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    268 Improve Clerking of Vascular Patients at Royal Devon and Exeter (RDE) Hospital Presenting with Acute Limb Ischaemia (ALI) Using Standardized Electronic Proforma

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    URI
    https://rde.dspace-express.com/handle/11287/622448
    Author
    Chillarge, G.
    Abouelella, Y.
    Burton, H.
    Date
    2022-02-28
    Journal
    British Journal of Surgery
    Type
    Conference Paper
    Publisher
    Wiley
    DOI
    10.1093/bjs/znac039.175
    Rights
    © 2022, Oxford University Press
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    Abstract
    Improve clerking of vascular patients at Royal Devon and Exeter (RDE) hospital presenting with acute limb ischaemia (ALI) using standardized electronic proforma.Analysis of clerking notes of patients presenting to vascular surgery with ALI over a 3-month period (March 2021 - May 2021) for documentation of vascular risk factors, smoking status, claudication, rest pain, exam findings, sensation, movement, ECG, ABPI and burgers test.A standardized electronic clerking proforma has been created using the ‘smart-phrase’ function in the ‘hyperspace Epic’ computer system at the RDE hospital.A poster has been put up in the doctor’s office and email sent out to all surgical doctors to encourage use of the new electronic clerking proforma for comprehensive initial assessment which would help vascular surgeons make early decisions especially when off-site.A total of 65 patients presented to vascular surgery during the 3-month period. Of these 20 patients presented with ‘acute limb ischaemia’. Documentation of rest pain (75%), pulses (Dorsalis paedis in 90%) and exam finding of cold feet (95%) was adequate. However, poor documentation of vascular risk factors such as previous stroke (20%) and atrial fibrillation (15%) was identified. ECG was performed on admission in only 35% patients. Examination like ABPI (10%) and Buerger's test (15%) were also inadequately documented.This audit shows inadequate clerking of vascular patients presenting with ALI. The second cycle will include further data collection post-implementation of the electronic proforma to analyse improvements in documentation of the above-mentioned factors at initial clerking.
    Publisher URL
    https://academic.oup.com/bjs/article/109/Supplement_1/znac039.175/6539600
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    RD&E staff can access the full-text of this article by clicking on the 'Additional Link' above and logging in with NHS OpenAthens if prompted.
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    • 2022 Eastern publications
    • Vascular Surgery

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