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First Author: D.McAteer IRELAND
Co Author(s): F. Kerins S. Quinn B. McKenna P. Mullaney
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To evaluate the completion of electronic post-operative records by optometrists, providing a new care model for post-operative cataract surgery. This is one of many aspects crucial to the success of this new care pathway.
Sligo General Hospital, a regional ophthalmology unit and various optometry practices, all situated in the northwest of Ireland.
In October 2012, Sligo General Hospital initiated a new model of post-operative care for uncomplicated surgery. This involved patients being followed up by their optometrist who completed a dilated fundal examination and entered their findings on a computerised system (Medisoft) accessible by all those with the required electronic fob, and by those ophthalmologists in the hospital. Crucial to the success of this scheme will be ensuring accurate records of the post-operative examination are completed. This particular area of the scheme is compared to the completion of the records by the ophthalmologists who saw patients who did not attend optometrists in the scheme.
Of those records completed by optometrist, 147 of 149 records were completed fully, a figure of 99%. Of those records completed by an opthalmologist, 96 of 166 records were completed fully, a figure of 58%.
Not only were the optometrists completing the records at a high percentage, but their completion percentage was much higher than the hospital doctors. Further examination of the figures indicates refraction was often missing from the hospital record, indicating an early pre-optometrist review, or failure to bring the refraction record to the appointment by the patient, a common occurence.