A CLINICAL AUDIT ON THE PRESENTATION OF PATIENT NOTES

 

Following a practice meeting it was decided to undertake an audit on the accessibility of information from four key areas within the notes that were deemed to be important, namely:

 

1.         The correct ordering of the FP25 cards within the notes so treatment previously carried out on a patient could easily be followed chronologically over time.

2.         The medical history being clearly recorded (including the date when it was last updated).

3.         The BPE was being clearly recorded at the correct time intervals.

4.         Radiographs easily found within the notes and correctly named dated and area radiographed recorded.

 

There are very few precise guidelines on how information should be recorded. It was decided to perform a subjective audit of the notes, grading each of the four key areas for accessibility and presence of information from A to D based upon the Self Assessment Manual and Standards (published) by the Faculty of General Dental Practitioners (UK), where:

 

A = Clinically Excellent                                 All data present and easily found making clinical decisions easy

B = Clinically Acceptable                              All data present and time taken to find it doesn’t hinder clinical standards

C = Adequate (just clinically acceptable)                  Relevant date is found eventually

D = Clinically Unacceptable                          Some data has been lost or isn’t recorded

 

To make the assessment of each individual patient’s notes less subjective (and therefore more reproducible when comparing the first audit cycle with the second audit cycle), the exact requirements for each grade were further defined, from A to D, for each key area. See table X

 

 

 

 

GRADING FOR:

A

B

C

D

FP25 Chrono-logical Page Numbering and Ordering

FP25’s numbered and in the correct order

FP25’s numbered but in incorrect order

Not every FP25 numbered

FP25 cards missing or confusion over continuity of dates and treatment on them

Medical History Recording

All information clear and last updated clearly recorded

All information clear but when last updated not clearly recorded

Some confusion over medication taken or medical condition (i.e. crossing out present)

Clinically unacceptable lack of information or confusion

BPE Recording

Charted clearly at last examination

Charted less than clearly at last examination

Charted at some point within the last 2 years

Uncharted within the last 2 years

Radiographs

Found easily and correctly mounted, dated and with recording of patients name and area radiographed

Found easily with only one of the above 4 criteria missing

Not found easily or more than one of the  above 4 criteria missing

Radiograph written in notes as taken in the last 3 years* is missing

 

* This time span was chosen because it is the longest usual time interval between routine bitewings   

   being taken – and it could be reasonably assumed that the clinician would want to refer to these 

   radiographs when the patient attended – therefore they should be present.

 

Setting the Standard for the First Audit Cycle

 

The standard set for the first audit cycle was to achieve at least “clinically acceptable” B Grades for the majority of notes and no D “clinically unacceptable” grades.

 

Method of Collecting Data and Inclusion Criteria for Audit Cycle 1

 

The notes of the first 50 patients seen for a routine examination in a two-week period in December 2001 were analysed.  Each of the four key areas was assessed and graded according to the above grading criteria.

 

The inclusion criteria were:

1.         The patient had to be dentate (so the BPE could be assessed)

2.         The patient had to be an adult (i.e. over 18)

3.         A radiograph had to be written in the notes as taken in the last three years (so accessibility of radiographic information could be assessed).  In this case the last taken radiograph as recorded in the notes was assessed, whether it be a PA or Bitewing.  OPG’s were excluded as they are not filed in the same way as the above and tend to be rather easy to find!

 

Results for Audit Cycle 1 - Graphs

 

Identifying the Changes Needed and Instigating Them

 

 

FP25s – Simple reinforcement of the practice protocol was instigated and its importance stressed to the whole team.

 

Medical History Recording  To remedy the problem of recording updates to medical histories, a stamp was designed to be placed into the notes by the dental nurse at every exam. There were spaces for the date and there was enough room for changes to medical history to be recorded.

 

BPE Recording – to solve the main problem of  BPEs not being recorded as regularly as they should, we had a similar stamp made to the medical history stamp.  The stamp includes an area for the date and has clearly demarcated lines for filling in the BPE score for all six sextants – this should help to reduce the few times where illegible handwriting was the problem.  The stamp is to be placed in the notes at each examination without fail by the nurse to encourage use!

 

Radiographs – the solution to the problem identified with the radiographs had to include a means for the radiographs to be stored, already mounted, in the notes.  The holder had to be capable of clearly indicating the patient’s name, date and area radiographed, next to each radiograph.  As well the holder needed to be larger than the envelopes we were using so they could be found more easily within the notes and were less likely to fall out and become lost.

 

It was decided to try using Clear View radiograph holders which seemed to satisfy all of the above requirements for little extra cost.

 

Another advantage of the Clear View holders is that they are capable of holding a series of radiographs (i.e. bitewings taken over several years, or endodontic procedure periapical radiographs) meaning one radiograph can easily and quickly be compared to another.

 

Setting the Standard for Audit Cycle 2

 

With the improvements in place it seemed possible to raise the standard from the first audit cycle to attaining mainly “clinically excellent” grade A’s with no “clinically unacceptable” grade D’s.

 

Method of Collecting Data and Inclusion Criteria for Audit Cycle 2

 

Since obviously there would have only been improvements in the accessibility of information from the patients’ notes since the last audit cycle, we audited the notes of the first 50 patients seen in a two-week period in February 2002 who had:

1.         Commenced treatment since the last audit cycle

2.         Had a radiograph taken in that time

3.         Were aged over 18 and fully dentate as before

 

Collated Results Graph

 

As can be seen from the above table of collated results the standard of gaining a majority of Grade A’s in the four key areas was achieved.  However, there were still several clinically unacceptable grade D’s achieved with some patient notes, most notably with the lack of recording of BPE’s at every examination.

 

Evaluation of Changes Instigated

 

The introduction of the BPE stamp has greatly increased the correct recording of patient BPE’s at examinations, from 13 in audit cycle 1 to 31 in audit cycle 2 (a 230% improvement, so it did encourage use!), and had completely eradicated the problem of illegibility which counted for 2 notes in the first audit cycle.

 

The custom stamp made for recording Medical Histories was even more successful than the BPE stamp.  In 82% of notes the medical history was clearly recorded and the date it was updated was clear.  There were still come crossings out which lead to 5 Grade C’s and one instance when the stamp had been used and dated but no information recorded (grade D)!

 

Reinforcement of the numbering system on the FP25 cards was largely effective although there were still occasional instances of numbering being forgotten and cards being replaced in the wrong order.  It is thought that the cards that were out of order may have been caused in reception when patients phoned up and the receptionist had to quickly retrieve and replace cards.  We will try and remedy this by explaining the situation to the receptionist as she was largely excluded from the reinforcement that took place after audit cycle 1.

 

By far the most successful of the changes we made was the introduction of the Clear View holders to better facilitate retrieval of radiographic information.  As we had hoped the holders were large enough not to fall out of patient notes (no D’s were scored) and were also much easier to find.  Virtually all radiographs were mounted correctly, only 7 B grades were scored – 3 of these were for inadequate labelling of the radiographed area while 4 were for the radiograph being incorrectly mounted (either upside down or back to front).

 

Although in this audit only my patient notes were audited, the results have been so successful that the BPE and Medical History stamps are to be introduced into the other two surgeries in the practice.  The practice as a whole is also swapping over from usi