ECG Interpretation Proficiency of Healthcare Professionals.

Autor: Kashou AH; Mayo Clinic, Rochester, Minnesota. Electronic address: kashou.anthony@mayo.edu., Noseworthy PA; Mayo Clinic, Rochester, Minnesota., Beckman TJ; Mayo Clinic, Rochester, Minnesota., Anavekar NS; Mayo Clinic, Rochester, Minnesota., Cullen MW; Mayo Clinic, Rochester, Minnesota., Angstman KB; Mayo Clinic, Rochester, Minnesota., Sandefur BJ; Mayo Clinic, Rochester, Minnesota., Shapiro BP; Mayo Clinic, Jacksonville, Florida., Wiley BW; Keck School of Medicine, University of Southern California, Los Angeles, California., Kates AM; Washington University School of Medicine in St. Louis, St. Louis, Missouri., Huneycutt D; HCA Healthcare, Nashville, Tennessee., Braisted A; HCA Healthcare, Nashville, Tennessee., Smith SW; Hennepin County Medical Center and University of Minnesota, Minneapolis, Minnesota., Baranchuk A; Queen's University, Kingston, Ontario, Canada., Grauer K; University of Florida, Gainesville, Florida., O'Brien K; University of South Florida, Tampa, Florida., Kaul V; SUNY Upstate Medical University, Syracuse, New York., Gambhir HS; SUNY Upstate Medical University, Syracuse, New York., Knohl SJ; SUNY Upstate Medical University, Syracuse, New York., Albert D; AliveCor, Inc., Mountain View, California., Kligfield PD; New York-Presbyterian/Weill Cornell Medical Center, New York, New York., Macfarlane PW; Electrocardiology Core Lab, New Lister Building, Royal Infirmary, Scotland, UK., Drew BJ; University of California, San Francisco, California., May AM; Washington University School of Medicine in St. Louis, St. Louis, Missouri.
Jazyk: angličtina
Zdroj: Current problems in cardiology [Curr Probl Cardiol] 2023 Oct; Vol. 48 (10), pp. 101924. Date of Electronic Publication: 2023 Jul 01.
DOI: 10.1016/j.cpcardiol.2023.101924
Abstrakt: ECG interpretation is essential in modern medicine, yet achieving and maintaining competency can be challenging for healthcare professionals. Quantifying proficiency gaps can inform educational interventions for addressing these challenges. Medical professionals from diverse disciplines and training levels interpreted 30 12-lead ECGs with common urgent and nonurgent findings. Average accuracy (percentage of correctly identified findings), interpretation time per ECG, and self-reported confidence (rated on a scale of 0 [not confident], 1 [somewhat confident], or 2 [confident]) were evaluated. Among the 1206 participants, there were 72 (6%) primary care physicians (PCPs), 146 (12%) cardiology fellows-in-training (FITs), 353 (29%) resident physicians, 182 (15%) medical students, 84 (7%) advanced practice providers (APPs), 120 (10%) nurses, and 249 (21%) allied health professionals (AHPs). Overall, participants achieved an average overall accuracy of 56.4% ± 17.2%, interpretation time of 142 ± 67 seconds, and confidence of 0.83 ± 0.53. Cardiology FITs demonstrated superior performance across all metrics. PCPs had a higher accuracy compared to nurses and APPs (58.1% vs 46.8% and 50.6%; P < 0.01), but a lower accuracy than resident physicians (58.1% vs 59.7%; P < 0.01). AHPs outperformed nurses and APPs in every metric and showed comparable performance to resident physicians and PCPs. Our findings highlight significant gaps in the ECG interpretation proficiency among healthcare professionals.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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