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dc.contributor.authorMoffat, Keith
dc.contributor.authorMcNab, Duncan
dc.date.accessioned2018-06-05T14:30:09Z
dc.date.available2018-06-05T14:30:09Z
dc.date.issued2015
dc.identifier.citationMoffat , K & McNab , D 2015 , ' Improving management of gout in primary care using a customised electronic records template ' , BMJ Quality Improvement Reports , vol. 4 , no. 1 . https://doi.org/10.1136/bmjquality.u204832.w2038en
dc.identifier.issn2050-1315
dc.identifier.otherPURE: 253267161
dc.identifier.otherPURE UUID: e7de605b-782d-4ac5-b740-ad450db8da4c
dc.identifier.otherRIS: urn:F7A97072226CE3083A05717708AE85BA
dc.identifier.otherRIS: 136
dc.identifier.urihttps://hdl.handle.net/10023/13733
dc.description.abstractIt is known that the management of chronic gout in relation to serum uric acid (SUA) monitoring, allopurinol dosing, and lifestyle advice is often sub-optimal in primary care.[1] A quality improvement project in the form of a criterion based audit was carried out in an urban general practice to improve the care of patients being treated for gout. Baseline searching of EMIS confirmed that management of patients with gout who were taking allopurinol was not in line with current guidance. 51(40%) had a SUA checked in the past 12 months, 88(25%) had a SUA below target level, and gout lifestyle advice was not being recorded. An audit was performed to measure and improve the following criteria: •Monitoring of SUA levels in the past 12 months •Titration of urate lowering therapy to bring the SUA below target level •Lifestyle advice in the past 12 months An audit standard of 60% achievement at 2 months and 80% achievement at 4 months was set. The intervention consisted of a custom electronic template within EMIS which allowed guidance of gout management to be displayed and for data to be entered. All members of the team including GPs and administrative staff were educated regarding the intervention. This resulted in a sustained improvement over a 6 month period in all 3 components of the audit with 112(84%) having a SUA level checked, 79(51%) having a SUA below target level and 76(57%) receiving lifestyle advice. Although the improvement did not reach the audit standard in 2 of the criteria it would be expected that outcomes would continue given the systems changes which have been made.
dc.language.isoeng
dc.relation.ispartofBMJ Quality Improvement Reportsen
dc.rights© 2018 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license.en
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectRZ Other systems of medicineen
dc.subjectZA4050 Electronic information resourcesen
dc.subjectNDASen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.subject.lccRA0421en
dc.subject.lccRZen
dc.subject.lccZA4050en
dc.titleImproving management of gout in primary care using a customised electronic records templateen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doihttps://doi.org/10.1136/bmjquality.u204832.w2038
dc.description.statusPeer revieweden


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