scholarly journals EP.WE.555Impact of COVID 19 on Renal access surgery

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Abdallah Abdelwahed ◽  
Raghvinder Gambhir ◽  
Hiren Mistry ◽  
Fatima de'figededu ◽  
Domenico Valenti ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Recovery Phase ◽  
Day Surgery ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Time Period ◽  
Independent Sector ◽  
The Impact ◽  
Access Surgery ◽  
Radiological Intervention

Abstract Aims To assess the impact of COVID -19 on renal access surgery. Methods Electronic patient records and renal ware were accessed to obtain data of all renal access activity during the COVID period. Results There as a shutdown of all elective activity which affected the renal access surgery as well. No new Arterio venous fistulas (AVFs) were created in the time period 14 March to 05th May 2020. No pre-fistula mapping scans were performed. All new starters started with a tunneled dialysis line. In the recovery phase special theatre sessions were asked for and procedures carried out in Day surgery and in independent sector (n-18). A total of 203 new AVF’s were created compared to 272 the year before a fall of 25%. There were 48 patients admitted with blocked access, 70% of whom underwent radiological intervention compared to 52% in 2019. Surgical intervention was offered to just 4% compared to 25% in 2019. The number of access abandoned was 27% in 2020 vs 19% in 2019. Conclusion COVID-19 adversely affected the renal access population and none of the British Renal access surgery targets were met for 2020.

The impact of electronic patient records on workflow in general practice

2007 ◽  
Vol 13 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Matthew R. Cauldwell ◽  
Caroline E. Beattie ◽  
Benita M. Cox ◽  
William J. Denby ◽  
Jessica A. Ede-Golightly ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Records ◽  
Electronic Patient Records ◽  
The Impact

Relationship between perceived family functioning and recovery from surgery

2011 ◽  
Vol 26 (S2) ◽  
pp. 1333-1333
Author(s):  
F.J. Vaz-Leal ◽  
M.J. Cardoso-Moreno ◽  
M.I. Ramos-Fuentes ◽  
L. Rodriguez-Santos ◽  
N. Fernandez-Sanchez
Keyword(s):  
Social Support ◽  
Salivary Cortisol ◽  
Family Cohesion ◽  
Surgical Intervention ◽  
Recovery Phase ◽  
Daily Basis ◽  
University Hospital ◽  
Biological Variables ◽  
Cortisol Levels ◽  
The Impact

ObjectiveThe aim of the study was to assess the impact of several psychological and/or biological variables in the recovery from surgery.MethodsThe selected sample was composed of 42 patients (age range: 25–70) admited for surgical treatment to a University Hospital. The patients who presented impaired cognitive functioning were excluded from the study. Prior to surgical intervention (48 to 72 hours), patients were administered the Family Adaptability and Cohesion Evaluation Scale (FACES-II). Salivary cortisol was measured 24 hours before surgery. Following surgical intervention, recovery was coded as “good” or “poor” accordingly to Moix et al.’s criteria (1995). Dietary intake, resting and sleeping time, fever, perceived pain and surgery-related complications were assessed on a daily basis.ResultsSignificant relationships between better recovery, family cohesion and salivary cortisol level were found. The patients with lower scores in the cohesion dimension of the FACES-II and higher cortisol levels had more complications during the recovery phase (F = 10.96, p = 0.006).ConclusionsOur results suggest that social support (family cohesion) and the activity of the hypothalamus-pituitary-adrenal axis (cortisol levels) can have a significant influence on postoperatory recovery. Taking these data into account, it would be suitable to assess psychopathology and social support in patients waiting for surgically interventions.

PP38 Rates of recording different aspects of patients’ social history on ambulance electronic patient records – a service evaluation

2021 ◽  
Vol 38 (9) ◽  
pp. A16.1-A16
Author(s):  
Chloé R Barley ◽  
Imogen M Gunson
Keyword(s):  
Social History ◽  
Median Number ◽  
Service Evaluation ◽  
Patient Records ◽  
Completion Rates ◽  
Electronic Patient Records ◽  
Minimal Impact ◽  
History Data ◽  
Qualitative Work ◽  
The Impact

