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Sticker Checklist Study. Professor Hill’s Team. Introduction. - PowerPoint PPT Presentation
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Sticker Checklist Study
Professor Hill’s Team
IntroductionIntroduction
Medical notes and records were originally used as a reminder for doctors about their patient’s state of health.1 Nowadays, it is vital that any documentation recorded should be made in accordance with the Health Service Executive [HSE] Records Management standards. This is an official document providing clear guidelines to help enfore enhanced safety measures.2
The Study?The Study?
A cohort study over eight days.
There were two groups; a sticker study group and a control group, each consisting of 5 consultant teams.
Based on these teams and their in-patients we were able to analyse data of 198 surgical ward round notes. This totaled to 34 study patients and 53 control patients.
Stickers Used?Stickers Used?
QuickTime™ and aTIFF (Uncompressed) decompressor
are needed to see this picture.
How were the wardround notes analysed?
How were the wardround notes analysed?
We checked for thirteen variables in the ward round notes.
We divided these variables into four groups; 1. Standard Criterion 2. Health Professional Data3. Significant Clinical Data 4. Team Data These variables abide by the HSE guidelines
and must be present in any form of medical documentation.
Now for some statistics……
The ResultsThe Results
1. Standard Criterion1. Standard Criterion
Stickers (69)Yes No
Control (129)Yes No
Two Patient Identifiers
69 0 89 40
Dated 69 0 129 0
Timed 59 0 29 100
Signed 10 0 122 7
Percentage AdherencePercentage AdherenceChart Review
100% 100%
85%94%
69%
100%
23%
95%
0%
20%
40%
60%
80%
100%
120%
Two Patient Identifiers Dated Timed Signed
Basic Information
Ward Round Notes
Yes (Stickers)
Yes (Control)
2. Health Professional Data2. Health Professional Data
Stickers (69)Yes No
Control (129)Yes No
Name Printed and legible
69 0 1 128
Medical Council No.
69 0 2 127
Bleep No. 69 0 120 9
Percentage AdherencePercentage Adherence
Chart Review
100 100 100
1 2
93
0
20
40
60
80
100
120
Name Printedand Legible
Medical CouncilNumber
Bleep No.
Contact Details
Ward Round Notes
Yes (Stickers)
Yes (Control)
3. Significant Clinical Data3. Significant Clinical DataStickers (69)Yes No
Control (129)Yes No
Management Plan
69 0 123 6
Abnormal Bloods
33 36 44 85
Vitals 56 13 52 77
Percentage AdherencePercentage Adherence
Chart Review
100
48
81
95
3440
0
20
40
60
80
100
120
Management Plan Abnormal Bloodsnoted
Vitals
Clinical Data
Wardround Notes
Yes (Stickers)Yes (Control)
4. Consultant Team Data4. Consultant Team Data
Stickers (69)Yes No
Control (129)Yes No
Most Senior Clinician Documented
53 16 32 97
Team Name 69 0 56 73
Percentage AdherencePercentage AdherenceChart Review
77%
100%
25%
43%
0%
20%
40%
60%
80%
100%
120%
Senior Clinician Team Name
Team Details
Ward Round Notes
Yes (Stickers)
Yes (Control)
Average Adherence Percentage
Average Adherence Percentage
We calculated the average adherence percentage by addingUp the 13 variable and dividing it by 1300 and finally multiplying it by 100 :-
Control group :- 69+100+95+23+1+2+93+95+98+34+40+25+43 = 718 (718/1300) * 100 = 55.2%
Sticker group :- 100+100+94+85+100+100+100+100+100+48 +81+77+100= 1186 (1186/1300) * 100 = 91.2%
Increase in Adherence to Standards
Increase in Adherence to Standards
QuickTime™ and aTIFF (Uncompressed) decompressor
are needed to see this picture.
ConclusionConclusion
Based on these results, we would like to conclude that such a system can prove to benot only cost effective, but also a highly organised and efficient way to help adhere to the HSE standards.
Overall increasing patient safety while minimising the workload.
ThanksThanks
Any Questions???