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???