A Completed-cycle Local Audit of Patient Load in the SHO-led ENT Casualty Clinic
研究概览
详细说明
Background The investigators' centre runs a regular ENT casualty clinic, run by an SHO, for rapid assessment and treatment of simple, acute ENT cases. ENT UK guidelines from 2017 recommend that no more than 6 patients be booked for an SHO to see during a 4-hour clinic session. This study aims to assess whether this centre meets those guidelines.
Method Data was retrospectively collected from MedWay, the centre's networked booking system. The number of patients booked for each ENT casualty clinic was counted over a period of two months. This was repeated two months after intervention to close the loop.
Result In the first cycle, 2 out of 22 clinics (9%) were found to be compliant with guidelines. Our intervention was to inform clinic booking staff of the guidelines. In the second cycle, 20 of 24 clinics were compliant (83%).
Discussion Anecdotally, prior to intervention, SHOs would often struggle to keep up with the casualty clinic caseload, and clinics would overrun. Clinic booking staff were not previously aware of ENT UK guidelines, and the number of clinic slots was set arbitrarily. This was easily and effectively resolved by educating staff. It can be learned that de facto management practice is not always based on guidelines or evidence; and highlights the importance of auditing all aspects of how organisations are run. Further quality improvement studies should focus on what happens to patients who can no longer be fit into existing casualty clinics.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Stoke-on-Trent、英国
- Royal Stoke University Hospital
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- All ENT casualty clinics with patients booked within the study time period
Exclusion Criteria:
- All clinics that were not staffed by an SHO
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
干预/治疗 |
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Cycle 1
Counted number of patients booked into clinic.
No individual patient data collected.
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Cycle 2
Counted number of patients booked into clinic.
No individual patient data collected.
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Clerical policy introduction
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Retrospectively counted patients booked
大体时间:2 months
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Retrospectively counted patients booked
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2 months
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合作者和调查者
调查人员
- 首席研究员:Sadik Quoraishi、National Health Service, United Kingdom
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- w106k6eMBibC
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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耳鼻喉疾病的临床试验
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Hospices Civils de Lyon完全的
Clerical policy的临床试验
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Columbia UniversityNational Institute of Nursing Research (NINR); Florida State University; RTI International; Rutgers...招聘中