BackgroundUnderstanding the impact of a patient’s social history forms part of medical assessments and wider NHS data collection. To date, there has been little work examining the extent of social history recording by ambulance clinicians. The aim of this service evaluation is to examine how frequently staff complete social history fields on electronic patient records and to identify patterns in completion rate when comparing categories of call, localities of crew, conveyance or non-conveyance, and individual fields of social history data.MethodA retrospective review of one NHS ambulance trust’s electronic patient records (attended 01/01/2019 – 31/12/2019) was conducted. 10% of the records were analysed due to software limitations (n = 134434 adult cases).ResultsVery few cases (<0.05%) had every field completed, with 28.6% of all cases having no fields completed at all. In 45% of cases, between 8 and 11 fields were completed. The mean number of fields completed per case was 5.79 and the median number was 7.‘Mobility’ and ‘Home circumstances’ were the most frequently completed and ‘Sexual Orientation’ and ‘Language’ were the least.Category of call appears to have minimal impact on completion rates. Localities and specialists had more variation, ranging from 21.3% to 49.9% with no fields completed at all.ConclusionSocial history documentation is very infrequently fully completed by frontline ambulance crews within this service. The majority of cases have a partially complete social history however, due to software limitations, it is unknown whether the same fields are consistently completed throughout these cases.Further research, including qualitative work, is recommended to understand the low rate of recording of social history data and how this information is used by ambulance staff.

Persecution complex: I am getting one over electronic patient records!

2017 ◽  
Vol 8 (2) ◽  
pp. 78-81
Author(s):  
S Misra ◽  
F Dyer ◽  
Professor P Sandler
Keyword(s):  
Information Technology ◽  
Secondary Care ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Plain Language ◽  
National Programme ◽  
Care Processes ◽  
Health And Social Care ◽  
The Impact ◽  
Blair Government

The electronic patient record (EPR) is a core organisational document in which integrated health and social care records and secondary care processes can be stored. EPR was the brain child of the NHS’ National Programme for Information Technology, under the Blair government. 1 Since then, attempts have been made to install EPR in secondary care – a typical example being the installation of specialist imaging systems in hospital trusts. 2 The primary aim of EPR was to make the NHS services efficient via digitised patient records that could be viewed, discussed and transferred electronically between clinicians and/or trusts. 1 , 3 Other anticipated uses of EPR were to provide easy patient access to services such as e-referrals and e-prescriptions, as well as appointment systems. 3 , 4 Here, we discuss EPR and information technology in plain language, and assess the impact of EPR on NHS secondary care orthodontic services.

Tackling obesity and its complications in secure settings

2014 ◽  
Vol 19 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Clive Long ◽  
Arleen Rowell ◽  
Anita Gayton ◽  
Elizabeth Hodgson ◽  
Olga Dolley
Keyword(s):  
Type Ii Diabetes ◽  
Design Methodology ◽  
Antipsychotic Drugs ◽  
Patient Characteristics ◽  
Patient Records ◽  
Type Ii ◽  
Electronic Patient Records ◽  
Content Type ◽  
Time Period ◽  
Vigorous Intensity

Purpose – The purpose of this paper is to explore the incidence of obesity and its complications in secure psychiatric settings; and to assess changes in body mass index (BMI). Design/methodology/approach – Electronic patient records were used to determine levels of obesity and weight change over a three-year period. BMI levels were related to status, medication and patient characteristics. Findings – The incidence of obesity (34 per cent) in the sample (n=351) was higher than in the general population. One-third of patients were on medication for hyperlipidaemia and 10 per cent were diagnosed with type II diabetes. Patients on regular antipsychotic drugs and sodium valproate and who were less active had higher BMIs. Gender differences over a three-year period showed a tendency for women's weight to continue to increase which may be linked to lower levels of engagement in activities of moderate or vigorous intensity. Originality/value – Previous surveys using secure psychiatric populations have been point in time reviews. The current study tracks changes over a three-year time period and related this to a range of interventions.

