Development of an in-house electronic ureteric stent register- highlighting benefits to patients and the urology service
BAUS ePoster online library. David R. 06/22/21; 319026; p11-8
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Rotimi David
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Introduction: Ureteric stenting is common among urologists, interventional radiologists (IR) and transplant surgeons. 'Forgotten stents' could result in encrustation, sepsis and kidney loss; hence justification for ureteric stent registers. The few existing registers are limited by data protection issues or heavy reliance on paper trails, emails or SMS. We therefore developed an electronic ureteric stent register locally and aim to share our experience and highlight benefits of this innovation.
Materials and Methods: Our IT department collaborated with urology and IR departments to develop the register using the 'ImageNow software'. There are no running costs, and it links directly into our hospital's clinical information system. Clinicians enter stents on the register at time of placement while our nurse practitioner team micro-manage and update the register.
Results: About 1800 stents have been entered on the register from April 2015 till date, with all fully accounted for. Patients at high risk of a 'forgotten stent' from our experience are those with multiple comorbidities and difficulty fitting stent appointments around many other on-going treatments; those with poor compliance from self-neglect or mental health issues; individuals who relocate away from the region and those who choose to leave the NHS for private medical care without proper documentation.
Conclusions: An in-house electronic register is a feasible and effective means of tracking ureteric stents while avoiding data protection problems and other concerns. IT-units in other UK Trusts could replicate similar platforms especially with ongoing pressures on the NHS such as from the COVID-19 pandemic.
Materials and Methods: Our IT department collaborated with urology and IR departments to develop the register using the 'ImageNow software'. There are no running costs, and it links directly into our hospital's clinical information system. Clinicians enter stents on the register at time of placement while our nurse practitioner team micro-manage and update the register.
Results: About 1800 stents have been entered on the register from April 2015 till date, with all fully accounted for. Patients at high risk of a 'forgotten stent' from our experience are those with multiple comorbidities and difficulty fitting stent appointments around many other on-going treatments; those with poor compliance from self-neglect or mental health issues; individuals who relocate away from the region and those who choose to leave the NHS for private medical care without proper documentation.
Conclusions: An in-house electronic register is a feasible and effective means of tracking ureteric stents while avoiding data protection problems and other concerns. IT-units in other UK Trusts could replicate similar platforms especially with ongoing pressures on the NHS such as from the COVID-19 pandemic.
Introduction: Ureteric stenting is common among urologists, interventional radiologists (IR) and transplant surgeons. 'Forgotten stents' could result in encrustation, sepsis and kidney loss; hence justification for ureteric stent registers. The few existing registers are limited by data protection issues or heavy reliance on paper trails, emails or SMS. We therefore developed an electronic ureteric stent register locally and aim to share our experience and highlight benefits of this innovation.
Materials and Methods: Our IT department collaborated with urology and IR departments to develop the register using the 'ImageNow software'. There are no running costs, and it links directly into our hospital's clinical information system. Clinicians enter stents on the register at time of placement while our nurse practitioner team micro-manage and update the register.
Results: About 1800 stents have been entered on the register from April 2015 till date, with all fully accounted for. Patients at high risk of a 'forgotten stent' from our experience are those with multiple comorbidities and difficulty fitting stent appointments around many other on-going treatments; those with poor compliance from self-neglect or mental health issues; individuals who relocate away from the region and those who choose to leave the NHS for private medical care without proper documentation.
Conclusions: An in-house electronic register is a feasible and effective means of tracking ureteric stents while avoiding data protection problems and other concerns. IT-units in other UK Trusts could replicate similar platforms especially with ongoing pressures on the NHS such as from the COVID-19 pandemic.
Materials and Methods: Our IT department collaborated with urology and IR departments to develop the register using the 'ImageNow software'. There are no running costs, and it links directly into our hospital's clinical information system. Clinicians enter stents on the register at time of placement while our nurse practitioner team micro-manage and update the register.
Results: About 1800 stents have been entered on the register from April 2015 till date, with all fully accounted for. Patients at high risk of a 'forgotten stent' from our experience are those with multiple comorbidities and difficulty fitting stent appointments around many other on-going treatments; those with poor compliance from self-neglect or mental health issues; individuals who relocate away from the region and those who choose to leave the NHS for private medical care without proper documentation.
Conclusions: An in-house electronic register is a feasible and effective means of tracking ureteric stents while avoiding data protection problems and other concerns. IT-units in other UK Trusts could replicate similar platforms especially with ongoing pressures on the NHS such as from the COVID-19 pandemic.
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