Introduction Good Surgical Practice from RCS England encourages the use of e-health records and detailed typed operative notes. The Covid-19 pandemic has led to multi-site operating. ENT operations in our trust were split over three sites including the private sector leading to potential disruption in continuity of patient care. Physical operation notes are difficult to access in emergencies, telephonic clinics or for audit purposes. We aim to have operative notes available on patients’ e-records which adhere to RCSEng guidelines. Method In this QIP, we reviewed all ENT operations over a retrospective one-month period recording percentage of notes uploaded to patient e-record and the number of surgeons in theatre. We created two novel RCSEng compliant e-operative notes with a user guide, generic and tonsillectomy-specific, and prospectively collected data to complete the cycle. Results 261 patients were included in both study periods. Only 36/134(27%) had e-operative pre-intervention improving to 71/127(56%) post-intervention. In the latter period, 76% of operations included a registrar and were more likely to have e-operative notes(72%) compared to when a consultant was operating alone(6%). There was low uptake of our tonsillectomy e-proforma(33%). Conclusions Our QIP has already proved effective with our templates increasing operative documentation on e-records. Increased use of e-template was more likely with the presence of a registrar in theatre. Room for improvement remains and we will re-audit after the introduction of further user-friendly operative templates and IT training. This QIP has also revealed additional operative training opportunities of which registrars can take advantage.
BACKGROUNDMalaria diagnosis remains a key issue in remote area. The gold standard microscopy has limitations of its own and the commonly used rapid diagnostic tests have variable results. An artificial intelligence based digital cytometry platform was assessed for its comparison with microscopy and rapid diagnostics test in terms of accuracy and feasibility. METHODS100 patients with complaints of fever with chills were included in the study. They were screened for malaria infection by microscopy of thin peripheral smear, antigen based rapid diagnostic test and digital cytometry. RESULTSAt higher malaria parasite concentration, the results between microscopy and digital cytometry were matching exactly. But at lower parasite concentration microscopy had lower sensitivity than digital cytometry. When compared to rapid diagnostic tests the digital cytometry had advantage of better species identification and better sensitivity. CONCLUSIONSIn our study, digital cytometry has greater sensitivity at lower parasite concentration as compared to rapid diagnostic test and microscopy. It was more accurate in species identification as compared to rapid diagnostic test.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.