1. Sticker Checklist Study Professor Hill’s Team

2. Introduction  Medical notes and records were originally used as a reminder for doctors about their patient’s state of health. 1 Nowadays, it is vital that any documentation recorded should be made in accordance with the Health Service Executive [HSE] Records Management standards. This is an official document providing clear guidelines to help enfore enhanced safety measures. 2

3. The Study? A cohort study over eight days. There were two groups; a sticker study group and a control group, each consisting of 5 consultant teams. Based on these teams and their in-patients we were able to analyse data of 198 surgical ward round notes. This totaled to 34 study patients and 53 control patients.

4. Stickers Used?

5. How were the wardround notes analysed?  We checked for thirteen variables in the ward round notes.  We divided these variables into four groups; 1.Standard Criterion 2.Health Professional Data 3.Significant Clinical Data 4.Team Data  These variables abide by the HSE guidelines and must be present in any form of medical documentation.  Now for some statistics……

6. The Results

7. 1. Standard Criterion Stickers (69) Yes No Control (129) Yes No Two Patient Identifiers 6908940 Dated6901290 Timed59029100 Signed1001227

8. Percentage Adherence

9. 2. Health Professional Data Stickers (69) Yes No Control (129) Yes No Name Printed and legible 6901128 Medical Council No. 6902127 Bleep No.6901209

10. Percentage Adherence

11. 3. Significant Clinical Data Stickers (69) Yes No Control (129) Yes No Management Plan 6901236 Abnormal Bloods 33364485 Vitals56135277

12. Percentage Adherence

13. 4. Consultant Team Data Stickers (69) Yes No Control (129) Yes No Most Senior Clinician Documented 53163297 Team Name6905673

14. Percentage Adherence

15. Average Adherence Percentage We calculated the average adherence percentage by adding Up the 13 variable and dividing it by 1300 and finally multiplying it by 100 :- Control group :- 69+100+95+23+1+2+93+95+98+34+40+25+43 = 718 (718/1300) * 100 = 55.2% Sticker group :- 100+100+94+85+100+100+100+100+100+48 +81+77+100= 1186 (1186/1300) * 100 = 91.2%

16. Increase in Adherence to Standards

17. Conclusion  Based on these results, we would like to conclude that such a system can prove to be not only cost effective, but also a highly organised and efficient way to help adhere to the HSE standards. Overall increasing patient safety while minimising the workload.

18. Thanks  Any Questions???