1 / 11

SNOT Audit January 2014

SNOT Audit January 2014 . Aim. To assess the effectiveness of medical or surgical treatment in patients with sino -nasal disease who present to ENT outpatient clinics. Method. Forms collected between 1st September 2013 - 24th December 2013 (some forms were dated outwith these periods)

ken
Download Presentation

SNOT Audit January 2014

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. SNOT AuditJanuary 2014

  2. Aim To assess the effectiveness of medical or surgical treatment in patients with sino-nasal disease who present to ENT outpatient clinics

  3. Method • Forms collected between 1st September 2013 - 24th December 2013 (some forms were dated outwith these periods) • Patients complete SNOT questionnaire prior to consultation • Consultant completes clinical information on form • Data from forms recorded on an Excel spreadsheet • Paper copies filed alphabetically for each consultant • Incomplete forms filed separately • Sources of SNOT scores for the audit were: • SNOT forms collected in this audit cycle • Previously filed forms • SCI-store letters

  4. What is the SNOT Questionnaire? • A patient-reported measure of outcome in treatment of sino-nasal disorders • The SNOT questionnaire contains 20 questions • The first half of the questionnaire relates to physical symptoms – nasal, ear, and facial symptoms • The second half relates to quality of life (sleep and psychological issues) http://www.entnet.org/research/outcomes/browne%202007.pdf health related quality of life

  5. Results • 404 forms returned • 126 forms were able to be used in the audit (criteria for inclusion: Name, CHI, diagnosis, treatment, pre/post, and at least one SNOT score) • 278 forms excluded from this audit cycle: • Only pre-treatment score available at present (166) • Discharged after 1st appointment (8) • DNA 2nd appointment (3) • Non sino-nasal disease (2) • Only post-treatment score available (31) • Forms missing name, diagnosis or treatment (68)

  6. Surgeon A

  7. Surgeon B

  8. Surgeon C

  9. Results

  10. What Went Wrong? • SNOT forms still not being completed fully • 31 post-treatment SNOT forms did not have a pre-treatment form/score recorded on the form, available from the previously filed forms, or on SCI-store • There is not a reliable way to hand over the audit data to the next group of doctors

  11. Suggestions For Improvement • SNOT scores could be recorded in the patient notes at clinic appointments, enabling them to be easily located at the next appointment, and so written on the next SNOT form • If SNOT scores were recorded in all dictated letters, this would provide an easily accessible record of the score should the SNOT form not be fully completed in clinic

More Related