• Login
    View Item 
    •   Home
    • Nottinghamshire Healthcare NHS Foundation Trust
    • Conditions and Diseases
    • COVID-19
    • COVID-19
    • View Item
    •   Home
    • Nottinghamshire Healthcare NHS Foundation Trust
    • Conditions and Diseases
    • COVID-19
    • COVID-19
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of EMERCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjectsProfilesView

    My Account

    LoginRegister

    Links

    About EMERPoliciesDerbyshire Community Health Services NHS Foundation TrustLeicester Partnership TrustNHS Nottingham and Nottinghamshire CCGNottinghamshire Healthcare NHS Foundation TrustNottingham University Hospitals NHS TrustSherwood Forest Hospitals NHS Foundation TrustUniversity Hospitals of Derby and Burton NHS Foundation TrustUniversity Hospitals Of Leicester NHS TrustOther Resources

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Audit on structure of assessment for remote consultation during COVID-19 pandemic

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Author
    Das, Astha
    Kuklewicz, Margaret
    Keyword
    COVID-19
    SARS-CoV-2
    Remote consultation
    Clinical audit
    Date
    2021
    
    Metadata
    Show full item record
    DOI
    10.1192/bjo.2021.234
    Publisher's URL
    https://www.cambridge.org/core/journals/bjpsych-open/article/audit-on-structure-of-assessment-for-remote-consultation-during-covid19-pandemic/FFA6979FCEC353EA3D947C93C904BE51
    Abstract
    Aims According to the Royal College of Psychiatry, GMC guidelines and NHS England, it is necessary to consider remote consultation to enable service delivery to those requiring shielding or facing additional health risk, and to avoid transition of infection. To audit whether the standards of Mobile and Remote access work are met. To audit whether the standards of Consent to Examination and Treatment are met. To also evaluate whether the remote consultation due to the COVID-19 pandemic is being explicitly documented or not. To suggest to the policy makers the need to establish some standards of practice concerning remote consultation and consent in the COVID-19 pandemic Method Inclusion criteria – sample of service users who had remote consultation in April, May, and mid-June 2020 by doctors of MHSOP community mental health team at Bassetlaw Hospital. Data collection: Retrospective. Data source(s) used: Patient/Client medical/care records Anticipated benefits of this audit: Due to the nature of current COVID-19 pandemic situation, it is essential to minimise contacts with vulnerable groups to prevent transmission of infection. It is anticipated that the number of remote consultations will grow in the forthcoming months. This audit creates an opportunity to develop a new policy and improve the quality of remote consultations documentation. Result Documentation for remote consultation was done in 81% of case notes whereas documentation of consent obtained was present in 57% of patients’ electronic notes. 90% of entries had documentation of ‘addressed concerns’. Around 50-70% of patients’ documents showed good record keeping on domains of ‘ability to maintain effective communication’, ‘mental state examination’, ‘risk assessment’ and ‘ability to understand medication plus side effects’. About 40% of documentation met standards for good record keeping on ‘management plan’, ‘concerns raised’, ‘chance given to ask about management plan’. Conclusion Most of the standards of good consultations are being met despite the change in the type of Consultation due to COVID-19. However, there are identified areas for improvement which could be focused on. For example, documentation can be clearer when consent is gained for remote consultation. It should not be presumed that, as patients are booked in a certain type of clinic, they have been properly consented beforehand. Key Success: Almost in all domains 40% have met the standards Key Concerns: There are areas where a lot of evidence is partially documented. The above results can be explained as a consequence of a sudden change in the normal working pattern in a community-based setting, having minimal protocols and procedures on standards of working in the situation of COVID19 remote consultation. Following this audit, we aim to increase the amount of information recorded during remote consultation. The plan is to develop a template that would cover the requirements for a remote consultation recommended by national guidelines The proposal of a letter template following a remote consultation will be disseminated to the MHSOP CMHT teams for any suggestions/approval.
    Citation
    Das, A. & Kuklewicz, M. (2021). Audit on structure of assessment for remote consultation during COVID-19 pandemic. In: Kaufman, K., (Ed.) RCPsych International Congress 2021, 21-24 June 2021 Virtual. London, England: BJPsych Open, p.S73-S73.
    Type
    Conference Proceeding
    URI
    http://hdl.handle.net/20.500.12904/14849
    Collections
    COVID-19

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.