Table 1 Pros and cons of POCUS workflow pathways.

From: Neonatal point-of-care ultrasound—steps for program development

 

EMR integration with local radiology server

EMR integration with third party server

No EMR integration

Pros

- Utilize EMR order set, patient information on POCUS machine prior to study initiation

- Images saved on local radiology hospital drive

- Utilize EMR order set, patient information on POCUS machine prior to study initiation

- Delineation of educational versus clinical studies on server

- Well built QA process and template within program

- Rapid rollout

- Low institutional cost option

- Ease of delineation of educational versus clinical studies without immediate integration of images in patient chart

Cons

- Time commitment by institution for EMR order set and integration into radiology server

- Lack of delineation of educational versus clinical studies on server and in patient chart

- Expense for initiation and maintenance of third party server

- Images live on third party server

- Heavy workload for POCUS personnel including image downloading, collating studies for QA

- No direct integration with patient chart for images

- Potential for error with manual input of patient information into machine