1 / 11

North Western Deanery Junior Doctors

11 th February 2014. North Western Deanery Junior Doctors. Mr Geoff Chiu StR : Oral and Maxillofacial Surgery. SurgiNote. Issues. Unable to read notes or post op instructions. Hand over to post op team. In-efficiency of Clinicians’ time. Discharge summary. Duplication of information.

delu
Download Presentation

North Western Deanery Junior Doctors

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 11th February 2014 North Western DeaneryJunior Doctors Mr Geoff Chiu StR: Oral and Maxillofacial Surgery

  2. SurgiNote

  3. Issues Unable to read notes or post op instructions Hand over to post op team In-efficiency of Clinicians’ time Discharge summary Duplication of information Discharge Summary to GP < 24 hrs Operation Note Follow up in Spoke Hospital Are notes available? Clinical Governance Finding accurate records Time consuming Clinical Coding Accurate Coding? Code within target?

  4. Comments • “Much easier to read and locate” • “Can understand post operative instructions” • “Would be great if all specialties did the same” • “Much better easier to read and well set out” • “Find it very helpful to have op note typed, always concise and there are no problems like trying to read handwriting” • “Improves patient care as you can read all the info“ • “Excellent clear and concise” • “Typed notes are much easier to identify in the medical notes”

  5. Improved communication Patient Care Clinical Coding Payment by results Hospital Episode Statistics Surgeon Patient Related Outcome Measures SurgiNote: Audit and Research Quality Assurance Clinical Governance Commissioning Service Provision and planning Departmental Current level of activity Education Training Activity Logbook

  6. Shot himself, through chin Fell of bike: handle bars caught mouth Squashed in a cheese press!

  7. Micro vascular Anastomosis Ear Chin Neck Dissection Harvesting fibula free flap

  8. Somerset Cancer Register

  9. Summary • The operation note is one of the most important pieces of information that informs us about patient’s surgical care. • SurgiNote has been developed and introduced to provide accurate high quality operation notes that can be used by all stakeholders. • SurgiNote is innovative and creative. • SurgiNote has been quantitatively and qualitatively assessed. • SurgiNote has been proven to assist in improving high quality care for patients having surgery.

More Related