Presentation is loading. Please wait.

Presentation is loading. Please wait.

Hong Kong Eye Hospital 2012 Quality Assurance Forum Standardization of A&K Measurement Record 22 March 2012 PAPDNS APN CHIU Wai Yee.

Similar presentations


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:

1 Hong Kong Eye Hospital 2012 Quality Assurance Forum Standardization of A&K Measurement Record 22 March 2012 PAPDNS APN CHIU Wai Yee

2 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.

3 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

4 Review of Old A&K measurement

5 Using Canon within one department

6 Using Nidex by different departments

7 Using different types of machine within one department

8 Using IOL Master by different staffs within one department

9 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.

10 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

11 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

12 1st version of standardized A&K Measurement Record

13 2nd version

14

15 Reprint A&K form

16 Print-out by IOL Master

17 Print-out by IOL Master

18


Download ppt "Hong Kong Eye Hospital 2012 Quality Assurance Forum Standardization of A&K Measurement Record 22 March 2012 PAPDNS APN CHIU Wai Yee."

Similar presentations


Ads by Google