Part V: Focus o n the Patient and the

E c h o c a r d i o g r a p h i c Product

For successful C Q I t o begin and be sustained, at- tent ion should always be focused on the pat ient and the result ing echocardiographic p roduc t (s tudy and interpretation). 1. Pat ients are ent i t led to correct and complete

diagnoses, compassionate at tention, and p r o m p t and reliable service.

2. The echocardiographic p roduc t should be under constant review. Viewing the echocar-

d iographic s tudy as a w o r k p roduc t ( the con- duct o f the procedure f rom beginning to end, the accuracy and consistency o f results) is always helpful in unders tanding the CQI process. Pat ients and echocardiographic products always

have complex interre la t ionships tha t should be as- sessed and studied du r ing CQL

Part VI: References and Notes

1. Sahn DJ, DeMaria A, Weyman A, Kisslo JA. Recom- mendat ions regarding quanti ta t ion in M-mode echocardiography: results of a survey of echocar- diographic measurements--a report from the Ameri- can Society o f Echocardiography. Circulat ion 1978;58:1072-83.

2. Henry WL, DeMaria A, Gramiak R, et al. Report of the American Society of Echocardiography Commit- tee on Nomenclature and Standards in Two-Dimen- sional Echocardiography. Circulation 1980;62:212- 5.

3. Martin RP, Kisslo J, Quinones MA, et al. Report of the American Society of Echocardiography Committee on Physician Training in Adult M-Mode and Two-Dimen- sional Echocardiography. Raleigh, North Carolina: American Society of Echocardiography, 1982.

4. Filly K, Hagen-Ansert S, Hagan A, et al. Report of the American Society of Echocardiography Committee on Education and Training of the Echocardiographer ( Car- diac Sonographer). Raleigh, North Carolina: Ameri- can Society of Echocardiography, 1982; and Medical Ultrasound 1983;7:769.

5. Henry WL, DeMaria A, Feigenbaum H, et al. Report of the American Society of Echocardiography Com- mittee on Nomenclature and Standards: identification of myocardial wall segments. Raleigh, North Carolina: American Society of Echocardiography, 1982.

6. Bonm~er WJ, Shah P, Allen H, Meltzer R, Kisslo J. The safety of contrast echocardiography. J Am Coil Cardiol 1984;3:6-13.

7. Bommer WJ, Shah P, Allen H, Meltzer R, Kisslo J. Report of the Committee on Contrast Echocar- diography of the American Society of Echocar- diography. Raleigh, North Carolina: American Society of Echocardiography, 1984.

8. Peariman AS, Gard.in JM, Martin RP, et al. Guidelines for optimal physician training in echocardiography: recommendations of the American Society of Echocar- diography Committee for Physician Training in Echocardiography. Am J Cardio11987;60:158-63.

9. Pearlman AS, Gardin JM, Martin RP, et al. Guidelines for physician training in transesophageal echocar- diography: recommendations of the American Soci- ety of Echocardiography Committee for Physician Trailfing in Echocardiography. J Am Soc Echocardiogr 1992;5:187-94.

10. Gardner CJ, Brown S, Hagen-Ansert S, etal. Edu- cational outline in echocardiography and Doppler echocardiography. 3rd ed. Raleigh, North Carolina: American Society of Echocardiography, 1987.

11. Gardner CJ, Brown S, Hagen-Aaxsert S, et ai. Guide- lines for cardiac sonographer education: report of the American Society ofEchocardiography Sonographer Education and Training Committee. J Am Soc Echocardiogr 1992;5:635-9.

12. Sahn DJ, Baker DW, DeMaria A, et al. Report of the American Sodety of Echocardiography Doppler Stan- dards and Nomenclature Committee: recommenda- tions for terminology and display for Doppler echocardiography. Raleigh, North Carolina: American Society of Echocardiography, 1982.

13. Silverman NH, Sahn DJ, Allen HD. Report of the Standards Committee on Nomenclature of the Soci- ety of Pediatric Echocardiography and the American Society of Echocardiography: nomenclature for car- diac septa. Raleigh, North Carolina: American Soci- ety of Echocardiography, 1986.

14. Meyer RA, Hagler D, Huhta J, Smallhorn J, Snider R, Williams tL Guidelines for physician training in pe- diatric echocardiography: recommendations of the So- ciety of Pediatric Echocardiography Committee on Physician Training. Am J Cardio11987;60:164-5.

15. Popp RL, Winters WL, Williams SV, et al. Clinical com- petence in adult echocardiography: a statement for physicians from the A C P / A C C / A H A Task Force on Clinical Privileges in Cardiology. J Am Coil Cardiol 1990;15:1465-8. (Participating organizations: Ameri- can College of Physicians, American College of Cardiol- ogy, and American Heart Association.)

Journal of the Aanerican Society of Echocardiography Volume 8 Number 5, Part 2 Part VI: References/Notes $19