Cataract
COMPLETE ELECTRONIC PATIENT RECORD FOR CATARACT SURGERY
The system is a complete electronic clinical record for the cataract care pathway.
All data items defined in the Cataract National Dataset, as defined by the 'Do Once and Share' project for Cataracts are collected by the programme.
A pre-defined minimum data set is collected at each stage of the patient's care pathway (initial consultation - nurses' assessment – biometry – operation – follow up clinic visits). Letters to referring clinicians can be automatically generated and patient notes, if required.
Collection of data in this way provides continuous, prospective audit of the clinical outcomes of cataract surgery. The sophisticated report and graph wizard allows surgeons to analyse their own results with just a few mouse clicks, without the need for any help from audit departments. Outcomes analysis includes visual acuity, surgically-induced refractive change, deviation from predicted post-operative refraction and complications rates. In addition, the program can automatically code diagnoses using Snomed CT and ICD10 codes and procedures using OPCS4.3.
The benefits of the system include:
- Comprehensive Clinical Governance of the cataract surgery service.
- Improved quality of clinical outcomes by delivering decision support.
- Massive improvement in the quality of audit.
- Huge saving of time and money compared to the current retrospective, manual audits.
- Improvement in note keeping throughout the patient's care pathway.
- Improved communication with GPs and optometrists.
- Large savings when the clinicians abandon the paper notes. This saves the huge expense of retrieving and preparing notes for every patient attendance and filing them afterwards.
