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UK Inflammatory Bowel Disease (IBD) audit. Audit of inpatients with ulcerative colitis 1st January 2013 – 31st December 2013. First thing you need to know. This is a prospective audit of the inpatient care & experience of patients with ulcerative colitis. Data collection will run from:
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UK Inflammatory Bowel Disease (IBD) audit Audit of inpatients with ulcerative colitis 1st January 2013 – 31st December 2013 Dr Ian Arnott
First thing you need to know • This is a prospective audit of the inpatient care & experience of patients with ulcerative colitis. • Data collection will run from: • 1st January 2013 to 31st Dec 2013
Important methodological changes • Only data on patients admitted with ulcerative colitis (UC) will be collected • Patients must be prospectively identified • Please collect data on up to 50 patients admitted with ulcerative colitis. We appreciate you may not have this number of patients!
IBD audit – other elements • Data collection for: • Biologics audit is on-going • Organisational audit will take place in February 2014.
Getting started • Go to the landing page: http://www.ibdprogramme.co.uk • Once on the landing page please click on ‘Inpatient care audit’ • This will take you to the web tool where you will need to login
Inclusion criteria for entering adult patients • Patients who have been admitted for treatment or surgery for ulcerative colitis • Include patients of any age if they are admitted under your service • Patients that are admitted to your hospital for longer than 24 hours • Include patients with multiple admissions during the audit period
Exclusion criteria • If the primary reason for admission is not for treatment of UC • A day case (for an infusion, endoscopy or day surgery procedure) • If the patient stayed overnight but was discharged within 24 hours of admission
Prospective identification of cases • We would like you to record up to 50 prospective cases in the year (although we realise you may not have that many cases). • Once patients are identified, they should be registered on the system - remaining clinical details can be entered at the time of discharge. • This is when the patient questionnaire will be generated and will need to be distributed to the patient.
Suggestions for identifying patients prospectively • Plan in advance a robust system for case identification • The IBD team should meet to agree a local plan • Find a solution that works for you – the solution will be different in different hospitals. • Be aware that patients with UC can be admitted from a number of different sources and can be cared for in many different wards. • The audit is prospective and case id should not rely on ICD10 coding
Suggestions for identifying patients prospectively • Possible solutions include: • Identifying a dedicated person who will search relevant ward areas and/or • Identifying a member of staff – who liaises with a linked staff on each ward and/or • Ask the IBD nurse to record patients admitted onto the web tool, involve the junior doctor • Display the posters for patients and staff
Patient experience questionnaires • The first patient questionnaire should be included in the discharge pack with the freepost envelope. If this is not possible it can be either posted or emailed to the patient. • The IBD team should encourage the patient to complete and return the questionnaire. • A second questionnaire should be sent to the patient no sooner than two weeks after the first questionnaire.
Suggestions for distributing questionnaires • Both questionnaires are printed when the patient is discharged. • One questionnaire is included in the discharge pack and the other given to secretary or a named staff member to send out two weeks after the first questionnaire has been given. Or • The web tool will notify when second questionnaires need to be sent out. The person entering the data will need to look out for when this happens.
Cross reference codes • When you click ‘generate inpatient questionnaire’ the cross reference code is automatically generated by the web tool. • These cross reference codes are unique identifiers of the patient case – it is really important that the questionnaires are not photocopied and distributed to other patients.
Next dates for Webinars • Due to the success of the webinars we held in 2012 we are planning to release further dates more information will be circulated in due course.
Supporting information Below is a list of supporting information. From the week beginning 17th December 2012 it will be possible to download these directly from the audit web tool. • How to log in • How to enter clinical data into the web tool • How to complete inpatient experience questionnaires • How to generate and distribute your patient questionnaires • Help notes for adult sites • Help notes for paediatric sites • Hard copy of audit tool – adult sites • Hard copy of audit tool – paediatric sites • Frequently asked questions • Round 4 flow chart • Poster for patients, staff/ wards • Quick guide paper and slide set
Any questions? • Contact us: The UK IBD audit project team at ibd.audit@rcplondon.ac.uk or call 020 3075 1565 or 020 3075 1566