Getting it right first time (GIRFT): A closed loop study of hip arthroplasty documentation in a trauma and orthopaedic department.

Autor:	Sandhu J; Trauma and Orthopaedic Department, University Hospital of North Tees, Stockton-on-Tees, TS19 8PE, UK., Sharma H; Trauma and Orthopaedic Department, University Hospital of North Tees, Stockton-on-Tees, TS19 8PE, UK., Jabr Y; Undergraduate Medical Education Department, Ipswich Hospital, East Suffolk & North Essex NHS Foundation Trust, UK., Sidaginamale R; Trauma and Orthopaedic Department, University Hospital of North Tees, Stockton-on-Tees, TS19 8PE, UK., Logishetty R; Trauma and Orthopaedic Department, University Hospital of North Tees, Stockton-on-Tees, TS19 8PE, UK., Cooke N; Trauma and Orthopaedic Department, University Hospital of North Tees, Stockton-on-Tees, TS19 8PE, UK., Brewster N; Trauma and Orthopaedic Department, University Hospital of North Tees, Stockton-on-Tees, TS19 8PE, UK.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2020 Dec 29; Vol. 61, pp. 110-114. Date of Electronic Publication: 2020 Dec 29 (Print Publication: 2021).
DOI:	10.1016/j.amsu.2020.12.032
Abstrakt:	Introduction: The objectives of this study conducted in the University Hospital of North Tees, UK were to: (i) Identify if the current hip arthroplasty documentation met good compliance with the Getting It Right First Time (GIRFT) hip arthroplasty guidance (ii) Improve current documentation with a transition from hand-written notes to an online typed personalised operative hip arthroplasty template (iii) Improve the quality of documentation and adherence to GIRFT guidance in hip arthroplasty. Methods: We led a team of 7 doctors to review University Hospital of North Tees compliance against 24 criteria laid out by GIRFT. After examining 20 operative records retrospectively at random from a spread of orthopaedic consultants in the department, it was shown that there was poor compliance against GIRFT guidelines. We proposed a pragmatic solution of incorporating a pre-populated hip arthroplasty online template adhering to GIRFT guidance into our local 'Trackcare' system. Following that, we closed the audit loop by prospectively reviewing 20 operative notes. Results: Our initial results showed that poor compliance ranging 0%-100% over the 24 criteria. The findings of the 24 criteria with the online hip arthroplasty template in place showed a significant improvement between 80 and 100% compliance over the 24 criteria. Conclusion: The majority of the issues identified are modifiable risks factors which were amenable to some simple pragmatic solutions. A review of a single surgeon template has shown that it is simple to use, has excellent compliance (has pre-populated 24 criteria), takes 6-7 min to complete the operative notes, easily auditable and thus appears promising in minimising medico-legal claims for surgeons and the Trust. Competing Interests: None to declare. (Crown Copyright © 2020 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
Databáze:	MEDLINE
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