PP20 A retrospective service evaluation of the presentation of anaphylaxis to a UK ambulance service

2019 ◽  
Vol 36 (10) ◽  
pp. e9.2-e9
Author(s):  
Nicholas Groom ◽  
Sarah Taylor ◽  
Ed England ◽  
Helen Pocock ◽  
Charles D Deakin
Keyword(s):  
Service Evaluation ◽  
Ambulance Service ◽  
Small Scale ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Self Administration ◽  
Patient Demographics ◽  
The Mean ◽  
The Impact ◽  
To Receive

BackgroundThere is a lack of data relating to frequency and presentation of anaphylaxis to the ambulance service in England. Little research exists relating to the patients’ self-treatment of anaphylaxis and there is an absence of evidence to evaluate the impact of self-administered adrenaline, there is a need to describe this patient group to evaluate any potential to develop their care.MethodsRetrospective data were collected from the electronic patient records of a single NHS ambulance service serving a population of approximately four million. Records between 1stApril 2017 and 31st March 2018 were included where a diagnosis of anaphylaxis was recorded. Gender, age, incident location, allergy history, were summarised to identify any trends in presentation. The frequency of patient self-administration, as well as ambulance administration, of adrenaline was also included for analysis to determine any correlation.Results326 records were included in the analysis. The mean, median and modal patient ages were 34, 29 and 20 respectively. Patient ages ranged from six months to 95 years. Patients were 65% female, 35% male and 59% of incidents occurred at home. 76% of patients reported having a known allergy with food being the most common allergen (44%). Peak times for calling 999 were midday and 6pm. 35% of patients had self-administered adrenaline. 52% received ambulance-administered adrenaline. The doses of self-administered adrenaline ranged from 0–3 doses and ambulance administered adrenaline ranged from 0–8 doses. Patients who self-administered adrenaline were less likely to receive further adrenaline from the ambulance service. No correlation was found between the number of self-administered doses and ambulance administered doses.ConclusionPatient demographics such as age, gender and allergies were consistent with two previous small-scale studies. This study suggests that early self-administration of adrenaline is beneficial. Opportunities for improvements in data recording as well as patient education were identified.

scholarly journals 468 Presentation of vulnerable children to ED during Lockdown: a concerning consequence of isolation

2020 ◽  
Vol 37 (12) ◽  
pp. 852.2-852
Author(s):  
Lalarukh Asim ◽  
Raeesa Jina ◽  
Sreena Das
Keyword(s):  
Youth Workers ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Accidental Ingestion ◽  
Vulnerable Children ◽  
Health Crisis ◽  
Number Of Children ◽  
King's College ◽  
Time Period ◽  
First Time

Aims/Objectives/BackgroundThis study aims to evaluate changes to child safeguarding attendances to the emergency department (ED) during the lockdown period 1st of March till 31st May 2020 compared to the same time period in 2019.The COVID-19 pandemic is the defining health crisis of our time and the first time firm social restrictions have been imposed since safeguarding practices have become embedded in the NHS. The NSPCC reported a large increase in contacts but there remain concerns that vulnerable children are invisible to agencies during this time.Methods/DesignAll children (< 18 years) who attended King’s College Hospital’s ED, and were reviewed in the weekly ED safeguarding meeting were included. Data was collected from electronic patient records for different parameters.Results/ConclusionsThe total number of children presenting via ED for safeguarding review fell from 865 in 2019 to 355 for the same period in 2020. However, the proportion requiring action by the hospital safeguarding team showed a significant increase (p= 1.5 x 10-4) suggesting the severity of cases during COVID-19 is worse.The percentage of stabbings doubled (p=0.04) despite lockdown measures. This may be a contributor to the significant increase in referral to youth workers (p=8 × 10-4). The number of children attending who were considered high risk due to previous safeguarding concerns dropped by 75%.As expected, the proportion of household injuries such as accidental ingestion and burns showed a significant increase (p=0.01 and p=0.002 respectively). The proportion of children from outside of our local boroughs was surprisingly higher in 2020 (p=0.03).The findings show that the number of cases triggering a safeguarding review has dropped during lockdown and raises concerns about vulnerable children who remain hidden. The findings also suggest an increased severity of safeguarding presentations, supporting our fears that the implications of lockdown on vulnerable children is yet to be realised.

The impact of using electronic patient records on practices of reading and writing

2014 ◽  
Vol 20 (4) ◽  
pp. 235-249 ◽  
Author(s):  
Heleena Laitinen ◽  
Marja Kaunonen ◽  
Paivi Åstedt-Kurki
Keyword(s):  
Patient Records ◽  
Electronic Patient Records ◽  
Reading And Writing ◽  
The Impact
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