Improving the provision of driving advice on discharge after abdominal surgery.
نویسندگان
چکیده
Ensuring the safety of patients is a vital duty of a doctor. It is their responsibility to advise patients about activity limitations on discharge from hospital. This study aims to assess the current provision of driving advice for patients after abdominal surgery and institute improvements to this provision of information in North Bristol NHS Trust. A preliminary questionnaire ascertained current doctor's knowledge regarding limitations of driving postoperatively and whether information was communicated to patients. Baseline retrospective data were collected from electronic discharge summaries to determine documentation of advice provision. Educational interventions were introduced, followed by data collection after each intervention. Initial questionnaires demonstrated poor knowledge amongst doctors and a lack of provision of driving advice postoperatively. After multiple educational interventions, the provision of driving advice on electronic discharge summaries increased from 0% (0) at baseline to 75% (9). Initially, the provision of driving advice postoperatively was poorly documented for inpatients undergoing abdominal surgery; following multiple educational interventions, the provision of written advice improved. Future plans include the introduction of prewritten sentences onto the electronic discharge summaries to facilitate ease of information provision and a reaudit in 12 months.
منابع مشابه
Improving driving advice provided to cardiology patients on discharge
Certain cardiac conditions can limit patients' ability to drive. It remains the doctors' responsibility to advise patients of any driving restrictions and is particularly important after certain diagnoses or procedures. We identified that the quality of documented advice was variable and frequently no written driving advice was recorded on discharge. It was apparent that there was a lack of awa...
متن کاملEffects of Reflexology on Sleep Quality of Elderly Women Undergoing Abdominal Surgery
Background: Sleep disorder is one of most prevalent complaints in elderly people. Tension reduction can be effective in improving sleep quality. In this regard, reflexology can be effective in reducing anxiety and tension. This study aimed to determine reflexology effects on sleep disorders of elderly women undergoing abdominal surgery. Methods: This study was a non-randomized c...
متن کاملDischarge against Medical Advice: an Interventional Study
Background and Objectives: Discharge against medical advice (DAMA) is a significant healthcare problem posing negative impact on effectiveness of patient care and costs of the health system. In order to address this problem, first the potential influencing factor should be identifies. This study followed two major objectives: first, to evaluate the prevalence and potential causes of DAMA, and s...
متن کاملAdvice on driving after groin hernia surgery in the United Kingdom: questionnaire survey.
In 1998 we sent a questionnaire covering various aspects of hernia repair to a random sample of 200 consultant general surgeons in the United Kingdom selected from a list provided by the Royal College of Surgeons. A similar questionnaire was sent to the general managers of 30 day surgery units randomly selected from a list provided by the British Association of Day Surgery. We report their resp...
متن کاملEffect of Gum-chewing on the Movement of Intestines after Abdominal Resection and Length of Hospital Stay
Background and Objectives: Postoperative ileus is common after abdominal resection. It causes gas store, distention, nausea, vomiting, and even pain. This study examines the impact of gum chewing as a type of sham feeding on the duration of postoperative ileus. Methods: In this randomized control trial study, 70 patients in two groups (each group n=35) underwent abdominal resection. The A gro...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- BMJ quality improvement reports
دوره 4 1 شماره
صفحات -
تاریخ انتشار 2015