Patient satisfaction and incidence of adverse events during a trial of sonographer administered musculoskeletal injections

Introduction Increases in demand for therapeutic ultrasound-guided musculoskeletal injections have led to longer waiting times for appointments. With the right training, sonographers are well placed to perform these low-risk procedures. This study evaluated the effect of musculoskeletal injections administered by trained sonographers with respect to patient safety and satisfaction. Methods Patients were recruited from three radiology clinics staffed with appropriately trained sonographers. Patients who agreed to have their injection completed by a sonographer completed satisfaction surveys immediately after their appointment, with adverse reactions also recorded. Longer-term outcomes were recorded 7-10 days later. Results 97% of 804 participating patients were completely satisfied with the service they received. Reported adverse events were low, with <1% and 8% immediately and at follow up respectively. There was demonstrated patient satisfaction with staff and the service, and support for the importance of this service in reducing the extensive waiting times experienced. Conclusion This study indicates that appropriately trained sonographers can provide ultrasound-guided musculoskeletal injections at a level of safety which is comparable to similar injection procedures explored in the literature. The high level of satisfaction of the patients suggest that this service should be extended and expanded to address patient concerns regarding long waiting times.