Electronic Prompts and Continued Education in Improving Clinical Performance

Poster C24, Saturday, October 22, 11:30 am - 1:00 pm, Le Baron

Debasis Das1, Shiraz Ahmed1, Fiesal Jan1, Rachel Stanbrook1; 1Leicestershire Partnership NHS Trust

The study aimed to evaluate quality of documentation of substance use, in initial clinical assessments, for patients assessed by the PIER team (Psychosis Intervention and Early Recovery), early intervention in psychosis service, covering the Leicestershire area (1 million population) in the United Kingdom. The current study was a re-audit, following earlier audits in 2013 and 2015. 54 case notes were collected over a 3 month period. Earlier audits in 2013 and 2015 looked at 67 and 63 case records, respectively. Areas assessed included documentation of type of substance used, amount, frequency and pattern of use. Results: Initial results revealed moderate compliance, average of 43%. Education was delivered to the multidisciplinary team (MDT). A re-audit conducted, beginning of 2015, showed improvement, with an average compliance of 57%, but results remained significantly below required 95% compliance. A new method of entering clinical data was introduced in May 2015, with the introduction of electronic patient record with prompts. 2015 audit was closely followed up with further staff education and re-audit which took place promptly; staff member, were therefore, more aware of their work being audited. The second re-audit showed further improvement, with average compliance rate of 80%. Conclusion: Prompts on electronic patient records and continued MDT education, helps in improving clinical performance. Repeated education and time was required for needed changes in clinician's documentation performance. A confounding factor was awareness by staff on the second re-audit that they were being audited. Plan is to re-audit after one year to ascertain any sustained improvement.

Topic Area: Service System Development and Reform

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