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Assessing Recording of Allergy Status on Rio Amongst Patients in Sandwell CAMHS
Published online by Cambridge University Press: 07 July 2023
Abstract
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Aims
To assess recording of allergy status for patients under the care of Sandwell CAMHS
Methods
This audit was performed at Sandwell CAMHS. The project was discussed and logged with the Trust's audit department.
Medical records of all patients (516 patients) seen between January and March 2022 by the medics in Sandwell CAMHS were examined for documentation of allergy status
For all patients the alert bar on Rio was examined to determine whether or not their allergy status was recorded.
A data collection tool was devised to collect information in accordance with the standard i.e, the drug allergy recorded or not and when recorded;
• it is present
• no known allergy
where present;
• substance name
• reaction
• severity
• date recorded
• Evidence and Certainty
Results
For the Recording of Allergy Status on Rio, the audit revealed:
A. 60 out of the 516 patients had their allergy status recorded.
Out of these 60 patients;
18 had possible allergy
42 had no known allergies
B. 456 had no recordings of allergy status
C. Those with possible Allergies;
The substance name was documented for all in Rio for those who had allergies indicated
12 of the 18 possible allergies had the allergic reaction documented
13 of the 18 possible allergies had the severity documented
3 of the 18 possible allergies had the date recorded
1 of the 18 possible allergies had evidence and certainty recorded
Conclusion
The audit revealed a poor recording of the allergy status
The following recommendations have been made:
Present audit at the Specialist mental health quality improvement group.
Clinicians should be made aware of the expected Nice Guidelines for documentation of allergy status.
Clinicians to update allergy status of patients every 6-12 months.
Develop an action plan and governance documentation with the specialist mental health quality improvement group.
The results of this audit have been shared with the Rio lead for them to consider making relevant changes in Rio i.e. The systems should include prompts for annual updates of allergy status.
A clear trust policy of documentation on how allergy status/adverse effects will be should be recorded Rio.
If possible, it should be included in the junior doctors' handbook and the eLearning.
To carry out a re- audit in 6 months to 1 year
- Type
- Audit
- Information
- BJPsych Open , Volume 9 , Supplement S1: Abstracts from the RCPsych International Congress 2023, 10–13 July , July 2023 , pp. S168
- Creative Commons
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. This does not need to be placed under each abstract, just each page is fine.- Copyright
- Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists
Footnotes
Abstracts were reviewed by the RCPsych Academic Faculty rather than by the standard BJPsych Open peer review process and should not be quoted as peer-reviewed by BJPsych Open in any subsequent publication.
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