Mesh : Humans Medical Chaperones Guideline Adherence Urology Physical Examination Ambulatory Care Facilities Practice Guidelines as Topic Documentation / standards

来  源:   DOI:10.1097/SLA.0000000000006153

Abstract:
OBJECTIVE: To assess the performance of our urology team against General Medical Council (GMC) guidelines for using chaperones during intimate clinical examination.
BACKGROUND: Intimate physical examination is an integral part of our urological practice. There is a paucity of literature regarding the use of chaperones among urologists. Given the importance of this topic for both patient safety and providing support for the urologist, we decided to assess our performance as per the GMC guidelines for good medical practice.
METHODS: We completed an audit loop to evaluate the performance of 12 members in our urology team as regards compliance with GMC guidance for the documentation of chaperone use in the urology clinic. Based on our scoring system, we objectively assessed both overall team performance and individual scores for documenting chaperone use.
RESULTS: There was a significant improvement in the overall documentation rate in both clinical notes (+9.85%) and clinic letters (+36.65%). Raising awareness among team members managed to increase the individual performance scores as well.
CONCLUSIONS: This is the first report using a scoring system for objective assessment of a pertinent topic such as the use of chaperone and its documentation. This managed to achieve a significant improvement in our practice.
摘要:
目的:评估我们的泌尿外科团队与普通医学理事会(GMC)指南在亲密临床检查中使用伴侣的表现。
背景:亲密的体格检查是我们泌尿外科实践中不可或缺的一部分。关于泌尿科医师使用伴侣的文献很少。鉴于该主题对于患者安全和为泌尿科医生提供支持的重要性,我们决定按照GMC良好医疗实践指南评估我们的表现.
方法:我们完成了一个审计循环,以评估我们泌尿科团队中12名成员在泌尿科诊所使用伴侣的GMC指南符合性方面的表现。根据我们的评分系统,我们客观地评估了团队的整体表现和个人得分,以记录伴侣的使用。
结果:临床笔记(9.85%)和临床信件(36.65%)的总体记录率均有显着改善。提高团队成员的意识也设法提高了个人绩效分数。
结论:这是第一份使用评分系统对相关主题进行客观评估的报告,例如伴侣及其文档的使用。这在我们的实践中取得了显著的进步。
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