Improving Appropriateness of Referral to ENT Emergency Clinic: A Completed Audit Loop

Rate this item
(0 votes)

Abstract

Objective:

The aim of this study was to assess whether appropriateness of referrals could be improved in a single ENT unit.

Methods:

Initial audit was undertaken prospectively, over a two week period. Referral standards were assessed with reference to previously locally published departmentally-developed guidelines. After the initial audit a comprehensive implementation plan was developed. Three months after implementing the change, a second prospective audit was undertaken. Data was analysed using simple statistical methods.

Results:

In the initial audit (n=133) inappropriate referrals were 40% (n=53) and of these patients 68% (n=36) were deemed "not an emergency". A re-audit was undertaken for a period of two weeks. Inappropriate referrals comprised 16% of attendees (n=14). The change of inappropriate referrals was found to be statistically significant (n=53(40%)vs.n=14(16%),X2=14.29,p<0.01).

Conclusion:

The results showed a statistically significant improvement in referral appropriateness as the unstructured clinic system was replaced by an appointment based system.

Additional Info

  • Authors: C Daultrey, D Buck, J Gwyn, O Al Hamarneh, M I Trotter
  • Keywords: ENT, Emergency Clinic, Otolaryngology, Structured Service, appropriate referrals
Read 8202 times Last modified on Monday, 07 April 2014 13:31

Leave a comment

Make sure you enter the (*) required information where indicated. HTML code is not allowed.

Search

Member Login

          Forgot login? | Register

BBC News Feed

Get in touch

Tel:
+44 207 637 3544

Email:
This email address is being protected from spambots. You need JavaScript enabled to view it.

Address:
The Otorhinolaryngologist,
73 Newman Street, London
W1T 3EJ, 
UK

 

Rila Publications Ltd Ethics Policy