The TOS2 Study: an International Multi-Centre Audit Assessing the Standard of Neurological Examination (P4.190)
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Le résumé fourni par la source
Objective: To establish whether the standard of neurological examination can be improved by use of a simple patient assessment score. Background: In a previous audit we demonstrated that in-patients referred to neurology at United Kingdom (UK) hospitals were not fully examined prior to referral;1 we therefore designed a larger audit with 80[percnt] power to detect a 10[percnt] increase in tendon hammer or ophthalmoscope use following an educational intervention. Methods: In-patients referred to neurology over a 4 month period (in hospitals in the UK (10), Jordan(1), Sweden (2)and the United Arab Emirates(1)) were asked whether they recalled being examined with a tendon hammer (T), ophthalmoscope (O) and stethoscope (S) since admission. The results were disseminated to local medical teams using various techniques (including Grand Round presentations, email, posters, discounted equipment). Data were then collected for a further 4 month period post-intervention. Results: Pre-intervention and post-intervention data were available for 11 centres with 407 & 391 patients in each arm respectively. Median age of patients was 51 (range 13-100) and 49 (range 16-95) years respectively, with 44.72[percnt] and 44.76[percnt] being male in each group. 264 patients (64.86[percnt]) recalled being examined with a tendon hammer in the pre-intervention arm, which significantly improved to 298 (76.21[percnt]) (p<0.001). Only 119 patients (29.24[percnt]) recollected examination with an ophthalmoscope pre-intervention, which significantly improved to 149 (38.11[percnt])(p=0.009). The majority of patients (321 (78.87[percnt])) pre-intervention recalled examination with a stethoscope, which significantly improved to 330 (84.4[percnt]) to a lesser extent (p=0.045). Conclusions: Results indicate that most patients are not fully examined prior to neurology referral yet a simple assessment score and educational intervention can improve the standard of neurological examination. This is the largest and - to our knowledge - only study to assess the standard of neurological examination worldwide. This has implications for national neurological educators.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The TOS2 Study: an International Multi-Centre Audit Assessing the Standard of Neurological Examination (P4.190)
- Date Crossref
- 06/04/2015
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University Hospitals Birmingham NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Sandwell & West Birmingham Hospitals NHS Trust pays non établi dans la noticeÉtablissement de santé
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Lund University Department of Clinical Sciences pays non établi dans la noticeUniversité ou école supérieure
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BorgWarner (Sweden) pays non établi dans la noticeEntreprise
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Skåne University Hospital pays non établi dans la noticeÉtablissement de santé
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King Hussein Medical Center pays non établi dans la noticeÉtablissement de santé
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Al Ain Hospital pays non établi dans la noticeÉtablissement de santé
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Queen's Hospital pays non établi dans la noticeÉtablissement de santé
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Salford Royal NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Milton Keynes Hospital NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Worcestershire Royal Hospital pays non établi dans la noticeÉtablissement de santé
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The Royal Wolverhampton NHS Trust pays non établi dans la noticeÉtablissement de santé
University Hospitals Birmingham NHS Foundation Trust, Sandwell & West Birmingham Hospitals NHS Trust et Department of Clinical Sciences — Lund University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.