scholarly journals Ultrasound Cine Loop Standard Operating Procedure for Benign Thyroid Diseases—Evaluation of Non-Physician Application

Diagnostics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 67
Author(s):  
Philipp Seifert ◽  
Ivonne Maikowski ◽  
Thomas Winkens ◽  
Christian Kühnel ◽  
Falk Gühne ◽  
...  

Conventional ultrasound (US) is time-consuming, and results are subjected to high interobserver variability. In this study, the reliability of a novel thyroid US cine loop standard operating procedure (SOP) applied by non-physicians (Medical Technical Assistant, MTA) is investigated. Thirty-three consecutive patients (22 females, 11 males) were enrolled. Patients underwent conventional thyroid US performed by a nuclear medicine physician and additional MTA US cine loop according to a local SOP that includes transversal and sagittal cine loops covering the entire thyroid. The video sequences were transferred to the Picture Archiving and Communication System (PACS) for second reading purposes. MTA US data were not considered for medical reports but for blinded second reading review of the PACS images. The results of conventional physician US reports and reviewed MTA US cine loops were compared regarding size determinations of the thyroid and its nodules, as well as Thyroid Imaging Reporting and Data Systems (TIRADS) classification of all identified lesions. The results revealed very high concordance between conventional physician US and MTA US cine loop review for both size measurements and TIRADS classifications (r(s) = 0.84–0.99, p < 0.0001 each). Minor technical impairments were identified. The evaluated thyroid US cine loop SOP enables reliable second reading results and can be applied by non-physicians.

Author(s):  
Wahyu Wahyu Wahyu ◽  
Marliyati Marliyati Marliyati ◽  
I. Nyoman Romangsi

The aim of this article is to analyze internal control in service company. The analyze used the components of internal control according to COSO: control environment, risk assessment, control activities, information and communication, monitoring. Analysis of internal control used the data obtained through observation, questionnaires, interview, and documentary. Based on this analysis results can be concluded, that the dual positions refer with company SOP (Standard Operating Procedure). Separation of task does not work because that the dual positions. Therefore, the component of control activities applied at company is not in accordance with the component of control activities according to COSO. Nonconformity components still results in very effective internal control because the purpose of the internal control still remains to be achieved even though there are components that are not in accordance with the internal control components according to COSO.


2018 ◽  
Vol 7 (2) ◽  
pp. 95
Author(s):  
Indrastuti Indrastuti ◽  
Fatmawaty Damrah

2020 ◽  
pp. 33-38
Author(s):  
N. Katkasova ◽  
L. Pudovinnikova

This standard operating procedure (SOP) determines the standard process of filling out questionnaire by a nurse, it is introduced into the practice of nursing staff of the Samara City Clinical Polyclinic No. 15.


2020 ◽  
pp. 64-66
Author(s):  
Svetlana Dashuk

This standard operating procedure (SOP) defines the establishment of uniform requirements to compliance with the procedure for carrying out hygienic treatment of hands, has been introduced into the practical activities of medical workers of Tolyattin dental polyclinic No. 3.


2020 ◽  
pp. 71-74
Author(s):  
Svetlana Dashuk

This standard operating procedure (DIS) defines the establishment of uniform requirements for compliance with the procedure for carrying out current and general cleaning in the premises, has been put into practice by cleaners of the office premises of Tolyattin dental polyclinic No. 3.


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