Neurological examination in upper limb trauma audit
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Neurological examination in upper limb trauma
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Neurological examination in upper limb trauma audit
- 1. Project members Ahmed Saber (Sp.Dr.) Hassan Elsayed (Sp.Dr.) Mohamed Taha (Sp.Dr.) Supervisor: Mr J Paniker (Consultant) Re-Audit : Accuracy of documentation of neurological examinations in upper limb fractures Presentation Date (First Audit):15/11/2017 Orthopaedic Department Rotherham General Hospital Presentation Date (Re-Audit):14/11/2018
- 4. Certificate of Poster Presentation This is to certify that Ahmed Yousry Saber has presented paper 49696 entitled Accuracy of Documentation of Neurological Examinations in Upper Limb Fracures by Ahmed Yousry Saber, Hassan Elsayed, Jayanth Paniker, Mohamed Taha, Maged Shahin at the 39th SICOT Orthopaedic World Congress held in Montreal, Canada, from 10 to 13 October 2018, accredited with 23 European CME credits (ECMEC®s) and 31.5 RCPSC credit hours S. Rajasekaran SICOT President James Waddell Secretary General Julio Fernandes Congress President Vikas Khanduja Scientific Programme Chairman
- 7. BOAST Guidelines Accuracy of documentation of neurovascular examinations in upper limb fractures
- 8. BOAST Guidelines Accuracy of documentation of neurovascular examinations in upper limb fractures
- 9. BOAST Guidelines Accuracy of documentation of neurovascular examinations in upper limb fractures 1-Clearly Recorded. Examination of peripheral nervous system after all injuries: 2-Repeated and Recorded after any manipulation or surgery.
- 10. Accuracy of documentation of neurovascular examinations in upper limb fractures Clearly Recorded ???? James S Robertson, Andrew G Marsh and James S Huntley Orthopaedic Department, Royal Hospital for Sick Children, University Glasgow, Yorkhill, Glasgow
- 11. Accuracy of documentation of neurovascular examinations in upper limb fractures Clearly Recorded ???? Examination of peripheral nervous system after all injuries: Intact distal neurology No neurological deficit Intact mobility No No No Documentation of individual nerve examination (Motor & Sensory Function) Yes
- 12. Meditech: First report of fracture clinic (Middle grade or Consultant) Period: All patients of upper limb injuries referred to orthopaedic from 1/3/2017 to 31/3/2017 - 1/3/2018 to 31/3/2018
- 23. Accuracy of documentation of neurovascular examinations in upper limb fractures Results
- 24. Accuracy of documentation of neurovascular examinations in upper limb fractures No Incomplete Clear
- 25. Results Upper Limb injuries 3/2017 362 Upper Limb injuries 3/2018 274
- 26. 20182017
- 27. 2018 1:15 notes No Documentation Inadequate Documentation Clear Documentation 2017 1:5 notes
- 28. 20182017 No Documentation Inadequate Documentation Clear Documentation
- 29. Middle Grade or Consultant Total number of patients seen by each group: 2018 2017
- 32. Total number of patients with neurological deficits 20182017
- 33. 2019 2018 2017 No Documentation Inadequate Documentation Clear Documentation
- 34. Conclusion Action plan: Posters in Fracture clinic to remind us during examination and dictation. There is improvement of neurological documentation in upper limb fracture (2017: 54%, 2018: 63% , 87% Registrar group, 58% consultant group) 2019 Full neurological documentation , improved from 1:15 notes in 2017 to 1:5 in 2018 Closing the audit loop with recommendation to continue in improving the neurological documentation. Picked up more cases with neurological deficiency (2017:2% , 2018:3%)
- 35. It is easy
- 36. Thank You