by Dr Sara Evans
Issues existed with clinic paperwork, as well as patient safety, difficulty accessing notes for audit work, and recruitment of patients for research projects / developing research projects.
To develop a database for patients with PD we reviewed existing paperwork / team discussion, looked at the IT challenges, did a comparison against national audit standards, and considered ease of use (in a non-clinical setting).
Here is an example of the database we developed:
The main advantages of the database are the ease of access (both clinical and for audit purposes), ensuring good adherence with guidelines from national audit, bone health, research potential (recruiting patients for research projects and development of research based on data), and reduced clinic administration.
The disadvantages may be slowing down of the clinic, loss of patient interaction in clinic, ‘clunky’ letter format, IT issues (security and hardware), and rolling out to other potential users.