which can negatively affect the quality of diagnostics. Existing disadvantages of the regulatory documents governing echocardiography lead to uncertainty in the time standards of the examination. The desire to reduce the time allocated for the echocardiography can worsen the quality of the examination and increase the staff fatigue. The need to record multimedia data emphasizes the importance of access to archives for re-analysis and quality control. However, the volume of data can be significant, which requires the creation of centralized data repositories. Digitalization of examination processes, including the formation of electronic reports, also faces some difficulties associated with the compatibility of electronic databases and their correct display, which requires further improvement of medical information systems.
About the Author
A. L. BobrovRussian Federation
Andrey L. Bobrov – Doct. of Sci. (Med.), Professor, Department of Functional Diagnostics, Pavlov First Saint Petersburg State Medical University, Saint Petersburg.
https://orcid.org/0000-0002-6792-7033
References
1. Order of the Ministry of Labor of Russia dated 19.03.2019 N 161n “On approval of the professional standard «Ultrasound diagnostics doctor»”. https://base.garant.ru/72222514/ (date of access 14.11.2024) (in Russian)
2. Order of the Ministry of Labor of Russia dated 11.03.2019 N 138n “On approval of the professional standard «Functional diagnostics doctor»”. https://base.garant.ru/72215854/ (date of access 14.11.2024) (in Russian)
3. Order of the Ministry of Labor of Russia dated 14.03.2018 N 140n “On approval of the professional standard «Cardiologist»”. https://base.garant.ru/71933356/ (date of access 14.11.2024) (in Russian)
4. Order of the Ministry of Health of the Russian Federation dated November 30 1993 No. 283 “On improving the functional diagnostics service in healthcare institutions of the Russian Federation”. https://base.garant.ru/4173560/ (date of access 11/14/2024) (in Russian)
5. “Hygienic requirements for working conditions of medical workers performing ultrasound examinations. Guidelines R 2.2.4 / 2.2.9.2266-07” (approved by the Chief State Sanitary Doctor of the Russian Federation on 08/10/2007). https://base.garant.ru/4186283/ (date of access 11/14/2024) (in Russian)
6. Order of the Ministry of Health of the Russian Federation dated 06/08/2020 No. 557n “On approval of the Rules for conducting ultrasound examinations”. https://base.garant.ru/74636910/ (date of access 11/14/2024) (in Russian)
7. Order of the Ministry of Health of the Russian Federation dated December 26, 2016 N 997n “On approval of the Rules for conducting functional studies”. https://base.garant.ru/71611460/ (date of access 11/14/2024) (In Russian)
8. Alekhin M.N., Bartosh-Zelenaya S.Yu., Beresten N.F. et al. Standardization of transthoracic echocardiography in adults: an expert consensus statement from the Russian Association of Specialists in Ultrasound Diagnostics in Medicine (RASUDM) and the Russian Association of Specialists in Functional Diagnostics (RASFD). Ultrasound and Functional Diagnostics. 2021; 2: 63–79. https://doi.org/10.24835/1607-0771-2021-2-63-79 (In Russian)
9. Methodological recommendations MR 3.1.0284-22 “Ensuring the epidemiological safety of ultrasound diagnostics” (approved by the Federal Service for Supervision of Consumer Rights Protection and Human Wellbeing on May 12, 2022). https://base.garant.ru/404955101/ (date of access 01.11.2024) (in Russian)
10. Order of the Ministry of Labor of Russia dated 31.05.2013 N 235 “On approval of methodological recommendations for federal executive bodies on the development of standard industry labor standards”. https://base.garant.ru/70413700/ (date of access 14.11.2024) (in Russian)
11. Resolution of the Government of the Russian Federation dated February 9, 2022 N 140 “On the unified state information system in the field of healthcare”. https://base.garant.ru/403517946/ (date of access 14.11.2024) (in Russian)
Supplementary files
Review
For citations:
Bobrov A.L. The problems of performing transthoracic echocardiography: from organizing to the report of examination. Ultrasound & Functional Diagnostics. 2024;(4):132-138. (In Russ.) https://doi.org/10.24835/1607-0771-301