Presentation on theme: "Hong Kong Eye Hospital 2012 Quality Assurance Forum Standardization of A&K Measurement Record 22 March 2012 PAPDNS APN CHIU Wai Yee."— Presentation transcript:
Hong Kong Eye Hospital 2012 Quality Assurance Forum Standardization of A&K Measurement Record 22 March 2012 PAPDNS APN CHIU Wai Yee
Background Cataract extraction and IOL implantation is the most common surgery in HKEH. (~ 6200 cases / year) A&K measurement record is one of important clinical and legal documents. 3 professions involve in measurement of the power of IOL (Orthoptist, Optometrist & nurse) Different professions produce different formats of measurement records More than 5 types of machines are used to measure axial length.
Challenge Potential medical incident: wrong IOL insertion post-op refraction surprise Time consuming in “Time-out” procedure lengthen operative time Reprint A&K record according to surgeon’s preference on OT day interruption of service Need manual calculation if IOL of other model is required peri- operatively calculation error
Review of Old A&K measurement
Using Canon within one department
Using Nidex by different departments
Using different types of machine within one department
Using IOL Master by different staffs within one department
Improvement work A work group was formed and leaded by Dr NM Lam and L Wong. Members comprised of all concerned parties, e.g. orthoptist, optometrist, DSU nurse, PAPD nurse The 1st meeting was held on 15 July st version of standardized A&K measurement record was used from September nd version of standardized record was used by all departments of HKEH and UEC from Jan 2012 to present.
Aims of Standardization 1. Patient safety Correct IOL model and diopter is implanted into the correct eye 2. Efficiency confusion caused by different format of print out the checking time of IOL model & diopter Facilitate “Time out” procedure
Aims of Standardization 3. Smoothness of service the frequency of changing IOL on table choice of IOL models at printout ad hoc reprint IOL 4. Better communication between all staffs (surgeon, day ward nurse, OT nurse, Shroff) 5. Proper documentation
1st version of standardized A&K Measurement Record