Posters

Assessment of the documentation of ocular presentations to primary care

Poster Details

First Author: A.Abdall-Razak UK

Co Author(s):                     

Abstract Details

Purpose:

Assessing the documentation of ocular presentations to primary care, especially conjunctivitis. Ocular health is a important aspect of primary care but is notoriously poorly understood by general practitioners. This will aim to understand the difference between the documentation in primary care against national guidelines.

Setting:

Primary care, in a group of practices in Dorset, UK

Methods:

All patient notes coded for a diagnosis of ‘conjunctivitis' between 13th August 2017and 13th August 2019 were pulled. Any patients under 18 or those seen by someone other than a GP were excluded.

Results:

Red flags were documented at the following rates: unilateral/bilateral (74.8%), pain (41.2%), visual acuity (19.1%) photophobia (14.5%), trauma history (13.0%). There were 2 cases of misdiagnosis without key red flag symptoms documented in the notes. Fluorescein was not readily available at the practice. No targets were met.

Conclusions:

Documentation of conjunctivitis consultations is poor.  Recommendations to improve the documentation include recall flashcards and sourcing fluorescein strips for the practices. Re-audits are suggested for the implementations, over a 12-18 month period to have a comparable data set.

Financial Disclosure:

None