Streamlining inter-hospital transfers for urology patients to Beaumont Hospital: a quality improvement project
BAUS ePoster online library. Sugrue D. 06/22/21; 319144; pCU-7
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Mr. Diarmuid Sugrue
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Abstract
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Introduction: Hundreds of patients are transferred between hospitals in Ireland each year. Key information, including administrative data, past medical history, investigation results and treatments are required for safe transfer of care. This quality improvement initiative sought to streamline and standardise the documentation for inter-hospital transfers to the Urology service in Beaumont Hospital, Dublin.
Methods: Retrospective case review was carried out for all patients transferred to Beaumont Hospital's Urology service between August and October 2020. Documentation was assessed for the presence of a transfer letter, complete medical history, current medications, early warning scores, and laboratory and radiological results. Change ideas were implemented using a Plan, Do, Study, Action (PDSA) approach. On online referral portal was created including a standardised proforma and secured data repository for online referrals.
Results: 25 patients were transferred between August and October 2020. No letter accompanied 28% of transfers (n=7). Nearly half (n=11, 44%) had incomplete medical histories, while over a third (n=10, 40%) had no Covid status documented. Following introduction of an online proforma, all patients in January 2021 (n=5) were accompanied by a transfer letter with complete medical, laboratory investigations and Covid status.
Conclusion: Prior to our intervention transfer documentation to the Beaumont Urology Department were inadequate. Comprehensive transfer documentation can be facilitated by a standardised proforma which provide important clinical information readily in patient charts.
Methods: Retrospective case review was carried out for all patients transferred to Beaumont Hospital's Urology service between August and October 2020. Documentation was assessed for the presence of a transfer letter, complete medical history, current medications, early warning scores, and laboratory and radiological results. Change ideas were implemented using a Plan, Do, Study, Action (PDSA) approach. On online referral portal was created including a standardised proforma and secured data repository for online referrals.
Results: 25 patients were transferred between August and October 2020. No letter accompanied 28% of transfers (n=7). Nearly half (n=11, 44%) had incomplete medical histories, while over a third (n=10, 40%) had no Covid status documented. Following introduction of an online proforma, all patients in January 2021 (n=5) were accompanied by a transfer letter with complete medical, laboratory investigations and Covid status.
Conclusion: Prior to our intervention transfer documentation to the Beaumont Urology Department were inadequate. Comprehensive transfer documentation can be facilitated by a standardised proforma which provide important clinical information readily in patient charts.
Introduction: Hundreds of patients are transferred between hospitals in Ireland each year. Key information, including administrative data, past medical history, investigation results and treatments are required for safe transfer of care. This quality improvement initiative sought to streamline and standardise the documentation for inter-hospital transfers to the Urology service in Beaumont Hospital, Dublin.
Methods: Retrospective case review was carried out for all patients transferred to Beaumont Hospital's Urology service between August and October 2020. Documentation was assessed for the presence of a transfer letter, complete medical history, current medications, early warning scores, and laboratory and radiological results. Change ideas were implemented using a Plan, Do, Study, Action (PDSA) approach. On online referral portal was created including a standardised proforma and secured data repository for online referrals.
Results: 25 patients were transferred between August and October 2020. No letter accompanied 28% of transfers (n=7). Nearly half (n=11, 44%) had incomplete medical histories, while over a third (n=10, 40%) had no Covid status documented. Following introduction of an online proforma, all patients in January 2021 (n=5) were accompanied by a transfer letter with complete medical, laboratory investigations and Covid status.
Conclusion: Prior to our intervention transfer documentation to the Beaumont Urology Department were inadequate. Comprehensive transfer documentation can be facilitated by a standardised proforma which provide important clinical information readily in patient charts.
Methods: Retrospective case review was carried out for all patients transferred to Beaumont Hospital's Urology service between August and October 2020. Documentation was assessed for the presence of a transfer letter, complete medical history, current medications, early warning scores, and laboratory and radiological results. Change ideas were implemented using a Plan, Do, Study, Action (PDSA) approach. On online referral portal was created including a standardised proforma and secured data repository for online referrals.
Results: 25 patients were transferred between August and October 2020. No letter accompanied 28% of transfers (n=7). Nearly half (n=11, 44%) had incomplete medical histories, while over a third (n=10, 40%) had no Covid status documented. Following introduction of an online proforma, all patients in January 2021 (n=5) were accompanied by a transfer letter with complete medical, laboratory investigations and Covid status.
Conclusion: Prior to our intervention transfer documentation to the Beaumont Urology Department were inadequate. Comprehensive transfer documentation can be facilitated by a standardised proforma which provide important clinical information readily in patient charts.
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