IMPORTANCE OF MEDICAL AUDIT IN A COMMUNITY OPHTHALMIC OUTREACH PROGRAM[b][/b]
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 21
Abstract
Outreach delivery of health care is an important part of Community ophthalmology, especially for Cataract patients. Quality assurance in such programmes, which guarantees every patient of best possible outcomes and fewest possible complications in such programmes of key importance. [b]OBJECTIVES:[/b] To study the importance of medical audit in assessing & assuring the quality of surgical services provided to the patients in community ophthalmic outreach programmes. [b]STUDY DESIGN:[/b] Cross Sectional Study. [b]SETTING:[/b] Tertiary Level Eye Hospital and Locations of Outreach Camps. [b]DURATION OF STUDY:[/b] 1 year, April 2010 to March 2011. [b]METHODS & [/b] [b]MATERIAL:[/b] Patients who had no ocular problems other than cataract & had undergone Cataract surgery as part of Outreach programmes, in 2 months – 1 year postoperative period, were selected at random. Interviewed & examined with Snellen's chart, Hand held Slit Lamp & Direct Ophthalmoscope to assess results of cataract surgery including complications. The data thus obtained was statistically analyzed for assessing the quality & effectiveness of community ophthalmic outreach programmes. [b]RESULTS:[/b] Of the 1014 patients surveyed 59% were females. 31.5 % Patients got both eyes operated. Thus total 1334 eyes surveyed. 88% of surgeries in the given year have resulted in Good Vision as per WHO Standards. 11% & 2% surgeries resulted in intermediate and poor vision respectively. Only 2% of patients had to be brought to the hospital for further management. Most commonly encountered undesired effect was watering, noted in 2.7% patients followed by itching, redness, mostly in the early postoperative period. Most patients were satisfied about the services they obtained. [b]CONCLUSION:[/b] Medical Audit is the mainstay in assessing & assuring the quality of community ophthalmic outreach programmes, which in turn maintain a public trust in the programme. It also helps in building a long term patient contact & finding out areas and groups where outreach programmes can be extended to fetch more patients.
Authors and Affiliations
Shubhangi Sathe, Sharmil S. K
Keywords
Related Articles
- EP ID EP90199
- DOI 10.14260/jemds/2014/2651
- Views 174
- Downloads 0
CUTANEOUS MANIFESTATIONS OF POLYCYSTIC OVARIAN DISEASE
BACKGROUND Polycystic ovarian disease (PCOD) is an ill-defined heterogeneous condition with a complex pathophysiology and is one of the commonest endocrine/metabolic disorders, affecting 6 - 10% of women in their reprodu...
A COMPARATIVE STUDY OF SURVIVORS AND NON-SURVIVORS OF SEPSIS IN ICU- A STUDY FROM NORTH-EAST INDIA
BACKGROUND Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection, which is one of the most important cause of mortality and morbidity in critically ill patients. In this study,...
A DESCRIPTIVE STUDY OF INGUINAL HERNIOPLASTY IN A TERTIARY CARE CENTRE
BACKGROUND Hernia may be defined as a protrusion of abdominal viscera outside the abdominal cavity through a natural or acquired defect. Inguinal hernias present with a lump in the groin that goes away with minimal press...
MATERNAL OUTCOME IN PRIMARY CAESAREAN SECTION AND SECONDARY CAESAREAN SECTION– A PROSPECTIVE OBSERVATIONAL STUDY
BACKGROUND Caesarean section (CS) is a surgical intervention for the delivery of foetus. The rapid increase of CS rate throughout the world has become a serious public health concern. Caesarean section has higher materna...
OTOPLASTY EXPERIENCE AT OUR CENTRE- A CASE REPORT
PRESENTATION OF CASE A 35 years old male patient presented with complaint of uncomfortable appearance of both ears since birth. History of previous unsuccessful attempts of taping and surgical correction was documented....